平胃散(消导之剂)
http://www.100md.com
《医方集解》
总结:利湿散满|, http://www.100md.com
编号:001|, http://www.100md.com
组成:陈皮、厚朴、炙甘草、苍朮|, http://www.100md.com
主治:1.治脾有停湿,痰饮痞膈,宿食不消,满闷呕泻。|, http://www.100md.com
2.及山岚瘴雾,不服水土。|, http://www.100md.com
加减:(1)伤食加神曲、麦芽,或枳实。|, http://www.100md.com
(2)湿胜加五苓。|, http://www.100md.com
(3)脾倦不思食加参、耆。|, http://www.100md.com
(4)伤寒头痛加葱豉,取微汁。|, http://www.100md.com
(5)痞闷加枳壳、木香。|, http://www.100md.com
(6)大便秘加大黄、芒硝。|, http://www.100md.com
(7)痰多加半夏。|, http://www.100md.com
(8)小便赤涩加苓、泻。|, http://www.100md.com
归经:足太阴、阳明药。|, http://www.100md.com
方义:(1)陈皮─辛温,利气而行痰。|, http://www.100md.com
(2)厚朴─苦温,除湿而散满。|, http://www.100md.com
(3)甘草─中州主药,能补能和,蜜炙为使。|, http://www.100md.com
(4)苍朮─辛烈,燥湿而强脾。|, http://www.100md.com
(5)泄中有补,务令湿土底于和平也。|, http://www.100md.com
变化方:(1)本方加藿香、半夏,名「藿香平胃散」,又名「不换金正气散」,治胃寒腹痛呕吐,及瘴疫湿疟。再加人参、茯苓、草果、生姜、乌梅,名「人参养胃汤」,治外感风寒,内伤生冷,夹食停痰,岚瘴瘟疫,或饮食伤脾,发为痎疟。|, http://www.100md.com
(2)本方合二陈,加藿香,名「除湿汤」,治伤湿腹痛,身重,足,大便溏泻。|, http://www.100md.com
(3)本方加本、枳壳、桔梗,名「和解散」,治四时伤寒头痛,烦燥自汗,咳嗽吐利。|, http://www.100md.com
(4)本方一两,加桑白皮一两,名「对金饮子」,治脾胃受湿,腹胀身重,饮食不进,肢酸肤肿。|, http://www.100md.com
(5)本方除苍朮,加木香、草蔻、干姜、茯苓,名「厚朴温中汤」,治脾胃虚寒,心腹胀满,及秋冬客寒犯胃,时作疼痛。|, http://www.100md.com
(6)本方加麦芽、炒曲,名「加味平胃散」,治宿食不消,吞酸嗳臭。|, http://www.100md.com
煎服法:加姜、枣煎。|, http://www.100md.com
来源:局方
编号:001|, http://www.100md.com
组成:陈皮、厚朴、炙甘草、苍朮|, http://www.100md.com
主治:1.治脾有停湿,痰饮痞膈,宿食不消,满闷呕泻。|, http://www.100md.com
2.及山岚瘴雾,不服水土。|, http://www.100md.com
加减:(1)伤食加神曲、麦芽,或枳实。|, http://www.100md.com
(2)湿胜加五苓。|, http://www.100md.com
(3)脾倦不思食加参、耆。|, http://www.100md.com
(4)伤寒头痛加葱豉,取微汁。|, http://www.100md.com
(5)痞闷加枳壳、木香。|, http://www.100md.com
(6)大便秘加大黄、芒硝。|, http://www.100md.com
(7)痰多加半夏。|, http://www.100md.com
(8)小便赤涩加苓、泻。|, http://www.100md.com
归经:足太阴、阳明药。|, http://www.100md.com
方义:(1)陈皮─辛温,利气而行痰。|, http://www.100md.com
(2)厚朴─苦温,除湿而散满。|, http://www.100md.com
(3)甘草─中州主药,能补能和,蜜炙为使。|, http://www.100md.com
(4)苍朮─辛烈,燥湿而强脾。|, http://www.100md.com
(5)泄中有补,务令湿土底于和平也。|, http://www.100md.com
变化方:(1)本方加藿香、半夏,名「藿香平胃散」,又名「不换金正气散」,治胃寒腹痛呕吐,及瘴疫湿疟。再加人参、茯苓、草果、生姜、乌梅,名「人参养胃汤」,治外感风寒,内伤生冷,夹食停痰,岚瘴瘟疫,或饮食伤脾,发为痎疟。|, http://www.100md.com
(2)本方合二陈,加藿香,名「除湿汤」,治伤湿腹痛,身重,足,大便溏泻。|, http://www.100md.com
(3)本方加本、枳壳、桔梗,名「和解散」,治四时伤寒头痛,烦燥自汗,咳嗽吐利。|, http://www.100md.com
(4)本方一两,加桑白皮一两,名「对金饮子」,治脾胃受湿,腹胀身重,饮食不进,肢酸肤肿。|, http://www.100md.com
(5)本方除苍朮,加木香、草蔻、干姜、茯苓,名「厚朴温中汤」,治脾胃虚寒,心腹胀满,及秋冬客寒犯胃,时作疼痛。|, http://www.100md.com
(6)本方加麦芽、炒曲,名「加味平胃散」,治宿食不消,吞酸嗳臭。|, http://www.100md.com
煎服法:加姜、枣煎。|, http://www.100md.com
来源:局方