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礬貝地黃湯(中藥方劑--清熱劑犀角地黃湯)

醫案日記 2023-06-16 06:58:06

礬貝地黃湯

組成:烏(wu)賊骨15g,發炭10g,川貝母10g,枯礬6g,熟地30g,炒(chao)山藥30g,丹皮(pi)10g,山萸肉15g,云苓(ling)10g,澤瀉10g,威靈仙15g,三七(qi)6g,壁虎7g,半夏10g,蜂蜜50g。

功能:扶正(zheng)補(bu)瘺,滌(di)痰助降

主治(zhi):潰瘍性食道(dao)癌后(hou)期(qi)所致之(zhi)食道(dao)氣(qi)管瘺

用法:將(jiang)上藥(yao)(yao)(除(chu)蜂(feng)蜜外)加入(ru)清水,使水面(mian)高出(chu)藥(yao)(yao)物兩橫指,浸(jin)泡(夏季約(yue)1小時(shi),冬季約(yue)2小時(shi))后用急火(huo)煎沸,然后用文火(huo)慢煮50分鐘,濾出(chu)藥(yao)(yao)液。余(yu)藥(yao)(yao)再加水約(yue)煮40分鐘,將(jiang)濾出(chu)藥(yao)(yao)液與第一次(ci)藥(yao)(yao)液合(he)并(bing),再過濾出(chu)藥(yao)(yao)渣,合(he)入(ru)蜂(feng)蜜后放火(huo)上煮至黏稠。服時(shi)用小調羹(geng)取(qu)藥(yao)(yao)液慢慢傾(qing)入(ru)口(kou)中,徐徐咽(yan)下,以不出(chu)現嗆咳(ke)為(wei)度。可每1小時(shi)服1次(ci)或2~3小時(shi)服1次(ci),輕者3~5次(ci)可愈,重者可頻頻呷(xia)服直至無嗆逆之癥。

方(fang)(fang)解:潰(kui)瘍性食(shi)道癌(ai),未得(de)到及時治(zhi)(zhi)(zhi)療,或因(yin)治(zhi)(zhi)(zhi)療方(fang)(fang)法不當(dang),常(chang)向(xiang)周圍組織侵蝕,由食(shi)道穿(chuan)透氣(qi)管(guan)成食(shi)道氣(qi)管(guan)瘺(lou),致患者(zhe)進流食(shi)或飲水(shui)時嗆咳、吐痰(tan)涎(xian)(xian)黏(nian)液,使原(yuan)本(ben)(ben)饑腸(chang)漉(lu)漉(lu)的膈(ge)噎不通(tong)(tong)癥更加亢(kang)奮急危(wei),中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)對此(ci)當(dang)以(yi)(yi)(yi)(yi)(yi)(yi)標(biao)本(ben)(ben)同(tong)治(zhi)(zhi)(zhi)。因(yin)為(wei)噎之所致常(chang)由“氣(qi)、憂、食(shi)、勞(lao)、思(si)”所傷,噎而(er)(er)(er)(er)成潰(kui)瘍者(zhe)虛證為(wei)多(duo),故從本(ben)(ben)治(zhi)(zhi)(zhi)以(yi)(yi)(yi)(yi)(yi)(yi)補(bu)(bu)益(yi);而(er)(er)(er)(er)食(shi)道氣(qi)管(guan)成瘺(lou),吞食(shi)難進,滴水(shui)難入,乃病標(biao)勢急,故治(zhi)(zhi)(zhi)亦當(dang)先。治(zhi)(zhi)(zhi)本(ben)(ben)可以(yi)(yi)(yi)(yi)(yi)(yi)救標(biao),治(zhi)(zhi)(zhi)標(biao)可以(yi)(yi)(yi)(yi)(yi)(yi)救急,當(dang)急以(yi)(yi)(yi)(yi)(yi)(yi)治(zhi)(zhi)(zhi)標(biao),標(biao)本(ben)(ben)同(tong)治(zhi)(zhi)(zhi)。本(ben)(ben)方(fang)(fang)藥(yao)取六味地黃(huang)湯中(zhong)(zhong)(zhong)之熟(shu)地、山(shan)藥(yao)、山(shan)萸肉補(bu)(bu)中(zhong)(zhong)(zhong)益(yi)氣(qi),安臟腑,生(sheng)精血(xue)(xue),長肌肉;丹皮清血(xue)(xue)養血(xue)(xue),加速血(xue)(xue)流,促進血(xue)(xue)液氧化,以(yi)(yi)(yi)(yi)(yi)(yi)清血(xue)(xue)毒(du),去潰(kui)腐而(er)(er)(er)(er)生(sheng)新;茯(fu)苓、澤(ze)瀉(xie)健脾守中(zhong)(zhong)(zhong),保神,調臟氣(qi),開胸腑,逐痰(tan)飲。以(yi)(yi)(yi)(yi)(yi)(yi)上(shang)六味補(bu)(bu)虛扶正,保護食(shi)道不再成潰(kui),防(fang)其上(shang)皮繼續增生(sheng)而(er)(er)(er)(er)惡(e)變。又用(yong)三七補(bu)(bu)血(xue)(xue)消瘀;威靈仙通(tong)(tong)經絡,散(san)(san)瘀積,除(chu)濕(shi)消痰(tan);壁虎散(san)(san)結解毒(du),治(zhi)(zhi)(zhi)惡(e)瘡,醫(yi)(yi)(yi)膈(ge)氣(qi)反胃;川(chuan)貝母散(san)(san)心胸郁(yu)結之氣(qi),主癰疽瘤瘍,收斂解毒(du);烏賊骨(gu)療潰(kui)瘍,補(bu)(bu)穿(chuan)孔;發炭主關塞不通(tong)(tong),醫(yi)(yi)(yi)哽噎,療雜瘡,消瘀長肉,且收濕(shi)以(yi)(yi)(yi)(yi)(yi)(yi)除(chu)痰(tan)涎(xian)(xian);枯(ku)礬蝕惡(e)肉,生(sheng)好(hao)肉治(zhi)(zhi)(zhi)惡(e)瘡,醫(yi)(yi)(yi)反胃嘔(ou)吐;半夏消痞散(san)(san)結,燥濕(shi)化痰(tan),治(zhi)(zhi)(zhi)嘔(ou)吐反胃、胸膈(ge)脹瘺(lou);蜂(feng)蜜益(yi)氣(qi)補(bu)(bu)中(zhong)(zhong)(zhong),解毒(du),療潰(kui)瘍。諸(zhu)藥(yao)合(he)用(yong)以(yi)(yi)(yi)(yi)(yi)(yi)達(da)標(biao)本(ben)(ben)同(tong)治(zhi)(zhi)(zhi)、抑惡(e)變、斂潰(kui)瘺(lou)、卻痔涎(xian)(xian)、降逆通(tong)(tong)噎之功。

按:此方(fang)僅對潰(kui)瘍性(xing)食(shi)道(dao)(dao)癌(ai)所(suo)致食(shi)道(dao)(dao)氣管瘺有效,治療食(shi)道(dao)(dao)癌(ai)必(bi)須(xu)同時服用抗食(shi)道(dao)(dao)癌(ai)藥物。潰(kui)瘍性(xing)食(shi)道(dao)(dao)癌(ai)或食(shi)道(dao)(dao)氣管瘺者,病(bing)已至晚期,癥狀變(bian)化多端(duan),還當(dang)因人、因病(bing)、因時、因地(di)隨變(bian)化了(le)的情況加減施治。

和貴章,1946年生,河(he)南(nan)(nan)省滎陽縣(xian)人。河(he)南(nan)(nan)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)學(xue)(xue)(xue)(xue)院(yuan)教(jiao)(jiao)授、主(zhu)任(ren)醫(yi)(yi)(yi)師(shi)。出身于中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)世家,1961年北京中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)學(xue)(xue)(xue)(xue)院(yuan)醫(yi)(yi)(yi)療(liao)系畢業后,在(zai)基層做中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)臨床醫(yi)(yi)(yi)療(liao)工(gong)作,后調河(he)南(nan)(nan)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)學(xue)(xue)(xue)(xue)院(yuan)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)系從事中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)教(jiao)(jiao)學(xue)(xue)(xue)(xue)、醫(yi)(yi)(yi)療(liao)和科研(yan)(yan)工(gong)作,曾任(ren)河(he)南(nan)(nan)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)學(xue)(xue)(xue)(xue)院(yuan)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)系中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)診斷(duan)教(jiao)(jiao)研(yan)(yan)室(shi)主(zhu)任(ren)、學(xue)(xue)(xue)(xue)科帶頭人,全國中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)診斷(duan)學(xue)(xue)(xue)(xue)第2屆(jie)、第3屆(jie)學(xue)(xue)(xue)(xue)術委員會(hui)(hui)委員,全國中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)診斷(duan)教(jiao)(jiao)學(xue)(xue)(xue)(xue)研(yan)(yan)討會(hui)(hui)理事,《中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)診斷(duan)學(xue)(xue)(xue)(xue)》雜志(zhi)編委會(hui)(hui)編委。

從事(shi)中(zhong)(zhong)醫(yi)(yi)教學(xue)(xue)、臨床(chuang)、科(ke)研40余年,誨人(ren)不倦,繼承家學(xue)(xue),師(shi)古博(bo)今,務實勤奮,重(zhong)(zhong)視理(li)論(lun)聯系實際,臨床(chuang)治(zhi)(zhi)療(liao)(liao)(liao)經驗(yan)豐富,不僅對(dui)常見病(bing)、多發病(bing)能敏捷地用(yong)中(zhong)(zhong)醫(yi)(yi)辨證思維去立(li)法、處方(fang)(fang)(fang)、用(yong)藥(yao)(yao),取得滿(man)意(yi)療(liao)(liao)(liao)效(xiao)(xiao)(xiao),而且對(dui)疑難雜癥亦能識常辨異,化(hua)難解(jie)(jie)疑,遣藥(yao)(yao)勝(sheng)病(bing)。尤其在(zai)對(dui)腫(zhong)瘤(liu)(liu)(liu)的(de)治(zhi)(zhi)療(liao)(liao)(liao)上,強(qiang)調(diao)(diao)以中(zhong)(zhong)醫(yi)(yi)整體(ti)觀為(wei)指導(dao),分系統地按(an)各自特(te)(te)(te)點選用(yong)特(te)(te)(te)效(xiao)(xiao)(xiao)藥(yao)(yao)物(wu)或方(fang)(fang)(fang)法治(zhi)(zhi)療(liao)(liao)(liao),注(zhu)重(zhong)(zhong)從精(jing)神、飲食、藥(yao)(yao)物(wu)、護理(li)等(deng)方(fang)(fang)(fang)面(mian)綜(zong)合調(diao)(diao)理(li)以抑(yi)瘤(liu)(liu)(liu)、減瘤(liu)(liu)(liu)及康(kang)復(fu),解(jie)(jie)除因手(shou)術、放化(hua)療(liao)(liao)(liao)引發的(de)后遺癥,或因對(dui)腫(zhong)瘤(liu)(liu)(liu)治(zhi)(zhi)療(liao)(liao)(liao)不完(wan)全(quan)而可能帶來的(de)轉移、復(fu)發,主張中(zhong)(zhong)醫(yi)(yi)施治(zhi)(zhi)不僅要注(zhu)意(yi)加(jia)強(qiang)與手(shou)術、放化(hua)療(liao)(liao)(liao)的(de)協(xie)同增效(xiao)(xiao)(xiao)作用(yong),而且要防毒(du)(du)副作用(yong)、防轉移、防復(fu)發,立(li)法施治(zhi)(zhi)應扶正泄毒(du)(du)、以毒(du)(du)攻毒(du)(du)、疏(shu)氣(qi)解(jie)(jie)郁、活(huo)血化(hua)瘀(yu)、排濕化(hua)痰(tan)、軟堅(jian)散結、防轉增效(xiao)(xiao)(xiao)等(deng)。在(zai)整體(ti)治(zhi)(zhi)療(liao)(liao)(liao)上,立(li)足(zu)于以人(ren)為(wei)本,無論(lun)早期、中(zhong)(zhong)期、晚(wan)期患(huan)者(zhe),皆要以能消(xiao)瘤(liu)(liu)(liu)者(zhe)盡(jin)力消(xiao)瘤(liu)(liu)(liu),瘤(liu)(liu)(liu)體(ti)難消(xiao)者(zhe)也要使其帶瘤(liu)(liu)(liu)全(quan)命,提高(gao)生(sheng)存質量,減少痛苦,最大限度地延(yan)長存活(huo)時間(jian)。在(zai)40余年的(de)臨床(chuang)實踐中(zhong)(zhong),博(bo)采眾家之長,積極發掘專(zhuan)病(bing)專(zhuan)方(fang)(fang)(fang)、特(te)(te)(te)效(xiao)(xiao)(xiao)方(fang)(fang)(fang),在(zai)中(zhong)(zhong)醫(yi)(yi)藥(yao)(yao)治(zhi)(zhi)療(liao)(liao)(liao)腫(zhong)瘤(liu)(liu)(liu)病(bing)方(fang)(fang)(fang)面(mian)已獨(du)具特(te)(te)(te)色。主編(bian)或參編(bian)學(xue)(xue)術著(zhu)作10余部,發表學(xue)(xue)術論(lun)文30余篇,獲省廳級科(ke)研獎4項。

中(zhong)藥方劑--清熱劑犀角地(di)黃湯

〖方源〗《千金方·卷十二·嘔血第六》 “犀角地黃湯,治傷寒及溫病,應發汗而不汗之內蓄血者,及鼻衄吐血不盡,內余淤血,面黃,大便黑,消淤血方”。

〖組成〗 水牛角 [30g] 生地黃 八兩[24g] 芍藥 三兩[12g] 牡丹皮 二兩[9g]

〖用法〗上藥四味,咀,以水九升,煮取三升,分三服。

〖方歌〗犀角地黃芍藥丹,血熱妄行吐衄斑。蓄血發狂舌質絳,涼血散瘀病可痊。
〖主治〗

1.熱入血分證。身熱譫語,斑色紫黑,舌絳起刺,脈細數,或喜忘如狂,漱水不欲咽,大便色黑易解等。

2.熱傷血絡證。吐血,衄血,便血,尿血等,舌紅絳,脈數。

〖功用〗清熱解毒,涼血散瘀。

〖病機〗
①溫熱病,熱入血分。營為血之淺層,營熱不解,每多深入血分,勢必迫血妄行。陽絡傷則血外溢;陰絡傷則血內溢。
②熱燔血分,上升者出于口鼻,則吐血,衄血,牙齦出血;下泄者出于二便,則便血,尿血;外溢者,現于肌膚,則發斑。
③心主血脈,其華在面,開竅于舌又與小腸相表里,由于熱毒熾盛于血分,故可見舌紅苔黃,脈數有力,面赤或口干身熱,或尿黃或便秘。
  ④熱(re)(re)入血分,熱(re)(re)擾(rao)心(xin)神,故神昏(hun)譫(zhan)語,煩亂不(bu)安。若在表之邪熱(re)(re),循經(jing)入里,熱(re)(re)與血結,故成蓄(xu)血證;邪熱(re)(re)與血相搏,心(xin)神被擾(rao),故有發狂。邪居陰分,熱(re)(re)蒸陰液上潮,故漱水(shui)不(bu)欲咽,血為(wei)熱(re)(re)迫(po)積于腸間,故大(da)便色(se)黑而易下(xia)。

生地(di)黃飲子簡(jian)介(jie)

目錄1拼音2概(gai)述(shu)(shu)3《太(tai)平圣(sheng)(sheng)惠(hui)(hui)方(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)八(ba)(ba)十(shi)(shi)(shi)(shi)(shi)三(san)方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 3.1組(zu)(zu)(zu)成(cheng)3.2功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)3.3生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang) 4《雜病(bing)源流犀(xi)燭(zhu)·六淫門》卷(juan)(juan)十(shi)(shi)(shi)(shi)(shi)七方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 4.1組(zu)(zu)(zu)成(cheng)4.2功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)4.3生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang) 5《太(tai)平圣(sheng)(sheng)惠(hui)(hui)方(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)十(shi)(shi)(shi)(shi)(shi)五方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 5.1組(zu)(zu)(zu)成(cheng)5.2制(zhi)(zhi)(zhi)備(bei)(bei)方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)5.3功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)5.4生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang) 6《太(tai)平圣(sheng)(sheng)惠(hui)(hui)方(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)十(shi)(shi)(shi)(shi)(shi)八(ba)(ba)方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 6.1組(zu)(zu)(zu)成(cheng)6.2制(zhi)(zhi)(zhi)備(bei)(bei)方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)6.3功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)6.4生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang) 7《太(tai)平圣(sheng)(sheng)惠(hui)(hui)方(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)二(er)(er)十(shi)(shi)(shi)(shi)(shi)方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 7.1生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)別(bie)名(ming)7.2組(zu)(zu)(zu)成(cheng)7.3制(zhi)(zhi)(zhi)備(bei)(bei)方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)7.4功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)7.5生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)7.6附(fu)注 8《太(tai)平圣(sheng)(sheng)惠(hui)(hui)方(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)二(er)(er)十(shi)(shi)(shi)(shi)(shi)方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 8.1生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)別(bie)名(ming)8.2處方(fang)(fang)(fang)(fang)(fang)(fang)8.3制(zhi)(zhi)(zhi)法(fa)(fa)(fa)8.4功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)8.5生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)8.6摘錄 9《太(tai)平圣(sheng)(sheng)惠(hui)(hui)方(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)三(san)十(shi)(shi)(shi)(shi)(shi)一方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 9.1組(zu)(zu)(zu)成(cheng)9.2制(zhi)(zhi)(zhi)備(bei)(bei)方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)9.3功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)9.4生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang) 10《太(tai)平圣(sheng)(sheng)惠(hui)(hui)方(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)五十(shi)(shi)(shi)(shi)(shi)五方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 10.1生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)別(bie)名(ming)10.2組(zu)(zu)(zu)成(cheng)10.3制(zhi)(zhi)(zhi)備(bei)(bei)方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)10.4功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)10.5生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)10.6附(fu)注 11《太(tai)平圣(sheng)(sheng)惠(hui)(hui)方(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)七十(shi)(shi)(shi)(shi)(shi)九方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 11.1組(zu)(zu)(zu)成(cheng)11.2功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)11.3生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang) 12《太(tai)平圣(sheng)(sheng)惠(hui)(hui)方(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)八(ba)(ba)十(shi)(shi)(shi)(shi)(shi)方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 12.1組(zu)(zu)(zu)成(cheng)12.2功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)12.3生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang) 13《古(gu)今醫(yi)統大全》卷(juan)(juan)八(ba)(ba)十(shi)(shi)(shi)(shi)(shi)八(ba)(ba)方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 13.1組(zu)(zu)(zu)成(cheng)13.2制(zhi)(zhi)(zhi)備(bei)(bei)方(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)13.3主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)13.4生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang) 14《證(zheng)(zheng)治(zhi)(zhi)(zhi)(zhi)(zhi)匯補(bu)(bu)》卷(juan)(juan)二(er)(er)方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 14.1組(zu)(zu)(zu)成(cheng)14.2功(gong)(gong)(gong)效主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)14.3生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)14.4各家(jia)(jia)論(lun)述(shu)(shu) 15《證(zheng)(zheng)治(zhi)(zhi)(zhi)(zhi)(zhi)匯補(bu)(bu)》卷(juan)(juan)五方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 15.1組(zu)(zu)(zu)成(cheng)15.2功(gong)(gong)(gong)效主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)15.3運(yun)用(yong)(yong)(yong)(yong)(yong)15.4各家(jia)(jia)論(lun)述(shu)(shu) 16《醫(yi)略六書》卷(juan)(juan)二(er)(er)十(shi)(shi)(shi)(shi)(shi)八(ba)(ba)方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 16.1組(zu)(zu)(zu)成(cheng)16.2功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)16.3生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)16.4各家(jia)(jia)論(lun)述(shu)(shu) 17《西塘感(gan)證(zheng)(zheng)》卷(juan)(juan)中(zhong)引(yin)海藏方(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 17.1組(zu)(zu)(zu)成(cheng)17.2功(gong)(gong)(gong)能(neng)(neng)(neng)主(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi) 18參考資料(liao)附(fu):1古(gu)籍中(zhong)的(de)(de)(de)生(sheng)(sheng)(sheng)(sheng)地(di)(di)(di)(di)(di)(di)(di)(di)(di)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)(huang)飲(yin)(yin)(yin)(yin)(yin)子(zi)(zi)(zi)(zi)(zi)(zi)(zi)(zi) 1拼音 shēng dì huáng yǐn zǐ

2概述(shu) 生地黃飲子為方劑名(ming),其同名(ming)方劑約有十(shi)五首。

3《太平圣惠方》卷八十三方之生地黃飲子

3.1組成

生(sheng)地(di)黃汁、竹(zhu)瀝(li)各三合,獨活三分(研末)[1]。

3.2功能主治

《太(tai)平(ping)圣(sheng)惠方》卷八十三方之(zhi)生地黃(huang)飲子主治小(xiao)兒中風(feng),面引口偏,身體拘急,舌不能轉[1]。

3.3生地黃飲子的用法用量

水煎服[1]。

上藥相和,煎至4合(he),去滓,不拘時候(hou),量(liang)兒大小,分(fen)減溫服。

4《雜病源流犀燭·六淫門》卷十七方之生地黃飲子

4.1組成

人參、黃芪、生地(di)黃、熟地(di)黃、石斛、天門冬、麥門冬、枳殼、枇杷(pa)葉、澤瀉各一錢,甘草(cao)五分[1]。

人(ren)參1錢(qian),黃耆1錢(qian),生地1錢(qian),熟地1錢(qian),金石斛1錢(qian),天冬(dong)1錢(qian),麥冬(dong)1錢(qian),枳殼1錢(qian),枇杷葉(xie)1錢(qian),澤瀉1錢(qian),甘草5分(fen)。

4.2功能主治

《雜(za)病(bing)源流犀燭·六淫門》卷(juan)十七(qi)方之生地(di)黃飲子(zi)主治消癉[1]。

4.3生地黃飲子的用法用量

水煎服[1]。

5《太平圣惠方》卷十五方之生地黃飲子

5.1組成

生地黃(huang)3兩(liang),玄參1兩(liang),赤茯苓1兩(liang),麥門冬1兩(liang),犀(xi)角(jiao)屑1兩(liang),甘草半兩(liang)(炙微赤,銼)。

5.2制備方法

上細銼,和勻。

5.3功能主治

《太平圣惠方》卷十五方之(zhi)生地黃飲(yin)子(zi)主治時氣(qi),心(xin)膈大熱煩(fan)悶,言語(yu)失(shi)度。

5.4生地黃飲子的用法用量

每服半兩,以水(shui)1大盞,煎至5分,去滓(zi)溫服,不拘時(shi)候。

6《太平圣惠方》卷十八方之生地黃飲子

6.1組成

生(sheng)地黃(huang)2兩(liang)(liang)(liang)(切),川(chuan)升(sheng)麻1兩(liang)(liang)(liang),玄參(can)1兩(liang)(liang)(liang),川(chuan)大黃(huang)1兩(liang)(liang)(liang)(生(sheng)用),柴胡2兩(liang)(liang)(liang)(去苗),貝母(mu)1兩(liang)(liang)(liang)(爆(bao)令微(wei)黃(huang)),麥門冬1兩(liang)(liang)(liang)(去心),百合1兩(liang)(liang)(liang),甘草1兩(liang)(liang)(liang)(炙微(wei)赤,銼)。

6.2制備方法

上銼細。

6.3功能主治

《太平圣惠方》卷十八方之生地黃飲子主治(zhi)熱病,毒(du)氣攻肺,咳嗽(sou),喉中生瘡。

6.4生地黃飲子的用法用量

每服半分,以水1大盞(zhan),煎(jian)至5分,去滓(zi),入蜜1小匙。更煎(jian)1沸(fei),放溫(wen)服,不拘時候。

7《太平圣惠方》卷二十方之生地黃飲子

7.1生地黃飲子的別名

生地黃湯

7.2組成

生地(di)黃汁1中(zhong)盞(zhan),竹瀝1中(zhong)盞(zhan),荊瀝1中(zhong)盞(zhan),防風半(ban)兩(去(qu)蘆(lu)頭),附(fu)子半(ban)兩(炮裂,去(qu)皮臍),羌(qiang)活1兩。

7.3制備方法

上銼細。

7.4功能主治

《太平圣惠方(fang)》卷二(er)十方(fang)之(zhi)生地黃飲子主治癱緩風,手足不遂,言語謇澀,心神躁悶。

7.5生地黃飲子的用法用量

以(yi)汁(zhi)瀝(li)等同煎至2中盞,去滓分溫(wen)3服(fu),不拘時候。

7.6附注

生地黃湯(《圣濟總(zong)錄》卷九)。

8《太平圣惠方》卷二十方之生地黃飲子

8.1生地黃飲子的別名

生地黃(huang)湯(《圣濟總錄》卷九)。

8.2處方

生地黃汁250毫升 竹(zhu)瀝(li)250毫升 荊瀝(li)250毫升 防風(feng)15克(去(qu)蘆、頭(tou))附子(zi)15克(炮裂,去(qu)皮、臍)羌活30克

8.3制法

上藥銼細。

8.4功能主治

《太平圣惠方》卷二十方之生地黃飲子(zi)主治癱緩風(feng),手足不(bu)遂,言語謇澀,心(xin)神躁(zao)悶。

8.5生地黃飲子的用法用量

每服(fu)15克,以汁、瀝等同煎(jian)至600毫升,去(qu)滓,不計時候,分(fen)三(san)次溫服(fu)。

8.6摘錄

《太平圣惠方》卷(juan)二(er)十(shi)

9《太平圣惠方》卷三十一方之生地黃飲子

9.1組成

生地黃2兩(liang)(liang),柴胡1兩(liang)(liang)(去苗),蔥白5寸(切),香豉半(ban)合,甘草半(ban)兩(liang)(liang)(生用),生姜半(ban)兩(liang)(liang),杏仁半(ban)兩(liang)(liang)(湯浸,去皮尖雙(shuang)仁,麩(fu)炒微黃),地骨皮半(ban)兩(liang)(liang),赤(chi)芍(shao)藥半(ban)兩(liang)(liang)。

9.2制備方法

上銼細,和勻。

9.3功能主治

《太平(ping)圣惠方(fang)》卷三(san)十一方(fang)之(zhi)生地黃(huang)飲子主治(zhi)骨蒸(zheng)勞熱,四(si)肢(zhi)疼痛,小便赤黃(huang)。

9.4生地黃飲子的用法用量

每服(fu)半兩,以(yi)童便1大盞,煎(jian)至5分,去滓溫(wen)服(fu),不拘時(shi)候。

10《太平圣惠方》卷五十五方之生地黃飲子

10.1生地黃飲子的別名

生地黃湯

10.2組成

生地黃2兩,淡竹(zhu)葉20片,大麥半(ban)合,甘(gan)草半(ban)兩(炙微赤,銼(cuo))。

10.3制備方法

上銼細,和勻。

10.4功能主治

《太平圣惠(hui)方(fang)》卷(juan)五十五方(fang)之(zhi)生地黃飲子主治(zhi)心(xin)黃。

10.5生地黃飲子的用法用量

每(mei)服半(ban)兩,以水1中(zhong)盞,加生姜半(ban)分,煎(jian)至7分,去(qu)滓溫(wen)服,不拘(ju)時候(hou)。

10.6附注

生地黃湯(《普(pu)濟方》卷一九六)。

11《太平圣惠方》卷七十九方之生地黃飲子

11.1組成

生地黃汁1中(zhong)盞,童便1中(zhong)盞,當歸1兩(銼),生姜(jiang)汁1合,酒1中(zhong)盞。

11.2功能主治

《太平(ping)圣惠方》卷七十九方之生地黃(huang)飲(yin)子主治產后(hou)卒血氣上攻(gong),心胸(xiong)煩悶,口干壯熱,不思飲(yin)食。

11.3生地黃飲子的用法用量

上(shang)藥搗和,煎(jian)57沸,去滓(zi),不拘時候(hou),溫服1小盞。

12《太平圣惠方》卷八十方之生地黃飲子

12.1組成

生(sheng)地黃汁2合,生(sheng)益母(mu)草汁2合,生(sheng)藕汁2合,雞子白2枚,童便1合。

12.2功能主治

《太平圣惠方》卷八十方之生地黃飲子(zi)主治(zhi)產后血(xue)運,心(xin)煩悶亂,恍惚如見鬼神(shen)。

12.3生地黃飲子的用法用量

上藥相和,微煎23沸(fei),下雞子白,攪(jiao)令散,分溫3服。

13《古今醫統大全》卷八十八方之生地黃飲子

13.1組成

生(sheng)地(di)2錢,赤芍2錢,羌活1錢,當歸1錢,甘(gan)草2分。

13.2制備方法

上為極細末。

13.3主治

《古今醫(yi)統大(da)全》卷八(ba)十八(ba)方之生地黃(huang)飲子(zi)主治小兒生下滿(man)身(shen)面目俱(ju)黃(huang),狀(zhuang)如金色,面赤身(shen)熱,眼閉不開(kai),大(da)便(bian)不通(tong),小便(bian)如梔汁,滿(man)身(shen)生瘡。

13.4生地黃飲子的用法用量

用燈(deng)心(xin)煎(jian)湯服。產婦亦宜服,抹(mo)少許(xu)入兒口內。

14《證治匯補》卷二方之生地黃飲子

14.1組成

生(sheng)地(di)、熟地(di)、天門冬(dong)、麥門冬(dong)、黃(huang)耆、甘草、銀(yin)柴(chai)胡(hu)、黃(huang)芩、地(di)骨皮、白芍藥。

14.2功效主治

《證治匯補》卷二方之生地(di)黃飲子(zi)功在扶(fu)元退熱(re)。主治氣虛血熱(re),潮(chao)熱(re),吐衄,脈弦數者。

14.3生地黃飲子的用法用量

水煎服。

14.4各家論述

《醫(yi)略六書》:氣虛血熱(re)(re)(re)(re)(re),不能(neng)攝(she)火,而經氣疏泄,血不得(de)歸經,故吐血、衄血,潮熱(re)(re)(re)(re)(re)不止(zhi)焉。生地滋(zi)陰(yin)(yin)(yin)壯水以(yi)涼血,熟地補血益陰(yin)(yin)(yin)以(yi)濟(ji)火,麥冬(dong)清心(xin)潤(run)(run)燥,天冬(dong)潤(run)(run)燥益陰(yin)(yin)(yin),黃耆補既傷(shang)(shang)之(zhi)(zhi)氣,蜜炙能(neng)禁疏泄之(zhi)(zhi)血,黃芩清燥熱(re)(re)(re)(re)(re)之(zhi)(zhi)火,炒(chao)黑能(neng)止(zhi)吐衄之(zhi)(zhi)血,地骨皮除蒸熱(re)(re)(re)(re)(re),炙甘草緩虛陽,銀柴胡解(jie)陰(yin)(yin)(yin)分之(zhi)(zhi)熱(re)(re)(re)(re)(re),白芍藥斂熱(re)(re)(re)(re)(re)傷(shang)(shang)之(zhi)(zhi)陰(yin)(yin)(yin)。俾(bi)熱(re)(re)(re)(re)(re)退(tui)陰(yin)(yin)(yin)藏則(ze)潮熱(re)(re)(re)(re)(re)自解(jie),而經氣清和,吐衄無不止(zhi)矣。此扶元退(tui)熱(re)(re)(re)(re)(re)之(zhi)(zhi)劑(ji),為氣不攝(she)火吐衄之(zhi)(zhi)專方(fang)。

15《證治匯補》卷五方之生地黃飲子

15.1組成

人參、生地(di)、熟地(di)、麥冬(dong)、天冬(dong)、石斛(hu)、五(wu)味子、甘(gan)草、枇杷葉、茯苓(ling)。

15.2功效主治

《證治(zhi)匯補》卷五方之生地黃飲子功在滋培(pei)潤燥。主治(zhi)下焦虛(xu)火上炎(yan),消(xiao)渴,脈虛(xu)數者。

15.3運用

小便不利,加茯苓。

15.4各家論述

《醫略六(liu)書》:下焦虛火上(shang)炎(yan)、肺(fei)金(jin)受爍,不能(neng)分布津液上(shang)潮(chao),故消渴不止。生地滋陰(yin)(yin)壯(zhuang)水(shui)以制虛火,熟地滋腎(shen)(shen)補陰(yin)(yin)以濟心(xin)陽(yang),天冬(dong)益陰(yin)(yin)潤肺(fei),麥冬(dong)潤肺(fei)涼心(xin),人參扶元生水(shui),甘草瀉火生金(jin),五味子收肺(fei)氣之(zhi)(zhi)耗(hao)散,枇杷葉平(ping)肝氣之(zhi)(zhi)上(shang)逆(ni),石斛益陰(yin)(yin)以除虛熱。水(shui)煎,溫服(fu),使腎(shen)(shen)水(shui)內充,則(ze)虛陽(yang)自潛(qian)而 *** 無不上(shang)奉,何消渴之(zhi)(zhi)不瘳(chou)哉(zai)!小便不利(li),加(jia)茯(fu)苓(ling),乃水(shui)出高源,源流并澤(ze)以上(shang)潮(chao),何消渴之(zhi)(zhi)有?此滋培潤燥之(zhi)(zhi)劑,為陰(yin)(yin)虛消渴之(zhi)(zhi)專方。

16《醫略六書》卷二十八方之生地黃飲子

16.1組成

生(sheng)地5錢(qian)(qian),阿膠3錢(qian)(qian)(蒲(pu)黃灰炒(chao)(chao)),白芍1錢(qian)(qian)半(炒(chao)(chao)),麥冬3錢(qian)(qian)(去心(xin)),地榆(yu)3錢(qian)(qian)(炒(chao)(chao)黑),茯神2錢(qian)(qian)(去木(mu)),小薊根3錢(qian)(qian)。

16.2功能主治

《醫略六書》卷二十(shi)八方(fang)之生地黃飲子主治孕婦尿(niao)血,脈虛數者(zhe)。

16.3生地黃飲子的用法用量

水煎,去滓溫服。

16.4各家論述

胎(tai)(tai)熱傷陰(yin)(yin),經(jing)(jing)血(xue)(xue)暗滲,故(gu)尿血(xue)(xue)不(bu)止(zhi),胎(tai)(tai)孕(yun)不(bu)安焉。生地(di)滋陰(yin)(yin)涼血(xue)(xue)以資血(xue)(xue)室,阿(a)膠補陰(yin)(yin)益血(xue)(xue)以護胎(tai)(tai)元,麥冬清心(xin)潤肺,白芍斂陰(yin)(yin)止(zhi)血(xue)(xue),茯神安神定志,地(di)榆涼血(xue)(xue)澀血(xue)(xue),小薊散瘀涼血(xue)(xue)以上溺血(xue)(xue)也(ye)。水煎(jian),溫服,使陰(yin)(yin)血(xue)(xue)內充,則胎(tai)(tai)熱自化而經(jing)(jing)氣(qi)完夏,經(jing)(jing)血(xue)(xue)無(wu)妄(wang)行(xing)之患,何溺血(xue)(xue)之有不(bu)止(zhi)者?胎(tai)(tai)孕(yun)無(wu)不(bu)自安矣。

17《西塘感證》卷中引海藏方之生地黃飲子

17.1組成

生地(di)、熟地(di)、枸杞、地(di)骨(gu)皮、黃耆、白芍、天冬(dong)、黃芩、甘草、枳(zhi)殼(ke)、防風。

17.2功能主治

龜頭長(chang)白點怎(zen)么辦(ban)

你這種情況是由于包皮過長產生的包皮垢導致包皮龜頭炎。建議切除包皮。

很多患者在陰莖的龜頭上出現紅斑或小丘疹,懷疑自己所患的是性病。當去看醫生后,才知道是包皮龜頭炎(陰莖頭包皮炎),事實上,包皮龜頭炎是常見的疾病。包皮龜頭炎又分為包皮炎和龜頭炎,由于常常同時出現故稱為陰莖包皮龜頭炎。這種炎癥可以是感染性的和非感染性的,臨床上以感染性的包皮龜頭炎較多見。感染性的常由于不潔性交,感染了白色念珠菌、滴蟲、衣原體、支原體、淋病雙球菌或其他細菌引起;非感染因素多是由于包皮過長,清潔不夠,包皮和龜頭之間的不潔之物,即包皮垢,便會堆積起來,刺激局部的包皮和粘膜發生炎癥。
臨床上常見的包皮龜頭炎有如下幾種,其癥狀:
(1)急性淺表性包皮龜頭炎 初起時局部潮紅,陰莖的皮膚發紅、腫脹,自覺龜頭有灼熱和瘙癢的感覺。翻開包皮,可見包皮內面及龜頭充血糜爛,有滲液,甚至于出血。繼發感染后可見小潰瘍,有惡臭的乳白色膿性分泌物。如與內褲磨擦即感疼痛,患者常常活動不便。可伴有腹股溝淋巴結的腫大和壓痛。
(2)環狀潰爛性包皮龜頭炎 在龜頭和包皮上,可見紅斑,逐漸擴大,呈環狀,可形成淺表性潰瘍面。
(3)白色念珠菌性包皮龜頭炎 包皮和龜頭可見紅斑,表面光滑,并有小皰疹,紅斑的邊緣較清楚,急性發作時有糜爛、滲液。
(4)滴蟲性包皮龜頭炎 龜頭起丘疹和紅斑,逐漸擴大,邊緣清楚,紅斑上可見針頭大小的小水皰,最后形成糜爛面。

西醫治療的基本原則是消炎殺菌。一般是內外并治。對于急性淺表性包皮龜頭炎和環狀潰爛性包皮龜頭炎的治療首選紅霉素和四環素,一般每服0.5g,每日4次。滴蟲性包皮龜頭炎的治療首選滅滴靈,每服0.2g,每日3次,連用10天。對于白色念珠菌引起的包皮龜頭炎的治療常用曲古霉素或伊曲康唑治療。曲古霉素10~20萬單位,每日2次,伊曲康唑每服100mg,每日2次,連服7天。
中醫治療本病常把其分為三型,即毒火郁結型、濕熱生蟲型和肝腎陰虧型三種。根據不同的臨床表現予以不同的治療。
(1)毒火郁結型 可見包皮和龜頭紅腫,有紅斑、丘疹、水皰或潰爛,自覺疼痛,排尿不暢,伴有口舌生瘡,急躁易怒。這是由于毒火郁結,不得宣泄所致。治療宜清熱、瀉火、解毒。常用方劑為導赤丹加減:黃連10g 黃芩10g 山梔子10g 木通10g 生地10g 淡竹葉10g 澤瀉10g 大黃6g 生甘草10g 水煎服,每日1劑。
(2)濕熱生蟲型 可見龜頭部潮紅,起水皰或糜爛,陰莖疼痛;實驗室檢查可見白色念珠菌或滴蟲感染;多伴有陰部潮濕,陰部瘙癢,口苦,口粘,小便黃赤。這是由于濕熱之邪下注肝經,生蟲所致。治療宜清熱除濕,殺蟲止癢。常用方藥為龍膽瀉肝湯加減:龍膽草10g 柴胡10g 黃芩10g 山梔子10g 車前子10g 澤瀉10g 木通10g 土茯苓30g 百部10g 貫眾10g 鶴虱10g
(3)肝腎陰虧型 可見包皮和龜頭有斑片或有肥厚,或硬化,一般沒有瘙癢和疼痛,可伴有腰酸、早泄等癥狀。這是由于濕熱或濕毒傷及肝腎之陰所致。治療宜滋補肝腎為主。常用方藥為六味地黃湯加減:生熟地各10g 山萸肉10g 山藥10g 枸杞子10g 丹皮10g 茯苓20g 丹參10g 澤瀉10g 蒲公英30g
治療包皮龜頭炎的外治法:
(1)滴蟲性龜頭炎 可用0.5%~1%乳酸溶液或0.5%醋酸溶液或1∶5000高錳酸鉀溶液,沖洗龜頭和包皮內側。
(2)念珠菌性包皮龜頭炎 可用小蘇打溶液清洗患部或外用咪唑類軟膏如達克寧軟膏、克霉唑軟膏等。
(3)蒲公英洗劑 取蒲公英30g,野菊花30g,枯礬10g,水煎外洗患部,每日1次 ,每次敷洗約20分鐘。
(4)青黛散 主要成分為青黛。取適量青黛散,加入少許水,調成糊狀,外用于患部,每日換藥1次。
(5)細菌感染引起的包皮龜頭炎,可用3%硼酸水200mL,或0 1%雷夫奴爾溶液外洗患部,每日2次,每次20分鐘。

預防和護理包皮龜頭炎
(1)注意局(ju)部衛生(sheng),每日(ri)清洗龜頭和包(bao)皮(pi),如(ru)包(bao)皮(pi)過長(chang)要(yao)及(ji)時(shi)治(zhi)(zhi)療,必要(yao)時(shi)作(zuo)包(bao)皮(pi)環切術(shu),及(ji)時(shi)清潔包(bao)皮(pi)垢很有(you)必要(yao)。(2)夫婦(fu)一(yi)方患性(xing)器(qi)官疾病(bing)要(yao)暫停性(xing)生(sheng)活,及(ji)時(shi)治(zhi)(zhi)療,如(ru)患有(you)滴蟲性(xing)或白色念珠(zhu)菌的(de)(de)感染(ran)要(yao)夫婦(fu)同(tong)時(shi)治(zhi)(zhi)療。(3)避免(mian)(mian)不潔性(xing)交,潔身自(zi)好(hao)。(4)如(ru)形成潰瘍或糜爛(lan)要(yao)及(ji)時(shi)換藥,每日(ri)換藥2次,避免(mian)(mian)不適的(de)(de)刺激(ji)。(5)對于(yu)急性(xing)包(bao)皮(pi)龜頭炎要(yao)避免(mian)(mian)使用皮(pi)質類固醇(chun)激(ji)素藥膏(gao),以免(mian)(mian)引(yin)起更加嚴重的(de)(de)感染(ran)。

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