生(sheng)脈(mo)(mo)(mo)(mo)(mo)(mo)散(san)(san)出自李東(dong)垣《內外傷(shang)(shang)群感論》。考其(qi)(qi)源(yuan)，歷代(dai)(dai)醫家皆(jie)認為(wei)(wei)(wei)(wei)，此(ci)方脫(tuo)胎于《傷(shang)(shang)寒(han)雜病(bing)論》之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)復(fu)(fu)脈(mo)(mo)(mo)(mo)(mo)(mo)湯(tang)(tang)（炙甘(gan)草(cao)湯(tang)(tang)）。因為(wei)(wei)(wei)(wei)：一、從方名來看，復(fu)(fu)脈(mo)(mo)(mo)(mo)(mo)(mo)與(yu)生(sheng)脈(mo)(mo)(mo)(mo)(mo)(mo)，其(qi)(qi)意相同，都是為(wei)(wei)(wei)(wei)了使虛弱(ruo)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)脈(mo)(mo)(mo)(mo)(mo)(mo)得(de)以(yi)復(fu)(fu)常(chang)。二、從配方及意義來看，復(fu)(fu)脈(mo)(mo)(mo)(mo)(mo)(mo)湯(tang)(tang)由多甘(gan)草(cao)、桂枝(zhi)、生(sheng)姜、人參(can)、麥(mai)冬(dong)、生(sheng)地(di)、阿膠(jiao)、麻(ma)仁(ren)、大棗、酒等(deng)組成。方中(zhong)(zhong)炙甘(gan)草(cao)、桂枝(zhi)、生(sheng)姜補(bu)(bu)心(xin)(xin)(xin)(xin)(xin)陽；生(sheng)地(di)、阿膠(jiao)、大麻(ma)仁(ren)滋(zi)養心(xin)(xin)(xin)(xin)(xin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)陰(yin)血；人參(can)、麥(mai)冬(dong)補(bu)(bu)心(xin)(xin)(xin)(xin)(xin)氣(qi)，益(yi)(yi)心(xin)(xin)(xin)(xin)(xin)液(ye)，大棗和脾，酒助心(xin)(xin)(xin)(xin)(xin)陽通脈(mo)(mo)(mo)(mo)(mo)(mo)。故(gu)此(ci)方為(wei)(wei)(wei)(wei)振奮心(xin)(xin)(xin)(xin)(xin)陽，滋(zi)養心(xin)(xin)(xin)(xin)(xin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)陰(yin)血之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)劑。生(sheng)脈(mo)(mo)(mo)(mo)(mo)(mo)散(san)(san)由人參(can)、麥(mai)冬(dong)、五(wu)味(wei)子組成。方中(zhong)(zhong)參(can)、麥(mai)冬(dong)補(bu)(bu)心(xin)(xin)(xin)(xin)(xin)氣(qi)，益(yi)(yi)心(xin)(xin)(xin)(xin)(xin)液(ye)，五(wu)味(wei)子斂氣(qi)生(sheng)津(jin)，故(gu)為(wei)(wei)(wei)(wei)補(bu)(bu)益(yi)(yi)心(xin)(xin)(xin)(xin)(xin)臟(zang)氣(qi)液(ye)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)方。三、從主(zhu)治來看，復(fu)(fu)脈(mo)(mo)(mo)(mo)(mo)(mo)湯(tang)(tang)為(wei)(wei)(wei)(wei)心(xin)(xin)(xin)(xin)(xin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)陰(yin)陽受傷(shang)(shang)所(suo)致之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)“脈(mo)(mo)(mo)(mo)(mo)(mo)結代(dai)(dai)，心(xin)(xin)(xin)(xin)(xin)動(dong)悸(ji)”而設；生(sheng)脈(mo)(mo)(mo)(mo)(mo)(mo)散(san)(san)系為(wei)(wei)(wei)(wei)心(xin)(xin)(xin)(xin)(xin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)液(ye)虛損所(suo)致之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)汗多體倦，口干舌(she)燥，短(duan)氣(qi)口渴，脈(mo)(mo)(mo)(mo)(mo)(mo)虛弱(ruo)或虛數而立(li)。四(si)、復(fu)(fu)脈(mo)(mo)(mo)(mo)(mo)(mo)湯(tang)(tang)是側(ce)重(zhong)補(bu)(bu)心(xin)(xin)(xin)(xin)(xin)陽，養心(xin)(xin)(xin)(xin)(xin)陰(yin)；生(sheng)脈(mo)(mo)(mo)(mo)(mo)(mo)散(san)(san)是側(ce)重(zhong)益(yi)(yi)心(xin)(xin)(xin)(xin)(xin)氣(qi)，增心(xin)(xin)(xin)(xin)(xin)液(ye)。追溯其(qi)(qi)因，由于導致心(xin)(xin)(xin)(xin)(xin)病(bing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)因不同。“脈(mo)(mo)(mo)(mo)(mo)(mo)結代(dai)(dai)，心(xin)(xin)(xin)(xin)(xin)動(dong)悸(ji)”，為(wei)(wei)(wei)(wei)傷(shang)(shang)寒(han)引(yin)起(qi)。寒(han)則傷(shang)(shang)陽，故(gu)復(fu)(fu)脈(mo)(mo)(mo)(mo)(mo)(mo)湯(tang)(tang)中(zhong)(zhong)有(you)溫補(bu)(bu)心(xin)(xin)(xin)(xin)(xin)陽之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)品；損陽及陰(yin)，故(gu)方中(zhong)(zhong)又有(you)滋(zi)養陰(yin)血之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)藥。生(sheng)脈(mo)(mo)(mo)(mo)(mo)(mo)散(san)(san)所(suo)治之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)證，乃由暑熱耗氣(qi)傷(shang)(shang)津(jin)所(suo)致，故(gu)李東(dong)垣僅(jin)用(yong)復(fu)(fu)脈(mo)(mo)(mo)(mo)(mo)(mo)湯(tang)(tang)中(zhong)(zhong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)人參(can)、麥(mai)冬(dong)，并加五(wu)味(wei)子以(yi)治之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。此(ci)方所(suo)以(yi)不用(yong)復(fu)(fu)脈(mo)(mo)(mo)(mo)(mo)(mo)湯(tang)(tang)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)其(qi)(qi)余(yu)諸藥者，以(yi)其(qi)(qi)不對證也。總之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，脈(mo)(mo)(mo)(mo)(mo)(mo)者，血之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)府也。心(xin)(xin)(xin)(xin)(xin)主(zhu)血脈(mo)(mo)(mo)(mo)(mo)(mo)，故(gu)復(fu)(fu)脈(mo)(mo)(mo)(mo)(mo)(mo)必須治心(xin)(xin)(xin)(xin)(xin)。上兩方皆(jie)為(wei)(wei)(wei)(wei)治心(xin)(xin)(xin)(xin)(xin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)劑。兩方有(you)先有(you)后，所(suo)以(yi)推測生(sheng)脈(mo)(mo)(mo)(mo)(mo)(mo)散(san)(san)是脫(tuo)胎于復(fu)(fu)脈(mo)(mo)(mo)(mo)(mo)(mo)湯(tang)(tang)。

生(sheng)(sheng)脈(mo)(mo)(mo)散(san)(san)(san)雖(sui)然脫(tuo)(tuo)胎于(yu)復脈(mo)(mo)(mo)湯(tang)，但是(shi)也借鑒了張(zhang)仲景的白(bai)虎(hu)(hu)加(jia)(jia)(jia)入參(can)(can)(can)湯(tang)。葉天士首將(jiang)上方化(hua)裁為(wei)(wei)生(sheng)(sheng)脈(mo)(mo)(mo)散(san)(san)(san)，并用(yong)于(yu)溫病(bing)(bing)(bing)津傷氣(qi)(qi)(qi)脫(tuo)(tuo)之(zhi)(zhi)(zhi)(zhi)證(zheng)(zheng)。薛生(sheng)(sheng)白(bai)《濕病(bing)(bing)(bing)條辨》又將(jiang)生(sheng)(sheng)脈(mo)(mo)(mo)散(san)(san)(san)用(yong)于(yu)“暑月熱(re)傷元氣(qi)(qi)(qi)”。吳鞠通將(jiang)白(bai)虎(hu)(hu)加(jia)(jia)(jia)人(ren)參(can)(can)(can)演變(bian)為(wei)(wei)生(sheng)(sheng)脈(mo)(mo)(mo)散(san)(san)(san)之(zhi)(zhi)(zhi)(zhi)過程，說得(de)非常具體(ti)。如《溫病(bing)(bing)(bing)條辨》說：“太陰(yin)濕病(bing)(bing)(bing)，脈(mo)(mo)(mo)浮(fu)大(da)(da)(da)(da)(da)而(er)(er)芤，汗(han)大(da)(da)(da)(da)(da)出(chu)，微喘，甚至鼻孔(kong)扇(shan)者(zhe)(zhe)，白(bai)虎(hu)(hu)加(jia)(jia)(jia)人(ren)參(can)(can)(can)湯(tang)主(zhu)之(zhi)(zhi)(zhi)(zhi)；脈(mo)(mo)(mo)若(ruo)散(san)(san)(san)大(da)(da)(da)(da)(da)者(zhe)(zhe)，急用(yong)之(zhi)(zhi)(zhi)(zhi)倍人(ren)參(can)(can)(can)”，“手太陰(yin)暑溫，或已(yi)經(jing)發汗(han)，或未發汗(han)，而(er)(er)汗(han)出(chu)不止，煩渴而(er)(er)喘，脈(mo)(mo)(mo)洪大(da)(da)(da)(da)(da)有(you)力者(zhe)(zhe)，白(bai)虎(hu)(hu)湯(tang)主(zhu)之(zhi)(zhi)(zhi)(zhi)；脈(mo)(mo)(mo)洪大(da)(da)(da)(da)(da)而(er)(er)芤者(zhe)(zhe)，白(bai)虎(hu)(hu)加(jia)(jia)(jia)人(ren)參(can)(can)(can)場主(zhu)之(zhi)(zhi)(zhi)(zhi)。……汗(han)多，脈(mo)(mo)(mo)散(san)(san)(san)大(da)(da)(da)(da)(da)，喘而(er)(er)欲脫(tuo)(tuo)者(zhe)(zhe)，生(sheng)(sheng)脈(mo)(mo)(mo)散(san)(san)(san)主(zhu)之(zhi)(zhi)(zhi)(zhi)。”汗(han)出(chu)惡寒，是(shi)津傷氣(qi)(qi)(qi)脫(tuo)(tuo)之(zhi)(zhi)(zhi)(zhi)先(xian)兆；脈(mo)(mo)(mo)浮(fu)大(da)(da)(da)(da)(da)而(er)(er)芤，汗(han)大(da)(da)(da)(da)(da)出(chu)，微喘，為(wei)(wei)邪熱(re)傷及肺中津氣(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)表現；脈(mo)(mo)(mo)散(san)(san)(san)大(da)(da)(da)(da)(da)，為(wei)(wei)邪熱(re)重(zhong)傷元氣(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)證(zheng)(zheng)；汗(han)出(chu)，脈(mo)(mo)(mo)散(san)(san)(san)大(da)(da)(da)(da)(da)，喘而(er)(er)欲脫(tuo)(tuo)，為(wei)(wei)津傷氣(qi)(qi)(qi)脫(tuo)(tuo)，化(hua)源(yuan)欲絕之(zhi)(zhi)(zhi)(zhi)象。其病(bing)(bing)(bing)由(you)輕而(er)(er)重(zhong)，由(you)虛實兼來，進而(er)(er)發展(zhan)為(wei)(wei)純虛之(zhi)(zhi)(zhi)(zhi)喉，這是(shi)符(fu)合熱(re)病(bing)(bing)(bing)變(bian)化(hua)規律的。由(you)于(yu)生(sheng)(sheng)脈(mo)(mo)(mo)散(san)(san)(san)證(zheng)(zheng)是(shi)由(you)白(bai)虎(hu)(hu)加(jia)(jia)(jia)人(ren)參(can)(can)(can)湯(tang)證(zheng)(zheng)逐漸發展(zhan)而(er)(er)成，所以，生(sheng)(sheng)脈(mo)(mo)(mo)散(san)(san)(san)之(zhi)(zhi)(zhi)(zhi)創制，要借鑒白(bai)虎(hu)(hu)加(jia)(jia)(jia)人(ren)參(can)(can)(can)湯(tang)。

總之，生脈散(san)之出，既與復脈湯有關，也借(jie)鑒了白虎加(jia)人參湯。

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