摘要
从用法用量、主治证候、配伍规律三方面,考据《伤寒杂病论》18首含石膏经方相关原文,提出:①经方中石膏入汤剂,用量4 g至240 g不等,不拘于其质重而取大量。量大至“一斤”,取石膏清透热邪之用,需配伍粳米,煎煮以“米熟汤成”;②原文多提示有“热”“咳”“喘”“汗”“渴”“烦”等,然此并非皆为症状,且原文亦提示有“无大热”“不渴”“无汗”,提示相关经方主治证候的复杂性,不可简单地对症用药;③石膏与麻黄配伍见于11首经方。重用麻黄,意在发越水湿;更伍桂枝,有发汗散邪之功;更伍杏仁,可宣降肺气以止“咳”“喘”;更伍生姜,用于“风水”“风气”“微风”等邪郁在表之证。
Based on the usage and dosage,indications and compatibility rules of 18 original texts of classical prescriptions containing Shigao(Gypsum)in Treatise on Cold Pathogenic and Miscellaneous Diseases,the author puts forward that:①The dosage of Shigao varies from 4 g to 240 g,regardless of its quality and weight.The quantity is as large as one Jin(斤).For the purpose of clearing away pathogenic heat,Shigao should be compatible with Jingmi(Round-sharped Rice)and decocted with cooked rice soup.②The original texts often suggest fever,cough,asthma,sweat,thirst and irritation.However,these are not all symptoms,and the original texts also suggest no fever,no thirst and no sweat.It suggests that the syndromes governed by the relevant classical prescriptions are complex and should not be simply prescribed for symptoms.③The compatibility of Shigao and Mahuang(Ephedrae Herba)can be found in 11 classical prescriptions.Increasing Mahuang is intended to induce water and dampness;then using Guizhi(Cinnamomi Ramulus)to induce sweating to dissipate pathogens;using Xingren(Armeniacae Semen Amarum)to disperse and descend lung qi and relieve cough and asthma;using Shengjiang(Zingiberis Rhizoma Recens)to treat pathogenic factors such as“wind-water”“wind-qi”and“slight wind”constraining the exterior syndrome.
作者
刘军玮
曲夷
LIU Junwei;QU Yi(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)
出处
《山东中医药大学学报》
2020年第1期14-18,共5页
Journal of Shandong University of Traditional Chinese Medicine
基金
国家中医药管理局齐鲁伤寒流派传承工作室建设项目(编号:LPGZS2012-34)
山东省重点产业关键技术创新项目(编号:2016CYJS08A01-3)
山东省重点研发计划(重大关键技术)项目(编号:2016ZDJS07A12)
山东省重点研发计划(产业关键技术)项目(编号:2016CYJS08A01-4)
关键词
石膏
经方
《伤寒杂病论》
清透热邪
发越水湿
发汗散邪
宣降肺气
用法用量
Shigao(Gypsum)
classical prescriptions
Treatise on Cold Pathogenic and Miscellaneous Diseases
clearing away pathogenic heat
inducing water and dampness
inducing sweating to dissipate pathogens
dispersing and descending lung qi
usage and dosage
