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中医基础:临证用药之君、臣、佐、使、七方

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To become a good Chinese doctor, the knowledge of Chinese medicine is definitely indispensable. The memory and application of prescriptions is also a headache for many people. Why? There are so many prescriptions, I can't remember it! In fact, it is essential to master the basic knowledge of prescription medicines in order to use the medicines with ease. Xiaobian today shares a basic knowledge of prescription medicine, so I can see it~

01, Junchen Zuojiang

A prescription for a variety of drugs, called a prescription. The composition of the prescription has a certain degree, which is called a square system. Therefore, the prescription is a further development of treatment with a single-flavor drug. Its characteristics are: it has a comprehensive effect, a wide range of treatment, and can reconcile the toxicity of drugs, reduce or avoid adverse reactions.

The composition of the prescriptions is divided into four categories: Jun, Chen, Zuo, and Qi. Generally, there are more than four prescription drugs, which are based on these four compatibility. Even if there are less than four drugs or as many as dozens, they cannot leave this rule. No, there is no discipline, the direction is unknown, and the predecessors used medicines.

1. Jun: Jun is the main drug of one side, and the main cause of the disease, the main disease can play a major role in the drug, namely《内经》said: the main disease is called Jun. There is not necessarily one prescription for a drug, and it is not necessarily a violent drug to be a drug. It is mainly determined by the specific circumstances and needs.

Li Dongxuan once said: If the wind is ruled, the wind is used as the monarch; if the cold is used, the aconite is used as the king; if the wet is used, the defense is used as the monarch; if the clear is on the focus, the use of the yellow is the Jun; in the clear focus, the use of the yellow Jun. By analogy, even drugs with weaker tastes, such as mulberry leaves, chrysanthemums, dried tangerine peels, and bamboo rugs, are eligible for monarchy.

xx2. Chen:《内经》said: Zuojun is the minister. Chen refers to the drug that assists and strengthens the efficacy of the drug. For example, the cassia twig in the ephedra soup helps the ephedra to sweat, so it is a drug in the ephedra soup. In a prescription, the prescription is not limited to one taste. One type of medicine can have several kinds of medicines. If there are two medicines in one side, it can be used with more medicines.

3. Zuo: The minister said that he is a companion. The adjuvant is a companion medicine that is close to the medicine. In addition to assisting the drug as a drug, it can also help the drug to relieve some minor symptoms.

For example, the ephedra soup is served with almonds. Its role is to promote lung and flat cough, and to help the drug to relieve the secondary symptoms of the ephedra soup. On the other hand, if the drug is toxic or the drug is too biased, it can also be reconciled with an adjuvant.

4. Make: From the point of view of the word "make", make the drug the most important drug in one side.《内经》Say: Ying Chenzhi. It can be seen that the drug is an auxiliary drug of the drug. In the clinical card, the medicine is generally understood as a medicine for introduction. The medicine refers to the medicine to the place of the disease, so it is also called the medicine.

Although the words such as Jun, Chen, Zuo, and Zuo contain feudal meaning, they are essentially used to represent the main medicine and the auxiliary medicine to illustrate the organization of the prescription. For thousands of years, Chinese medicine has accumulated a wealth of experience in the coordination of prescriptions. Both the prescription and the time are based on this principle.

xx在这里,我们来谈谈“党”和“时间”的问题。中药从很久以前就开始从使用单味药到处方药。《内经》由鱿鱼骨头,钌和雀卵组成的吸血侧,由半夏和糯米组成的失眠,以及由泽泻,白术和麋组成的葡萄藤。作者张仲景,作者写了《伤寒论》和《金匮要略》,处方更完整。后世重视他们的经典作品,称之为处方,并称之为后期处方。我们认为处方的功效是肯定的,但时间的价值也是不可否认的。

在《伤寒论》的基础上,歧视的处方仍然是很多游戏和补充。因此,在目前和现在使用的目标,我们应该注意处方,我们也应该注意时间,我们必须注意现代的有效处方。

02,七方

在应用方面,根据所用药物的种类和治疗效果的速度将处方分为七类,即七方,即大方,小方,慢方,急方,奇数方,偶方和复合。

1.慷慨:病态和强大,非强大的克制,必须大方,大成气汤在以下方法中。当你慷慨的时候,你首先应该考虑一下你是否能够胜任,因为大的人可以伤害阴,而汗水会让你死。如果邪恶发生,它将受到伤害,这将失去慷慨的意义。

2.小侧面:小侧面和宽大侧面是相对的。如果邪灵是轻的,只要使用较轻的处方,或者系统根据慷慨减少,这称为小方块。小承气汤的方法如下。

3.缓解:一般慢性和弱性性疾病,不能急于寻求结果,建议使用药物缓解处方以长期调养,如四君子汤中的补充方法,即是,缓慢的一面。

紧急:紧急情况和缓慢情况是相对的。当疾病至关重要时,它用于急救。例如,腹泻不受限制,手和脚都很冷,脉搏很弱。紧急使用急性,不仅应该是药物专用,剂量应该重,所以经常结合大方应用。

5.奇怪的一面:奇数是奇异的,奇数是一个的含义。如果只有一种原因,就会使用一种君主药来治疗主要疾病,因此药物是特异性的,因此被称为气方。然而,奇怪的一面不等于单味药,而且还含有药物和佐剂的组合。

6.即使是派对:即使是双数,也意味着双方都会照顾。如果同时有两个原因,你需要使用两种君主来对待,它被称为一对。在卡片上,据说既是汗水,又是攻击和使用,是一对夫妻。

7.化合物:复合物是一种复杂的,重复的意义。如果原因更多或病情更复杂,则需要用化合物治疗。例如,乌鸡三是由麻黄汤,桂枝汤,平胃散和二陈汤组成。它用于去除风,冷,痰,湿和消除痰。

另一个意味着这种方法无效,并且无效。它没有效果,但它也被另一种方法使用,例如《内经》:如果你不去,你甚至可以这样做。如果你不去,你可以去。因此,在某些情况下,该化合物也称为重质侧,与通常相对于单味药物的化合物不同。

七方是处方规则之一。除此之外,还有治疗效果的要点。例如,张静月曾将处方划分为“八个阵列”,即补充阵列,阵列,攻击,散射阵列,冷阵列,热阵列,实体阵列和阵列。补充剂的配方用于丧失活力和体质的弱点;阵列的处方用于调和疾病的邪恶;攻击的处方用于内部证据;数组的处方用于外部意义。冷阵列的公式用于热证;热阵的处方用于感冒综合征;固体阵列的处方用于滑倒性尿失禁;阵列的处方都是由疾病立方体引起的。目前,一般处方的分类基于王昂《医方集解》并得分22类:

1,补益剂:滋补人体阴阳不足,消除六味地黄丸,四君子汤等所有衰弱性疾病。

2.出版代理:疏散外邪,释放证据,如麻黄汤,桂枝汤等。

3.输液:诱发邪灵,使其呕吐,如瓜蒂散,神露散等。

4.攻击剂:指导泻药的停滞,清除肠胃和煞气,如大承气汤,大陷胸汤等。

5.补救措施:不仅是邪恶,还有邪恶,表中的双重解决方案,如大柴胡汤,桂枝加黄汤等。

6.和解代理人:使用和解的方法达到消除疾病和邪恶的目的,如小柴胡汤,逍遥散等。

7.李奇代理:舒立奇机,洁玉下来,如思琪汤,宣府黛玉汤。

8.除血剂:活血化瘀,养营止血,如四物汤,焦艾汤等。

9.飓风剂:通阳散风,滋阴养生,如小生命汤,地黄饮等。

10.感冒剂:阜阳文忠,粉碎内寒,如真武汤,四逆汤等。

11.清热剂:清除夏天的热量,如项羽饮,六一散等。

12.酒:排水是湿的,如五灵粉和五皮饮。

13.保湿剂:保湿补血,如琼玉霜,消克芳等。

14.擦除剂:清热解毒,如白虎汤,黄连解毒汤等。

15.除痰:痰湿化痰,如二陈汤,赭石滚丸等。

16.去污剂:消除气体,健康和脾胃的积聚,如痰丸,包合丸等。

17.食谱:收敛精华,扎实滑溜,如真人养汤,金锁古井丸。

18.杀虫剂:驱除肠道寄生虫,如收集药丸,蠕虫等。

19.视力剂:专门研究眼部疾病,如羊肝丸,拨云和撤退药。

20.腋窝药:专门用于手术肿胀和溃疡,如真人饮料,散肿汤。

21.转基因药剂:专门从事妇科月经和产前,产后疾病,如六合汤,大生饮。

22.紧急情况:包括急救冷冻,猝死和有毒叮咬。

中药处方通常难以分类,因为处方通常包含多种功效,因此不能固定在单一类别中。即使几种处方的治疗目的相同,使用上也存在很大差异。例如,补充补充剂不仅可用于弱证书,还可用于其他综合征;并且补充补充剂的处方不适用于任何弱证书。

此外,药物在处方中的添加和减少,药物的量,可以改变其性质和效果。例如,麻黄汤由麻黄,决明子枝,杏仁和甘草组成,是一种汗液溶解剂;如果决明子枝变成石膏,它是一种银杏石汤,治疗肺热和哮喘;或去除决明子枝,为三岔汤,治疗感冒,鼻塞和咳嗽。另一个例子是小程芪汤和厚朴三五汤,它们也是由大黄,枸杞和玉兰组成的。然而,小承气汤以大黄和玉兰为基础,与大黄相比,木兰的含量减少了一半。 Park Sanwu Tang由Magnolia和Rhubarb制成,与大黄相比,Magnolia的用量增加了一倍。这样,小承气汤适合腹泻通便,而白玉三物汤则是用尽气的处方。这意味着根据治疗效果的分类,这意味着在使用时必须考虑其主要作用。

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03,剂型

有许多处方剂型,每种剂型具有不同的性质和不同的效果。常用的有丸,粉,霜,丹,酒,汤等。

1.药丸:药丸通常被称为药丸或药丸。将药物研磨成细粉末后,加入冷水或蜂蜜,或由糊状物或糊状物等糊状物制成的圆形体。根据治疗要求,药丸的大小和重量不一致。它们像芥末一样小,像颗粒一样大,或者像绿豆或梧桐一样大。大约一颗药丸,每粒重一,二或三元,二至二百至四百粒,二至六千至五千粒,二至五千至一万粒。

丸入胃,吸收缓慢,多用于慢性病,长期食用,所以前人称“丸,慢”,这就是它的意思。此外,该病还用于下焦,吸收缓慢,仅在肠道中起作用;还有急性和严重的药丸病例,因为它可以提前制作,而且很方便。

粉末:即粉末,将药物研磨成细粉。有分研究,联合研究,以及连续研究和其他程序。一般使用多用途研究,但粘性药物,如乳香,没药,血液,婴儿茶,或麝香,冰片,樟脑等挥发性药物,或更昂贵的药物,如犀牛,羚羊,珍珠,熊胆,蛤蜊等都使用分研究。过去,研究的基础是含有少量有价值药物的处方,或其他必须分为研究的药物,法律要求研究后的药物研究,在乳糜中加入一种,然后加入相同量的其他粉末均匀后,在同一研究中加入相同量的其他粉末,逐渐增加量,直至整个混合物均匀。

粉末供内服使用,药物比药丸快;也用于鼻腔或外用。

3.软膏:用水煎煮药物,浓缩成浓稠的半固体,取适量,然后用开水冲洗。一般方法:将药物浸泡过夜,煎至两至四次,将汁液分几部分过滤,合并,然后慢慢煮至纸张渗透程度。此外,如果用植物油精制,它是外用石膏。

大多数药膏都是滋养,用于慢性虚弱,冬季使用的软膏也属于这一类。

4. Dan agent: Dan is made by sublimation or fusion, mainly mineral drugs. If it is also made with a mixture of general drugs, it means "red heart is not false." Dan's dosage forms are different, such as pills, scattered and tablets.

Usage is the same as pills and powders.

5. Wine agent: The leachate obtained by leaching the liquor for the drug as a solvent, so the custom medicinal liquor. The system is divided into cold soaking and hot dip. Cold soaking the medicine in the wine, can be taken after a period of time; hot dip is the drug and wine sealed in the altar, the water is slowly heated by the fire, keep the low temperature, after three to seven days, go to the fire to cool.

The medicinal liquor is mostly used for rheumatism and pain. The strength of the wine is used to help the blood flow and strengthen the effect of relaxing the muscles.

6. Decoction: water decoction, decoction with appropriate water, pour out, add water and then fry, the first time for the head frying, the second time for the second fry. Generally, each dose is fried twice, and the serving method has a head and a second frying separately. It is also combined with the head and the second decocting juice, and then divided into two servings. On the clinical card, the decoction is the most widely used, not only fast, strong, but also easy to add or subtract with the disease.

Pills, powder, cream, dan and wine, most of which belong to the medicine, can also be used according to the needs of the disease. Some of the pills, powder, cream, and Dan can be used in the decoction alone or in the form of a medicated juice.

*Note: All kinds of TCM health methods involved in the article are for reference study only, not for prescription, please do not blindly try it, this platform does not assume any responsibility arising therefrom!

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