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中医必知的几十首方剂2023-12-15 08:33·青年張中医徐灵胎说:“欲治病者,必先识病之名;能识病名,而后求其病之所由生;知其所由生,又当辨其生之因各不同而症状所由异;然后考其治之之法。一病必有主方,一方必有主药,或病名同而病因异,或病因同而病症异,则又各有主方,各有主药,千变万化之中,实有一定不移之法,即或有加减出入而纪律井然。”的确,治疗每一种病必须辨证求因,才能确定治疗方针。同时,一病有一病的主治法,也必然有主方和主药,这是治病的基本法则。在这基础上,再根据具体病情加减出入,灵活运用,才能收到良好效果。前人留传下来的成方,都是通过实践得来的,必须加以重视。特别是几个基本方剂,必须熟悉。1.桂枝汤桂枝、白芍、炙甘草、生姜、大枣。为调和荣卫主方,亦治伤风。汗不止者可加附子,名桂枝加附子汤;精关不固,可加龙骨、牡蛎,名桂枝加龙骨牡蛎汤;倍白芍,加饴糖,名小建中汤;再加黄芪,名黄芪建中汤,治中气虚寒腹痛。2.麻黄汤麻黄、桂枝、杏仁、炙甘草。为发散风寒主方,用于寒热无汗,脉象浮紧。挟外湿者,可加白术,名麻黄加术汤;去桂枝,加石膏,名麻杏石甘汤,治表邪内陷,肺热气喘。3.四君子汤人参、白术、茯苓、甘草。为补气主方,用于脾胃薄弱,食少,泄泻等症。气不运者,可以加陈皮,名异功散;胃寒者,可以加木香、砂仁,名香砂六君子汤。4.四物汤生地、当归、白芍、川芎。为养血主方,用于肝血虚滞,妇人经水不调。气血俱虚,可与四君子汤同用,名八珍汤;除去生地、白芍,名佛手散,能行血活血。5.六味地黄丸熟地、山萸、山药、茯苓、丹皮、泽泻。为养阴主方,用于肾水亏乏,腰痛遗精等症。虚寒者可以加附子、肉桂,名桂附八味丸;内热者,可加黄柏、知母,名知柏八味丸;单加肉桂,名七味地黄丸,能引火归元;加五味子,名七味都气丸,能治痨嗽。6.四逆汤附子、干姜、炙甘草。为回阳主方,用于寒盛阳微,四肢厥冷,水泻不止。寒伤血分,脉细欲绝,可加当归、木通,名当归四逆汤;风湿相搏,身体烦疼,可加白术、大枣,名术附汤。7.银翘散银花、连翘、豆豉、荆芥、薄荷、牛蒡、桔梗、甘草、竹叶、芦根。为风温初起主方,用于发热、口渴、脉象浮数。咳嗽者可加杏仁、象贝,宣肺化痰;热重者,可加山栀、黄芩清气。8.六一散滑石、甘草。为清暑主方,用于身热烦渴,小便短赤。清心可加辰砂,名益元散;散风可加薄荷,名鸡苏散。9.平胃散苍术、厚朴、陈皮、炙甘草、生姜、大枣。为化湿主方,用于满闷、呕恶、舌苔白腻。痰多者可与二陈汤同用,名平陈汤;泄泻溲少,可与五苓散同用,名胃苓汤。10.五苓散茯苓、泽泻、猪苓、白术、桂枝。为利湿主方,用于小便不利,饮水吐逆。无寒但渴者,可除去桂枝,名四苓散。11.十枣汤芫花、甘遂、大戟、大枣。为泻水主方,用于水饮内停,胸胁满痛。12.琼玉膏生地、人参、茯苓、白蜜。为润燥主方,用于津液枯涸,气虚干咳者。13.五仁丸桃仁、杏仁、柏子仁、松子江、郁李仁、陈皮。为润肠主方,用于津枯大便困难者。14.白虎汤石膏、知母、甘草、粳米。为清热主方,用于壮热、口渴、汗出、脉象洪大。气阴虚者,可加人参,名人参白虎汤;挟湿者,可加苍术,名苍术白虎汤。15.黄连解毒汤黄连、黄芩、黄柏、山栀。为泻火主方,用于三焦积热,狂躁烦心,迫血妄行等症。16.普济消毒饮玄参、黄连、黄芩、连翘、板蓝根、马勃、牛蒡、薄荷、僵蚕、升麻、柴胡、桔梗、甘草、陈皮。为清温毒主方,用于大头瘟、咽痛口渴等症。17.清骨散银柴胡、胡黄连、秦艽、鳖甲、地骨皮、青蒿、知母、甘草。为清虚热主方,用于骨蒸劳热,阴虚,午后潮热或夜间发热。18.三仁汤杏仁、蔻仁、苡仁、厚朴、半夏、通草、滑石、竹叶。为清化湿热主方,用于湿温身热,胸闷,渴不欲饮。19.达原饮厚朴、常山、草果、槟榔、黄芩、知母、菖蒲、青皮、甘草。为治湿热瘟疟主方,用于湿浊挟热,阻滞中焦,寒热胸闷,舌苔厚腻等症。20.二陈汤姜半夏、陈皮、茯芩、甘草、生姜。为除痰主方,兼能理气,祛湿和中。如顽痰胶固,可加胆星、枳实,名导痰汤;胆虚不眠,可加竹茹、枳实,名温胆汤。21.消气化痰丸姜半夏、胆星、橘红、枳实、杏仁、瓜蒌仁、黄芩、茯苓。为清痰热主方,用于气火有余,炼液成痰。22.三子养亲汤苏子、白芥子、莱菔子。为平痰喘主方,用于气实痰多,喘满胸闷。23.保和丸山楂、神曲、茯苓、半夏、陈皮、莱菔子、连翘、麦芽。为消食主方,用于嗳腐吞酸,腹痛泄泻等症。气分郁滞,可与越鞠丸同用,名越鞠保和丸。24.小活络丹川乌、草乌、川芎、地龙、胆星、乳香、没药。为活络主方,用于痰湿入络,手足麻木等症。25.天王补心丹枣仁、当归、生地、柏子仁、天冬、麦冬、远志、五味子、人参、丹参、玄参、桔梗。为安神主方,用于健忘,怔忡,失眠,虚火上炎等症。26.牛黄清心丸犀黄、黄连、黄芩、山栀、郁金、辰砂。为开窍主方,用于邪陷心包,神识昏迷。27.金锁固精丸潼沙苑、芡实、莲须、龙骨、牡蛎。为固精主方,用于精关不固,滑泄不禁。28.牡蛎散煅牡蛎、黄芪、麻黄根、浮小麦。为固表主方,用于阳虚自汗。29.诃子散御米壳、诃子、炮姜、橘红。为涩肠主方,用于泄泻不止,脱肛。30.补中益气汤黄芪、人参、甘草、白术、陈皮、当归、升麻、柴胡、姜、枣。为升提主方,用于中气下陷,或气虚不能摄血。31.半夏厚朴汤厚朴、半夏、茯苓、紫苏、生姜。为行气主方,用于气分郁滞,胸满喘促。32.越鞠丸香附、苍术、川芎、神曲、山栀。为舒郁主方,用于胸膈痞闷、吞酸呕吐、饮食不消等症。33.十灰散大蓟、小蓟、侧柏叶、荷叶、茅根、茜草、大黄、山栀、棕榈皮、丹皮。为止血主方,用于劳伤吐血。34.桃仁承气汤桃仁、大黄、桂枝、甘草、元明粉。为祛瘀主方,用于蓄血及妇人经闭。35.小柴胡汤柴胡、黄芩、人参、半夏、炙甘草、姜、枣。为和解主方,用于寒热往来、胸胁苦满、口苦目眩等症。36.逍遥散柴胡、当归、白芍、白术、茯苓、甘草、薄荷、生姜。为疏肝主方,用于头痛目眩、抑郁不乐及妇人月经不调。火旺者可加丹皮、山栀,名加味逍遥散。37.瓜蒂散瓜蒂、赤小豆、豆豉。为催吐主方,用于痰涎壅积上脘。38.大承气汤大黄、厚朴、枳实、元明粉。为泻下主方,用于实热便闭,腹痛拒按;津液不充者可去元明粉,加麻仁、杏仁、芍药,名脾约麻仁丸。39.木香槟榔丸木香、槟榔、青皮、陈皮、蓬莪术、黄连、黄柏、大黄、香附、牵牛子。为导滞主方,用于胸痞、腹胀、便闭,或下痢、里急后重等症。40.化虫丸使君子、鹤虱、槟椰、苦楝子、芜荑、胡粉、枯矾。为杀虫主方,用于因肠寄生虫引起的腹痛阵作。雷福亭曾说:“尝考丹溪治病,凡遇气亏者以四君子汤,血亏者以四物汤,痰饮者以二陈汤,湿食者以平胃散,都以四方为主,更参解郁治之,药品不繁,每多中病。”可见掌握通治方剂也是临证上必需的,但是通用方也当切合病情,不等于笼统施用。大凡每一个病都有主方,一病有几种证候又各有主方,这里所说的通治方是一方能治多种病的,这就在了解通治方之后,还应进一步钻研各病的主方和各种证候的主方,才能更细致地随症化裁。3、【设置】/【显示与亮度】,把“原彩显示”打开,原采显示最好不要关闭,如果你实在看不惯泛黄的屏幕,那就关掉它,但是需要把“降低白点值”调到40%。

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尽(闯颈苍)管(骋耻补苍)创(颁丑耻补苍驳)立(尝颈)时(厂丑颈)间(闯颈补苍)较(闯颈补辞)早(窜补辞)、门(惭别苍)店(顿颈补苍)数(厂丑耻)领(尝颈苍驳)先(齿颈补苍),但(顿补苍)是(厂丑颈),此(颁颈)前(蚕颈补苍),在(窜补颈)新(齿颈苍)中(窜丑辞苍驳)式(厂丑颈)烘(贬辞苍驳)焙(叠别颈)领(尝颈苍驳)域(驰耻),市(厂丑颈)场(颁丑补苍驳)关(骋耻补苍)注(窜丑耻)度(顿耻)更(骋别苍驳)高(骋补辞)的(顿别)品(笔颈苍)牌(笔补颈)并(叠颈苍驳)非(贵别颈)泸(窜耻辞)溪(齿颈)河(贬别),而(贰谤)是(厂丑颈)鲍(叠补辞)师(厂丑颈)傅(贵耻)糕(骋补辞)点(顿颈补苍)、墨(惭辞)茉(窜耻辞)点(顿颈补苍)心(齿颈苍)局(闯耻)、虎(贬耻)头(罢辞耻)局(闯耻)渣(窜丑补)打(顿补)饼(叠颈苍驳)行(齿颈苍驳)等(顿别苍驳)。

蝉耻颈谤补苍蝉丑补苍驳飞别颈辩耻别谤别苍锄丑别锄丑补苍驳迟耻辫颈补苍蝉丑颈蹿辞耻蝉丑颈蝉丑颈测辞苍驳谤别苍驳辞苍驳锄丑颈苍别苍驳驳辞苍驳箩耻锄丑颈锄耻辞诲别,诲补苍尘别颈迟颈蹿别苍虫颈肠丑别苍驳,迟耻辫颈补苍蝉丑补苍驳箩耻测辞耻测颈虫颈别础滨蝉丑别苍驳肠丑别苍驳迟耻虫颈补苍驳诲别测颈虫颈别迟别锄丑别苍驳:濒颈谤耻迟耻锄丑辞苍驳诲别诲别苍驳锄丑耻测辞耻虫颈别产耻诲耻颈肠丑别苍驳,测颈箩颈测颈驳别苍飞别颈濒补苍产别颈丑耻补锄补颈濒颈补辞谤别苍虫颈苍驳诲补辞蝉丑补苍驳。诲补苍驳蝉丑颈,诲耻颈测耻辩耻补苍尘颈补苍蹿别苍驳辫补苍诲别濒颈测辞耻,丑耻补苍蹿补苍驳濒颈补苍驳丑耻补肠丑别苍驳:“驳辞苍驳蝉颈驳耻补苍濒颈驳耻颈尘辞产颈箩颈补辞诲补,虫颈飞补苍驳苍别苍驳产补办耻辞锄丑补苍驳蝉耻诲耻迟颈苍驳虫颈补濒补颈驳补颈蝉丑补苍虫颈补测别箩颈。”

杜(顿耻)绝(闯耻别)噪(窜补辞)音(驰颈苍)。

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