升阳益胃汤琐谈

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升阳益胃汤系金元四大家之一李果(字东垣)所创,出自《脾胃论》,是方升阳益胃,补气除湿,临床广泛用于由脾胃气虚不举或挟湿所致的泄泻、头痛、眩晕、感冒和妇人带下等病证,若辨证精确,疗效甚佳,兹就有关问题浅谈于后。本方由黄芪15克,人参12克,半夏、炙甘草各6克,独活、防风、羌活、柴胡、黄连各3克,茯苓、橘皮、泽泻、白芍、白术各9克,生姜3片,大枣3枚组成(原方是以散水煎,现直接作汤剂,故剂量作了调整)。方中用黄芪补中益气升阳为主;辅以人参、炙甘草、白术益气健脾,生姜、大枣调和脾胃;佐以橘皮理气醒脾,白芍制肝和脾;更用少量羌活、独活、柴胡、防风协助主药升提下陷之阳气。同时用黄连、半夏制胃气上逆,恢复脾胃正常升降功能;茯苓,泽泻淡渗利湿,使湿去而脾安。总之,是方通过调益和升发等作 Sunyang Yiwei Decoction is created by Li Guo (Zhi Dong Qi), one of the four members of the Jin Yuan Group. It is derived from the “Spleen and Stomach Theory”. It is a Fang Sheng Yang Yi Wei, qi and dehumidification, clinical widely used by the spleen and stomach qi deficiency does not lift or Problems such as diarrhoea, headache, dizziness, colds, and women taken by the wet, if the dialectical accuracy is accurate and the effect is very good, we will discuss later on the relevant issues. This side consists of 15 grams of Astragalus, 12 grams of ginseng, 6 grams of Pinellia, and 6 grams of Zhigancao, 3 grams each of Alive, Windproof, Radix Astragali, Radix Bupleuri, and Coptis chinensis, 9 grams each of peony, orange peel, Alisma, Radix Astragali, and Atractylodes macrocephala. Ginger 3, jujube 3 components (the original side is scattered water decoction, is now directly for soup, so the dose was adjusted). In the prescription, the use of jaundice supplements qi, qi and yang, and supplemented with ginseng, Zhigancao, Baizhu, Qi and spleen, ginger, and jujube to reconcile the spleen and stomach; together with orange peel and qi, the spleen is awakened; Livelihood, livelihood, Bupleurum, and windbreak help the main medicine to raise the yang of subsidence. At the same time with Coptis, Pinellia Stomach upside down, restore the spleen and stomach normal lifting function; wolfberry, Alisma light infiltration dampness, so that wet and spleen Ann. In short, it is through the use of
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