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yi gan san 抑肝散 (in English and Chinese 中英文)
Translated by: Joe Hing kwok Chu 朱興國編譯     按此看中文

 

Name of formula: yi gan san 《source: Ren Zhai Zhi Zhi Fang Lun  》

 

Composition: southern chai hu 1.5 ggan cao 1.5 g ,chuan xiong 2.5g, dang gui 3 g,bai zhu (stir fry) 3 g,fu lin 3 ggou teng (use hooks) 3 g.

 

Boil all herb with water for 30 minutes except gou teng. Add gou teng and cook for another 10 minutes. It is important not to overcook gou teng.

 

Serve the decoction to the mother and baby.

 

Adjustment to formula

 

1.spasm or epilepsy: add tian ma, quan xie

2. listless and insomnia:add suan zao ren, he huan pi, bai zi ren
3. flatulence and lack of appetite:add chen pi, zhi ke, mai ya,  hou po
4. biting, grinding teeth:add bai shao
5.blood deficient and qi deficientadd:add ren shen, huang qi, shao yao, di huang
6. vomiting:add ban xia, sheng jiang

 

抑肝散

 

藥方名抑肝散 《方源:仁齋直指方論 》  

 

組成:軟柴胡甘草各1.5克,川 芎2.5克, 當 歸 白朮(炒) ,茯苓鉤藤 鉤各3克   

上藥水煎,子母同服。

注意:鉤藤不可久煎。先煎各藥30 分鐘,然後加鉤藤再煎10分鐘。

 

【方義】

本方出自於小兒直指方急驚風門,主要用於小兒急驚風,現代廣泛應用於神經性疾患。方中鉤藤清熱平肝,息風止痙;柴胡疏肝解鬱,和解清熱;肝氣有餘則肝血不 足,故用當歸養血柔肝;川芎活血行氣;肝木為病,易剋犯脾土,故應實土而防木侮,故用茯苓,白朮,甘草培補脾土,淡滲利濕,甘草並有緩急並助鉤藤止痙之功 。七味合用,則肝血得養,脾土得補,肝氣得疏,並能息風鎮痙,則諸症悉癒。

【辨證要點】

1. 精神抑鬱。
2. 不眠焦慮。

【加減】

1. 肝風內動,驚癇抽搐:加天麻全蠍
2. 心煩失眠:加酸棗仁歡皮柏子仁
3. 腹脹納差:加枳 殼麥芽厚樸
4. 咬牙,磨牙:加白芍
5.血虛  氣虛:加人參黃耆芍藥地 黃
6. 嘔吐:加半夏生薑

【現代應用】

神經衰弱,焦慮,癲癇,精神分裂,不安腿,更年期憂鬱症,不自主性磨牙,咬牙,斜頸,小兒夜啼,不眠。

乙 醯膽鹼酵素

 

 

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Last update: July 10, 2014; 11 a.m. LAH