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li zhong tang 理中湯

By: Joe Hing Kwok Chu 朱興國编译    按此看中文

Name of Formula: li zhong tang (Shang Han Lun)

Application: pixu (spleen deficient) with vomiting, diarrhea, not thirsty, lack of appetite, dysentery, numbness in chest area, fullness in chest area with abundance of phlegm, instant sweating, weak pulse, tongue with white, oily fur, chronic epilepsy in children, abundance of phlegm after illness due to spleen deficient.

Composition:

bai zhu 9 g,  ren shen 9 g, gan cao 9 g, gan jiang 9 g.

Boil with water and use as tea.

Adjustment of formula:

  1. pain in chest, no fever, not thirsty, feeling vexed, add: zhi shi, fu ling.

  2. cold in stomach, and pain, add: fu zi.

  3. infection with diarrhea, add: huang lian, fu ling.

  4. flatulence with weak digestion, add: qing pi, chen pi.

  5. diarrhea, add: chen pi,  fu ling.

  6. flatulence and lack of appetite, add: hou po,  shen qu.

  7. diarrhea with pain, add: mu xiang.

  8. diarrhea with no pain, add: double amount of  bai zhu.

  9. thirsty, add: double the amount of bai zhu.

  10. vomiting, add:take out bai zhu, add ban xia,  sheng jiang.

  11. gas bellow navel: take out bai zhu,  add gui zhi.

  12. palpitation, add: fu ling.

  13. chronic jaundice, add:  yin chen hao.

 

方名:理中湯《 傷寒論 》

組成: 白 朮 9 克、人 參 9 克、甘 草 9克、乾 薑 9克。

功能:溫中祛寒,補氣健脾。能調整消化功能,增進食慾,減輕腹瀉,緩解腹痛,而且能振奮全身機能,改善機能全身狀況,是為強壯、健胃之劑。

主治:

 脾虛,嘔吐腹痛,自利不渴,不欲飲食,以及霍亂,胸痹,胸痞痰多,自汗,脈虛弱,舌苔白膩者,及小兒慢驚,病後喜唾涎沫等症,因脾胃虛 寒而引起者。

【臨床應用】

常用於胃及十二指腸潰瘍、胃下垂、慢性結腸炎、急慢性胃腸炎、慢性支氣管炎、腸蛔蟲症、婦女月經過多及功能性子宮出血等證屬脾胃虛寒者。

 

【加 減】

  1. 寒實結胸者:加 枳 實茯 苓

  2. 中寒腹痛者:加 附子

  3. 暑濕作瀉者:加 黃 蓮茯 苓

  4. 腹滿痞悶兼食積者:加 青皮陳皮

  5. 泄瀉者:加陳皮茯 苓

  6. 腹脹食不多者:加 厚 樸紅麴

  7. 泄瀉腹痛:加 木香

  8. 不痛泄瀉多者: 加倍白朮  。

  9. 渴者:加倍白朮  。

  10. 嘔吐:去 白朮 ,加 半夏生 薑

  11. 臍下動氣:去白朮 ,加 桂 枝

  12. 心悸:加茯 苓

  13. 陰黃:加 茵陳蒿

【用法】

不拘時溫服。

寒實結胸】結胸証類型之一。是因太陽病誤用冷水淋洗、邪熱被寒氣所阻抑,水寒傷肺,寒氣結於胸中所致。主要症狀為胸痛、心煩、不渴、不發熱等。
【太陽病】凡出現發熱,惡寒,頭痛,項強,脈浮等脈証,是為太陽病。

陰黃】得黄疸後,病程長,黃色晦暗,屬於虛証,寒証。

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Last update: Oct 25, 2016; 12:21 a.m. LAH