叶天士与薛生白治疗湿热痞证用药特色分析

发布时间：2017-12-27 22:01

本文关键词：叶天士与薛生白治疗湿热痞证用药特色分析　出处：《中国中药杂志》2017年12期 　论文类型：期刊论文

【摘要】：叶天士与薛生白,清代同一时期的著名医学家,擅长温病治疗。笔者运用中医传承辅助平台系统,对两位医家治疗湿热痞证的医案进行研究,对比分析其用药特色。叶氏与薛氏治疗湿热痞证均以湿热分治、三焦分消为原则,用药以苦、辛、温为主,理气化湿,重视脾、胃、肺三脏的气机调节,但在具体药物选择上有所不同,两者共用药物中,厚朴、杏仁、陈皮、滑石使用频率均较高。叶天士还好用半夏、黄芩、黄连、茯苓;薛生白较多用茯苓皮、草果、藿香。药物配伍方面,两位医家均喜用陈皮、厚朴,厚朴、杏仁配伍;叶氏还多用半夏、杏仁,半夏、黄芩,滑石、杏仁等;薛氏则用厚朴、陈皮、茯苓皮三者相互配伍为多。两位医家治疗中的相同、不同之处对临床治疗湿热类痞证有指导意义。
[Abstract]:Ye Tianshi and Xue Shengbai, the famous medical experts of the same period of the Qing Dynasty, were good at treating warm diseases. The author uses the TCM inheritance auxiliary platform system, the treatment of damp heat syndrome of the two physicians medical research, comparative analysis of the characteristic of drugs. And ye Xue's treatment of damp heat syndrome with damp heat partition, divided elimination principle, medication to bitter, pungent and warm, Qi dampness, pay attention to Qi spleen stomach lung three dirty regulation, but differ in the choice of specific drugs, both drugs, Magnolia, almonds, dried tangerine peel the use of talc, higher frequency. Okay with Ye Tianshi Scutellaria, Coptis, pinellia, Poria, Poria; Xue Shengbai more fruit, patchouli. Compatibility of drugs, two physicians were fond of tangerine peel, Magnolia, Magnolia, ye also with almond compatibility; pinellia tuber, pinellia tuber, Scutellaria, almond, almond talc, etc.; Xue Shi then magnolia, tangerine peel, Poria three for mutual compatibility. The same and different in the treatment of two doctors is of guiding significance to the clinical treatment of damp heat syndrome.
【作者单位】：北京中医药大学;
【基金】：北京中医药大学新奥项目(1000062720062/009/005)
【分类号】：R249;R256.3
【正文快照】： “痞”即胃脘部堵塞感,按之心下柔软无物,如张仲景在《伤寒论》中指出:“按之自濡,但气痞耳”、“满而不痛者,此为痞”[1]。是内伤杂病中的常见症状,也是湿热性外感病的必见症之一。临床“痞”多见于慢性胃炎[2-4]、胃的功能性疾患、消化不良等疾病[5]。此外,胃下垂、胃黏膜脱

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