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五皮飲

醫案日(ri)記(ji) 2023-05-15 11:19:22

五(wu)(wu)(wu)(wu)皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)飲 出處:《華氏中藏經》本(ben)方由生(sheng)姜皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)、桑白(bai)(bai)皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)、大腹(fu)皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)、茯(fu)苓皮(pi)(pi)(pi)(pi)(pi)(pi)(pi),廣陳(chen)皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)五(wu)(wu)(wu)(wu)種藥物組成(cheng)。用于皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)水(shui),證(zheng)(zheng)見一身(shen)悉腫(zhong)(zhong),肢(zhi)體沉重,心腹(fu)脹(zhang)滿,上(shang)(shang)氣促急,小便(bian)不(bu)利(li),舌(she)苔白(bai)(bai)膩(ni),脈(mo)象(xiang)沉緩,以(yi)及妊娠水(shui)腫(zhong)(zhong)等。有(you)(you)利(li)濕消(xiao)腫(zhong)(zhong),利(li)氣健脾(pi)(pi)(pi)之(zhi)(zhi)功(gong)。本(ben)方為治(zhi)皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)水(shui)的(de)通用方。水(shui)腫(zhong)(zhong)一證(zheng)(zheng),多與(yu)肺(fei)、脾(pi)(pi)(pi)、腎三(san)臟相關。本(ben)方既健脾(pi)(pi)(pi)運化,利(li)水(shui)滲濕,又肅降肺(fei)氣,通調水(shui)道,故有(you)(you)理氣、消(xiao)腫(zhong)(zhong)、健脾(pi)(pi)(pi)之(zhi)(zhi)效。由于方中五(wu)(wu)(wu)(wu)藥皆用其皮(pi)(pi)(pi)(pi)(pi)(pi)(pi),以(yi)治(zhi)皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)水(shui)之(zhi)(zhi)證(zheng)(zheng),取“以(yi)皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)治(zhi)皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)”之(zhi)(zhi)意(yi),故稱“五(wu)(wu)(wu)(wu)皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)飲”。本(ben)方去(qu)桑白(bai)(bai)皮(pi)(pi)(pi)(pi)(pi)(pi)(pi),加(jia)青皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)、地骨皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)、甘草皮(pi)(pi)(pi)(pi)(pi)(pi)(pi),名(ming)“七皮(pi)(pi)(pi)(pi)(pi)(pi)(pi)飲”,治(zhi)證(zheng)(zheng)同(tong)上(shang)(shang);如去(qu)桑白(bai)(bai)皮(pi)(pi)(pi)(pi)(pi)(pi)(pi),加(jia)白(bai)(bai)術(shu)名(ming)“全(quan)(quan)生(sheng)白(bai)(bai)術(shu)散”,“全(quan)(quan)生(sheng)”有(you)(you)保(bao)全(quan)(quan)生(sheng)命的(de)意(yi)思,該方有(you)(you)健脾(pi)(pi)(pi)利(li)濕,安胎消(xiao)腫(zhong)(zhong)之(zhi)(zhi)功(gong),可用治(zhi)療妊娠脾(pi)(pi)(pi)虛水(shui)腫(zhong)(zhong)之(zhi)(zhi)證(zheng)(zheng)。

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