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Eclat-Jewels---Three-Stone-Gypsy-Ring-with-Mint-Tourmaline,-18k-Yellow-Gold
Cialoma-18K-Yellow-&-White-Gold-Small-Diamond-Flower-Earrings
Tiffany-&-Co.-“Sixteen-Stones-Jean-Schlumberger”-ring-in-yellow-gold,-platinum,-diamonds.
Jackson-Oval-Solitaire-in-Platinum
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9ct-White-Gold-Diamond-Two-Row-Open-Dress-Ring
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辨太伤寒论病脉证并治中(9/10)_伤寒论 - 棒子小说网
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辨太伤寒论病脉证并治中(9/10)

合病之证,用小柴胡汤主治。

外感病,脉象浮取见涩、沉取见弦的,为中虚而少阳邪乘,应当出现腹中拘急疼痛,治疗应先给予小建中汤以温中健脾、调补气血,用药后少阳证仍不解的,再用小柴胡汤和解少阳。

小建中汤方

桂枝三两,去皮甘草二两,炙大枣十二枚,剖开芍药六两生姜三两,切片胶饴一升以上六味药,用水七升,先加入前五味药煎煮成三升,去掉药渣,再加入饴糖,然后放在小火上将饴糖溶化,每次温服一升,一日服三次,平素经常呕吐的人,不适宜用小建中汤,因为小建中汤味甜的缘故。

外感寒邪或风邪,有柴胡汤证的征候,只要见到一二个主证的,就可以确诊为柴胡汤证,不需要所有的征候都具备。凡是柴胡汤证而用攻下的,如果柴胡汤证仍然存在的,可以仍给予柴胡汤进行治疗。服药后,正气借助药力与邪相争,一定会出现畏寒战栗,然后高热汗出而病解的的战汗现象。

患外感病二三天,心中悸动不宁、烦躁不安的,用小建中汤主治。

太阳病,邪传少阳十多天,医生反而多次攻下,又经过四五天,如果柴胡证仍然存在的,可先给予小柴胡汤治疗。如果出现呕吐不止,上腹部拘急疼痛,心中郁闷烦躁的,是少阳兼阳明里实,病情未能解除,用大柴胡汤攻下里实,就可痊愈。

大柴胡汤方

柴胡半斤黄芩三两芍药三两半夏半升,用水洗生姜五两,切片枳实四枚,炙大枣十二枚,剖开以上七味药,用水一斗二升,煎煮至六升,去掉药渣,再煎煮成三升,每次温服一升,一日服三次。另一方加大黄二两,如果不加,恐怕不是大柴胡汤。

外感病,经过十三天不解除,胸胁满闷而呕吐,午后发潮热,接着出现轻微腹泻。这本来是大柴胡汤证,应当用大柴胡汤攻下,医生却反而用峻下的丸药攻下,这是错误的治法。结果导致实邪未去而正气损伤,出现潮热,腹泻等症。潮热,是内有实邪的见证,治疗应当先服小柴胡汤以解除少阳之邪,然后用柴胡加芒硝汤主治。

柴胡加芒硝汤方

柴胡二两十六铢黄芩一两人参一两甘草一两,炙生姜一两,切片半夏二十铢,旧本为五枚,用水洗大枣四枚,剖开芒硝二两以上八味药,以水四升,先加入前七味药煎煮成二升,去掉药渣,再加入芒硝,煮至稍开,分两次温服。服药后大便不解的,可继续服。

外感病,经过十三天,邪传阳明而见谵语的,是胃肠有实热的缘故,应当用汤药攻下。如果小便通利的,大便应当坚硬,现却反而出现腹泻、脉象实大,可以断定这是医生误用丸药攻下所致,属错误的治法。假如不是误治而是邪传三阴的腹泻,脉象应当微细,四肢应冷,现脉象反而实大,是内有实邪的标志,说明是医生误用丸药攻下,其大便虽通而实邪未去,应当用调胃承气汤主治。

太阳表证没有解除,邪热内入与瘀血互结于下焦膀胱部位,出现有似发狂、少腹拘急硬痛等症状,如果病人能自行下血的,就可痊愈。如果表证还没有解除的,尚不能攻里,应当先解表,待表证解除后,只有小腹拘急硬痛等里证的,才能攻里,适宜用桃核承气汤。

桃核承气汤方

桃仁五十个,去皮尖大黄四两桂枝二两,去皮甘草二两,炙芒硝二两以上五味药,用水七升,先加入前三味药煎煮成二升半,去掉药渣,再加入芒硝,然后放在火上,微微煮开后离火,每次饭前温服五合,一日服三次。服药后应当出现轻度腹泻。

外感病八九天,误用攻下,出现胸部满闷、烦躁惊惕不安、小便不通畅,谵语、全身沉重、不能转侧的,用柴胡加龙骨牡蛎汤主治。

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