基于调补中气运用半夏泻心汤医案4则
Journal of New Chinese Medicine(2019)
Abstract
半夏泻心汤是汉代张仲景《伤寒论》的经典方剂,被运用于功能性消化不良[1]、胃炎[2]等消化系统疾病,临床效果明显.原文见于《伤寒论》149条:“伤寒五六日,呕而发热者,柴胡汤证具,而以他药下之,柴胡证仍在者,复与柴胡汤.此虽已下之,不为逆,必蒸蒸而振,却发热汗出而解,若心下满而硬痛者,此为结胸也,大陷胸汤主之.但满而不痛者,此为痞,柴胡不中与之,宜半夏泻心汤”以及《金匮要略·呕吐哕下利病脉证治篇》的“呕而肠鸣,心下痞,半夏泻心汤主之”.
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