摘要
麻杏甘石汤出自《伤寒论》 ,功擅辛凉宣肺 ,平喘止咳。汉晋以降 ,临床家均以“汗出而喘 ,无大热”作为临床运用是方的重要指征 ,但对“无大热”之理解 ,诸家聚讼不休 ,莫衷一是。争论的焦点在于热之大小及有无 ,而这一焦点是围绕使用石膏而展开的。石膏治热重在辛散透热 ,非苦寒清热可比拟。仲景麻杏甘石汤之用石膏配麻黄 ,重在宣肺治咳喘 ,所谓“无大热、汗出而喘者”应包括表里均无大热或热象不甚明显及表里均无热之汗出而喘者 。
The Decoction of Herba Ephedrae, Semen Armeniacae Amarum, Radix Glycyrrhizae and Gypsum Fibrosum originated from the TREATISE ON EXOGENOUS FEBRILE DISEASES. Pungent and cool in nature, it has the function of dispersing the lung, relieving dyspnea and cough. Since the Han and Jin dynasties, physicians have taken as an important principle in the application of such prescription the manifestations of 'perspiration with dyspnea, but without high fever'. However arguments have been going on about which is the right interpretation of 'without high fever'. These arguments focus on the degree of heat and the use of gypsum. Gypsum, when used to treat heat syndrome, is mainly to disperse heat because of its pungent nature, which is quite different from clearing away heat with bitter and cold drugs.
出处
《河南中医》
2003年第12期1-2,共2页
Henan Traditional Chinese Medicine
关键词
《伤寒论》
《金匮要略》
“无大热”
麻杏甘石汤
咳嗽
喘息
TREATISE ON EXOGENOUS FEBRILE DISEASES
SYNOPSIS OF THE GOLDEN CHAMBER
'without high fever'
Decoction of Herba Ephedrae, Semen Armeniacae Amarum, Radix Glycyrrhizae and Gypsum Fibrosum
cough
dyspnea
