课件：七四逆散.pptVIP

* Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * Background created by m62 Visualcommunications, visit for more information * * 陈建 福建中医药大学 方药煎服 【方药】 甘草炙 枳实(破，水渍，炙干) 柴胡 芍药 【煎服】 上四味，各十分，捣筛，白饮和服方寸匕，日三服。咳者，加五味子、干姜各五分，并主下利；悸者，加桂枝五分；小便不利者，加茯苓五分；腹中痛者，加附子一枚，炮令圻；泄利下重者，煮薤白三升，煮取三升，去滓，以散三方寸匕内汤中，煮取一升半，分温再服。 原文方解 【原文】 少阴病，四逆，其人或咳，或悸，或小便不利，或腹中痛，或泄利下重者，四逆散主之。(318) 【原文】 柴胡—疏肝解郁，调畅气机 枳实—行气散结，调中焦之运化 芍药—制肝益脾，和营通痹 甘草—和中缓急 一升一降，加强疏肝理气之效。 功效主治 【功效】疏肝和胃，透达郁阳 【主治】肝胃气滞，阳郁致厥之证。 主症：手足不温，胸胁满闷疼痛，或腹中痛，泄利后 重， 舌红苔黄，脉弦或沉滑而弦。 副症：或咳、或悸、或小便不利。 临证思路 ①治疗肝胃不和或肝脾不调的胃脘痛、泄泻及肝郁气滞的胸胁痛、腹痛等。 ②治疗胃神经官能症，并用于泄泻、痢疾、疝气、兰尾炎等。 ③治疗肝炎、肝硬化、胆囊炎等。 ④治疗月经不调、痛经、盆腔炎等妇科病证。 ⑤阳气内郁之厥证。 医案 （一）四肢厥冷案 龚某，女，83岁。发热5天，头昏痛，口干苦，渴饮，大便3天未行，小溲色红而短，昨夜昏眩不能起床，四肢冰冷。体温38.3℃，苔白厚，脉弦有力。 按厥逆一证属阳虚不能达于四肢者为多，本证口干苦而渴、小便红，脉弦有力，与阳虚之厥显然有别。系…病邪内入已深，郁结已甚，故作四肢厥冷。年事虽高，仍须解郁泄热，使邪去正复，厥逆自回。方用四逆散加味: 柴胡6克,白芍6克,枳实6克，甘