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栀子豉汤临证应用四论OACSTPCD

Four Treatises on the Clinical Application of Zhizichi Decoction

中文摘要英文摘要

本文主要分析栀子豉汤临床应用需注重四方面:一是立足于方证思想,分析栀子豉汤主要方证是胸闷窒塞,甚伴烧灼痛,烦热,心烦不寐;二是遵古法剂量,栀子豉汤应用淡豆豉48~55 g,若烦躁尤甚可重用淡豆豉至90 g;三是分析栀子豉汤类方的方证及临床应用;四是基于临床经验,探析栀子豉汤常用叠用经方的主要方证.临床症状变化复杂,为达到全面疗效,遵循类方思想与古方加减,可经方叠用,以扩展栀子豉汤临床证治范围.

This article mainly analyzed the clinical application of Zhizichi Decoction should focus on the following four aspects:Firstly,based on the concept of prescription,the main application of formula of Zhizichi Decoction is chest tightness and stuffiness,often accompanied by burning pain,restlessness,and insomnia;the second is to follow the traditional dosage method,using 48-55 g of Sojae Preparatum Semen for Zhizichi Decoction.If patients are particularly restless,they can reuse up to 90 g of Sojae Preparatum Semen;the third is to analyze the syndromes and clinical applications of Zhizichi Decoction;fourthly,based on clinical experience,the main application of formula of the commonly used overlapping classic formulas in Zhizichi Decoction.The changes in clinical symptoms are complex.In order to achieve comprehensive therapeutic effects,the concept of similar formulas and the addition and subtraction of ancient formulas can be followed.Classic formulas can be used in combination to expand the scope of clinical treatment of Zhizichi Decoction.

杜若琳;何庆勇;李尚瑾;于珊珊

中国中医科学院广安门医院,北京 100053西南医科大学中西医结合学院,四川 泸州 646000

中医学

方证辨证栀子汤类方重剂淡豆豉经方

syndrome differentiation and application of formulaZhizichi Decoctionheavy Sojae Preparatum Semenclassic formulas

《中国中医药信息杂志》 2024 (009)

168-172 / 5

国家中医药管理局中医药古籍文献和特色技术传承专项(GZY-KJS-2020-079);中国中医科学院科技创新工程中医基础理论学科重大攻关项目(CI2021A00101);北京中医药大学孙思邈研究院中医药科研计划资助项目(SSMYJY-1-2020-03)

10.19879/j.cnki.1005-5304.202311629

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