当归养荣汤加减治疗目痛的体会

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当归养荣汤出自《原机启微》。由当归、熟地、川芎、白芍、羌活、防风、白芷七味药组成。主治七情五贼劳役饥饱所致之目痛证。其病机为劳役伤脾、饥饱不节伤胃,致气血生化之源受损。血以养睛,睛珠属肝肾,今生气已不升发,又复血虚不养睛,故睛珠痛不可忍;若七情所伤,肝郁化火,土衰木旺、血虚风动,风扰上窍致头痛睛胀难忍;或虚邪贼风乘虚外袭,其睛胀头痛间常诱发,其痛苦不可名状。脾胃既伤则水湿不化而内聚,肝木乘脾则气机紊乱,致气机升降失调,清阳不升,浊阴上逆,湿浊壅滞清窍,其睛胀头痛更为缠绵难愈。故方中以防风疏肝舒脾,功能发散郁火,疏畅气机,胜湿健脾,鼓舞清阳升发之气;白芷清利头目,且引入胃经为君;白芍止痛、益气通血,承接上下为臣;熟地补肾水精血为佐;当归、 Angelica Yang Rong Tang comes from “The original machine Qi Wei.” It consists of Angelica, Rehmannia, Rhizoma Chuanxiong, Angelica sinensis, Radix Astragali, Radix Astragali, and Radix Paeoniae Alba. Indications witnessed the affliction of the affair and hunger. The pathogenesis of the disease is to injure the spleen by labor, irritate the stomach, and cause damage to the source of blood biochemistry. The blood is eye-catching, the eyeballs are liver and kidney, this anger has not risen, and the blood deficiency is not eye-catching, so the eyeball pain is unbearable; if the seven emotions are injured, the liver is stagnated, the soil is bad and the blood is bloody. Virtual wind movements, wind disturbance caused by headache on the eye, eye swelling, unbearable; or virtual evil thief wind take the virtual outspoken, often evoked by its eye-blown headache, the pain is not known. The spleen and the stomach are injured while the water is not wet and the cohesion occurs. The liver and the spleen are disordered, causing the air machine to move up and down, the Qingyang not to rise, the turbid yin to upside down, the damp cloudiness and phlegm stagnation, and the eye swelling and headache Lingering and refractory. In order to protect the wind, liver, and spleen, the function is radiant and sweltering, and the air is relieved, the wind and spleen are invigorated, the spleen is encouraged, and the qi of the Qingyang is encouraged; the head of the white phlegm and the head of the stomach are introduced, and the stomach is introduced to the king; the white peony relieves pain and benefits. Gas through blood, to undertake up and down for the minister; Rehmannia kidney essence blood for Zuo; Angelica,
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