《温病条辨》运用麦冬撷菁
Chinese Journal of Basic Medicine in Traditional Chinese Medicine(2022)
Abstract
《温病条辨》全书206方有30首方运用麦冬占14.6%,另有方后加减5处.吴鞠通认为"麦冬主治心腹结气,伤中伤饱,胃络脉绝,羸瘦短气,亦系能补能润能通之品",将其广泛用于治疗三焦温热病证中.如配伍人参、五味子能补气养阴,配伍沙参、桑叶能润肺胃、清燥热,配伍生地、玄参增水行舟能通便.除此之外,还将其用于清法的治疗之中,如配伍犀角、竹叶以清心热益心阴,并对麦冬的入药部位有独到见解,遵古而不泥古.认为麦冬应连心而用,若独用麦冬心则善清心热、益气阴.同时对运用麦冬剂量把握独到,认为大剂量配伍应用能增液生津、甘苦化阴,中剂量配伍应用则能清热养阴,少剂量配伍应用则能益气养阴.
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