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刍议小柴胡汤治疗清窍病

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人体分为上下二部,上为阳,下为阴,其中目、鼻、口、耳居于高位,是为上窍,也称清窍.清窍病与少阳经关系密切,少阳枢机不利,郁火攻冲,发为口苦;火盛灼津,发为咽干;风火上煽,发为目眩;肺气失和则鼻窍不利.小柴胡汤和解枢机,清解少阳相火,通达三焦,使少阳枢机运转,清静灵明之气上走清窍则清窍复通无碍.在小柴胡汤基础上,加浙贝母、陈皮可治疗上气道咳嗽综合征;加败酱草、苍耳子、辛夷、谷芽、麦芽、山楂可治疗急性化脓性鼻窦炎;加补气通络方可治疗鼻咽癌;加连翘、败酱草、竹叶、枳实可治疗慢性化脓性中耳炎;加黄芪、葛根、枸杞子、山茱萸可治疗飞蚊症.应用时可不必照搬《伤寒论》原文,凡主要病机为少阳枢机不利者,皆可应用该方加减.
Discussion About Minor Bupleurum Decoction in the Treatment of Seven Orifice'Diseases
The human body is divided into upper and lower parts.The upper part belongs to yang,while the lower part belongs to yin.A-mong which the eyes,nose,mouth,ears are in high position,which are seven orifices.Orifices'diseases are mostly caused by dysfunction of lesser yang,and stagnated fire in the gallbladder and triple energizer attacking seven orifices.Dysfunction of lesser yang axis,and stagnated fire attack lead to bitter mouth.Excessive fire burns fluid,leading to dry throat.Wind-fire attacks upward,leading to dizziness;Disharmony causes dysfunction of nose orifice.Minor Bupleurum Decoction can reconcile the axis,clear and relieve lesser yang minister fire,access the triple energizer,which makes quiet and lucid qi reach empty orifices,and the seven orifices are smooth without any barri-er.On the basis of Minor Bupleurum Decoction,Zhebeimu(Bulbus Fritillariae Thunbergii),and Chenpi(Pericarpium Citri Reticulatae)can be added to treat upper airway cough syndrome.Baijiangcao(Herba Patriniae),Cangerzi(Fructus Xanthii),Xinyi(Flos Magnoli-ae),Guya(Fructus Setariae Germinatus),Maiya(Fructus Hordei Germinatus),and Shanzha(Fructus Crataegi)can be added for acute purulent sinusitis.Qi-Supplementing and Collateral-Dredging Decoction can be added for nasopharyngeal carcinoma.Lianqiao(Fructus Forsythiae),Baijiangcao(Herba Patriniae),Zhuye(Folium Phyllostachydis Henonis),and Zhishi(Fructus Aurantii Immaturus)can be added for chronic suppurative otitis media.Huangqi(Radix Scutellariae),Gegen(Radix Puerariae Lobatae),Gouqizi(Fructus Ly-cii),and Shanzhuyu(Fructus Corni)can be added for muscae volitantes.When applying,it is not necessary to copy the original text of Treatise on Cold Damage Diseases.For any one whose main pathogenesis is dysfunction of lesser yang,this formula can be used flexibly for treatment.

seven orifices in less yang meridianseven orifices'diseaseslesser yangMinor Bupleurum DecoctionTreatise on Cold Damage DiseasesZhang Zhongjing

宋昱娇、张喜奎

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福建中医药大学,福建福州 350122

福建中医药大学附属第二人民医院,福建福州 350003

少阳清窍 清窍病 少阳经 小柴胡汤 《伤寒论》 张仲景

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(2)
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