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本源剂量结合腹诊谈茯苓桂枝甘草大枣汤

张春红 李晨 王斑 王克穷

河南中医2023,Vol.43Issue(12):1800-1803,4.
河南中医2023,Vol.43Issue(12):1800-1803,4.DOI:10.16367/j.issn.1003-5028.2023.12.0346

本源剂量结合腹诊谈茯苓桂枝甘草大枣汤

Study on Poria and Cinnamon Twig and Licorice and Fructus Jujubae Decoction Based on Original Dose in Combination with Abdominal Diagnosis

张春红 1李晨 2王斑 3王克穷3

作者信息

  • 1. 临汾市中心医院,山西临汾 041000
  • 2. 陕西中医药大学第一附属医院,陕西咸阳 712000
  • 3. 陕西中医药大学第二附属医院,陕西咸阳 712046
  • 折叠

摘要

Abstract

According to the original dose of the classic formula,the drug dose of Poria and Cinnamon Twig and Licorice and Fructus Ju-jubae Decoction should include 125 g of Fuling(Poria),60 g of Guizhi(Ramulus Cinnamomi),30 g of Zhigancao(Radix Glycyrrhizae Praeparata),and 15 pieces of Dazao(Fructus Jujubae).Most doctors use it to treat"running piglet".However,this is not a specific formula for running piglet.Anyone who meets the criteria for palpitations under the navel(either above or below the navel)in combina-tion with symptoms and signs such as desire to press,running like small pigs,and teeth marks on the pale edge of the tongue can apply it.This formula can not only warm heart yang,induce diuresis,and reduce kidney qi to evacuate running piglet,but also warm spleen,drain dampness to treat diarrhea,and can replenish the middle energizer,warm lung,and lower qi to treat cough.If the patient has chest fullness,vexation,panic,fatigue,more night dreaminess,umbilical palpitations,and fat tongue with tooth marks,Bupleurum Decoction plus Os Draconis and Oyster Shell Decoction can be used to reconcile lesser yang,calm and tranquilize the mind.If the person feels cold in the back as big as palm,Poria,Cinnamon Twig,Atractylodes Macrocephala and Licorice Decoction can be combined to strengthen the function of warming yang and invigorating the spleen.If the patient is accompanied by lower limb spasm and acute pain,aversion to cold,cold limbs,Peony and Licorice and Aconite Decoction can be combined to relieve spasm pain.Clinically,it has been used to treat refractory diarrhea,lung cancer cough,chondroma hiccup with lower limb pain after radiotherapy and chemotherapy after breast cancer surgery with good efficacies.

关键词

茯苓桂枝甘草大枣汤/腹诊/本源剂量/《伤寒论》/张仲景

Key words

Poria and Cinnamon Twig and Licorice and Fructus Jujubae Decoction/abdominal diagnosis/original dose/Treatise on Cold Damage Diseases/Zhang Zhongjing

分类

医药卫生

引用本文复制引用

张春红,李晨,王斑,王克穷..本源剂量结合腹诊谈茯苓桂枝甘草大枣汤[J].河南中医,2023,43(12):1800-1803,4.

河南中医

1003-5028

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