首页|基于"调气机,解六郁"论柴胡运用

基于"调气机,解六郁"论柴胡运用

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贾跃进临证始终贯穿"调气机,解六郁"的学术思想,临证常用柴胡、香附、郁金、川楝子、夏枯草、僵蚕、蝉蜕、牛膝、枳实、炒莱菔子等十多味中药,调升降,解六郁,统治百病,效果甚佳.初学者多被《中药学》教材的分类方法和定义所约束,认为柴胡为解表退热药,并能疏肝行气,升阳举陷,致使临床运用柴胡的范围严重缩减.贾师善于运用柴胡解气郁、食郁、水郁、精郁、血郁、火郁,和解枢机,升举阳气,调经助孕,解表退热,扩大其使用范围,并强调柴胡的量效关系非常明显,临床功效不同,柴胡的用量也有差异.柴胡退热的关键在于量一定要大,一般用量20 g以上,升阳举陷,用量宜小,一般用3g左右,解气郁时用量10g左右.同时,使用柴胡要注意其适应范围,因其升提之力太甚,会导致阴虚阳亢加重而出现耳鸣或耳聋、烦躁易怒、眩晕等.一般将舌质不红绛,舌苔白润而不干燥,脉象左尺脉沉弦有力或左尺脉滑、厚实有力,作为使用柴胡的依据.
Application of Chaihu based on the theory of regulating Qi and solving six depressions
JIA Yuejin's clinical practice has always been consistent with the academic philosophy of regulating Qi(气)and resolving six depression,ruling over various diseases with excellent results.More than ten traditional Chinese medicines are commonly used in clinical practice,including Chaihu(Radix Bupleuri),Xiangfu(Rhizoma Cyperi),Yujin(Radix Curcumae),Chuan-Lianzi(Fructus Toosendan),Xiakucao(Spica Prunellae),Jiangcan(Bombyx Batryticatus),Chantui(Periostracum Cicadae),Niuxi(Radix Achyranthis Bidentatae),Zhishi(Fructus Aurantii Immaturus),and stir fried Laifuzi(Semen Raphani),to regulate the ascending or descending movement of Qi,relieve the six stagnation,and govern various diseases with excellent effects.Beginners are often constrained by the classification method and definition of Chaihu in the textbook of Traditional Chinese Medicine,believing that Chaihu is a type of antipyretic and antipyretic drug that can soothe the liver,promote Qi circulation,elevate Yang(阳)and induce depression,resulting in a serious reduction in the scope of clinical application of Chaihu.Teacher JIA is good at using Chaihu to relieve Qi depression,food depression,water depression,essence depression,blood depression,and fire depression,as well as to relieve pivot mechanism,elevate Yangqi(阳气),regulate menstruation,promote pregnancy,relieve external heat,and expand its scope of use.And it is emphasized that the dose-response relationship of Chaihu is very clear,and the dosage of Chaihu varies depending on the clinical efficacy.The key to reducing fever with Chaihu is to use it in a large amount,usually at least 20 g.It is recommended to use it to elevate Yangqi in small amounts,usually around 3 g,and when relieving Qi stagnation,it is recommended to use around 10 g.At the same time,when using Chaihu,attention should be paid to its adaptation range,as its lifting power is too strong,which can lead to increased Yin deficiency and Yang hyperactivity,resulting in tinnitus or deafness,irritability,dizziness,etc..Generally,the use of Chaihu is based on the fact that the tongue is not red or crimson,the tongue coating is white and smooth but not dry,and the left ulnar pulse is deep and strong,or the left ulnar pulse is smooth,thick and strong.

ChaihuResolving six depressionRegulating the ascending and descending of Qi activity

刘扬、樊凯芳、李雯、王欢

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山西中医药大学,山西 太原,030000

柴胡 解六郁 调升降

山西省中医药管理局科研课题国家中医药管理局全国名老中医药专家传承工作室建设项目

2024ZYYC061M020011190M

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(16)