苓桂劑方證方證病機(jī)辯證要點(diǎn)治法組成苓桂術(shù)甘湯證表證誤治致中焦虛弱,,下焦水氣上沖,?;蝻嬐P南拢瑢?dǎo)致升降失常(濁陰彌漫于胸脅則胸脅部支撐脹滿,,清陽(yáng)不升,,濁陰上蒙則上沖頭暈?zāi)垦#┬南履鏉M,短氣,,氣上沖胸,,心悸頭眩,目眩,,胸脅支滿,,脈沉緊,溫陽(yáng)化飲降逆茯苓4兩,,桂枝3兩,,白術(shù)甘草(各2兩)苓桂姜甘湯證(茯苓甘草湯)在外表邪不解,在內(nèi)中焦陽(yáng)虛,,飲不化而停于胃脘心下胃脘部悸動(dòng)不寧,,推按之則水聲轆轆,口不渴,,可伴見(jiàn)四肢不溫表里雙解,,溫陽(yáng)散飲,透表通里,,茯苓2兩,,桂枝2兩,甘草1兩,,生姜3兩苓桂棗甘湯證表不解,,胃氣虛弱,下焦寒飲欲逆臍下悸,,欲作奔豚,,小便不利表里雙解,透表通里,,滋補(bǔ)以固護(hù)中焦,,溫滲降逆,化氣利水茯苓8兩,,桂枝4兩,,炙甘草2兩,大棗15枚茯苓桂枝白術(shù)甘草湯條文傷寒若吐若下后,,心下逆滿,,氣上沖胸,起則頭眩,,脈沉緊,,發(fā)汗則動(dòng)經(jīng),,身為振振搖者,茯苓桂枝白術(shù)甘草湯主之,。(67)心下有痰飲,,胸脅支滿,目眩,,苓桂術(shù)甘湯主之,。(金匱要略。痰飲咳嗽病,。16)夫短氣有微飲,,當(dāng)從小便去之,苓桂術(shù)甘湯主之,;腎氣丸亦主之,。(金匱要略。痰飲咳嗽病,。17茯苓桂枝甘草大棗湯條文發(fā)汗后,,其人臍下悸者,欲作奔豚,,茯苓桂枝甘草大棗湯主之,。”(65)茯苓桂枝生姜甘草湯(茯苓甘草湯)條文傷寒汗出而渴者,,五苓散主之,。不渴者,茯苓甘草湯主之,。(73)傷寒厥而心下悸者,,宜先治水,當(dāng)服茯苓甘草湯,,卻治其厥,;不爾,水漬入胃,,必作利也,。(356) |
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