张锡纯《医学衷中参西录》蝉蜕运用撷菁
International Journal of Traditional Chinese Medicine（2019）
Abstract
梳理《医学衷中参西录》关于蝉蜕的论述,发现张锡纯认为蝉蜕乃治温病之要药,在表可发之、在里可透之;温病初起时常用三钱,太阳阳明合病时常用二钱;治温病时宜去足,取透疹止痒、明目退翳功效时宜留足.张锡纯擅于经方中配以蝉蜕,如白虎汤加蝉蜕、连翘,以及葛根芩连汤加蝉蜕,还创制含有蝉蜕的新方,如清解汤、凉解汤、寒解汤、和解汤、上下分消方、清疹汤、磨翳水、温病遗方,主要配蝉蜕以连翘、薄荷、僵蚕、蛇蜕,并取得一定疗效.
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