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<h1>【干貨】三仁湯—溫?zé)岵〉目醇姨幏?/h1> <div id="ibofzny" class="mark"> <div id="hyrpmnc" class="lTxt"> <span id="zinifhv" class="time">2020-05-29 18:43</span> <span id="gckugcy" class="source">來(lái)源：<a href="http://thedailypurge.net" title="醫(yī)學(xué)教育網(wǎng)">醫(yī)學(xué)教育網(wǎng)</a></span> </div>  <a href="javascript:void(0);" target="_self" class="print" onclick="javascript:window.print()">打印</a> <div id="irdfenx" class="font_size">字體：<a href="javascript:void(0);" target="_self" class="big">大</a><a href="javascript:void(0);" target="_self" class="small">小</a></div> </div> </div>   <div id="ktfskjt" class="news_con"> <div id="qifsakb" class="jxbox clearfix"> <p style="text-align: left;">隨著天氣逐漸炎熱，濕熱之氣以愈加強(qiáng)盛，人體感受濕熱之邪氣的概率也隨之增加，患病后主要癥狀有肢體倦怠乏力、胸膈痞滿、食欲不振、舌苔黃膩脈滑數(shù)等，《溫病條辨》中的三仁湯是是清熱利濕的代表方，是少有的治療范圍廣泛的看家處方之一。本方的適應(yīng)證是氣留戀三焦，濕重于熱者。該方適用于濕溫初起，衛(wèi)氣同病。</p><p style="text-align: left;">下面看下三仁湯的各個(gè)藥品：</p><p style="text-align: left;"><strong>一、薏苡仁：</strong>利水滲濕藥。味性甘、淡，微寒。歸脾、腎、肺經(jīng)。利水滲濕，健脾，除痹，排膿消癰，最善利水，不至損耗真陰之氣，凡濕盛在下身者，最適用之。</p><p style="text-align: left;"><strong>二、杏仁：</strong>味苦、溫、微毒，歸肺、脾、大腸經(jīng)。入藥一般為苦杏仁，有潤(rùn)肺止咳，潤(rùn)腸止瀉的功效。</p><p style="text-align: left;"><strong>三、半夏：</strong>味辛、溫，有毒。歸脾、胃、肺經(jīng)。有燥濕化痰，和胃止嘔的功能，主治痰濕水飲、嘔吐、咳喘等癥。</p><p style="text-align: left;"><strong>四、厚樸：</strong>苦、辛溫，歸脾、胃、大腸經(jīng)?；瘽袼?，有行氣消積、燥濕除滿、降逆平喘之功。</p><p style="text-align: left;"><strong>五、滑石：</strong>甘、淡、寒，歸膀胱、肺、胃經(jīng)。有利尿通淋、清熱解暑、祛濕斂瘡的功效。</p><p style="text-align: left;">《醫(yī)學(xué)衷中參西錄》曰：因熱小便不利者，滑石最為要藥。若寒溫外感諸證，上焦燥熱，下焦滑瀉無(wú)度，最為危險(xiǎn)之候，可用滑石與生山藥各兩許，煎湯服之，則上能清熱，下能止瀉，莫不隨手奏效。</p><p style="text-align: left;"><strong>六、竹葉：</strong>味甘淡，氣平微涼。歸入心、肺、膽、胃經(jīng)。功專清熱除煩，生津利尿。</p><p style="text-align: left;"><strong>七、白蔻仁：</strong>辛溫。入肺、脾、胃經(jīng)。具有理氣寬中、燥寒濕、解酒毒等功效。主治胃痛腹脹、噫氣反胃等癥。</p><p style="text-align: left;"><strong>八、白通草：</strong>甘淡、寒，無(wú)毒。入肺、胃經(jīng)。能清熱利水，通乳。</p><p style="text-align: left;">從以上分析得知，三仁湯的各項(xiàng)成分都是臨床常用藥。方中杏仁宣肺理氣，宣通上焦；白蔻仁芳香化濕，行氣寬中，配以半夏苦溫燥濕；厚樸苦辛化濕，醒脾和胃，振復(fù)運(yùn)化中焦水濕之機(jī)，轉(zhuǎn)樞中焦；薏苡仁甘淡，滲利濕熱而健脾，配以滑石、通草、竹葉淡滲利濕，疏導(dǎo)下焦。這樣芳香苦辛，淡滲化氣利濕并進(jìn)，能使三焦通暢，濕熱分消，濕去而脾不傷，熱除正安。所以本方主治上焦肺氣不宣，中焦脾氣不運(yùn)，下焦腎和膀胱之氣化失常。方中三仁合用，三焦分消，共為君藥，故名“三仁湯”。</p><p style="text-align: left;">當(dāng)然，就是同樣是濕熱病，也不可能每個(gè)人都一樣，還需要辯證論治。</p><p style="text-align: left;">1、若濕溫初起，衛(wèi)分癥狀較為明顯者，可加藿香、香薷以解表化濕；</p><p style="text-align: left;">2、若往來(lái)寒熱者，可加青蒿、草果以和解化濕；</p><p style="text-align: left;">3、舌苔黃膩者，宜加大薏苡仁的用量；</p><p style="text-align: left;">4、舌苔薄白者，可加少量滑石；</p><p style="text-align: left;">5、若見(jiàn)<a href="http://thedailypurge.net/jibing/xinji/" target="_blank" title="心悸" class="hotLink">心悸</a>胸悶嚴(yán)重者，可加三七、丹參、薤白；</p><p style="text-align: left;">6、如出現(xiàn)周身關(guān)節(jié)疼痛者，可加獨(dú)活、羌活、秦切片、五加皮、木瓜；</p><p style="text-align: left;">7、如脘腹脹滿，食欲不振較重者，可加藿香、山楂、麥芽、木香。</p><p style="text-align: left;">8、如濕熱下注而引起淋證者，可加扁蓄、矍麥、車前子、大黃。</p><p style="text-align: left;">9、濕性趨下，易襲陰部，可致濕熱帶下病，可加茯苓、豬苓、蒼術(shù)、荊芥穗、黃柏、牛膝。</p><p style="text-align: left;">三仁湯區(qū)區(qū)八味藥，配伍嚴(yán)謹(jǐn)，選藥精當(dāng)，統(tǒng)治三焦“濕熱”，對(duì)全身各個(gè)部位與“濕熱”有關(guān)的疾病都有治療作用，玄機(jī)無(wú)限，哲理無(wú)窮。</p><p style="white-space: normal;"><strong style="color: rgb(255, 0, 0);">相關(guān)推薦：</strong></p><p style="white-space: normal;"><strong style="color: rgb(255, 0, 0);"></strong></p><p style="white-space: normal;"><a href="/zhongyineikezhuzhiyi/fudaoziliao/wx2001147406.shtml" articlerela="3931035" target="_blank"></a></p><p style="white-space: normal;"><a href="/zhongyineikezhuzhiyi/fudaoziliao/wx2004309320.shtml" articlerela="4063899" target="_blank"></a></p><p><a href="/zhongyineikezhuzhiyi/fudaoziliao/wx2005264827.shtml" articlerela="4095295" target="_blank">【干貨】中藥防風(fēng)——風(fēng)為百病長(zhǎng)，全依此藥治</a></p><p><a href="/zhongyineikezhuzhiyi/fudaoziliao/wx2005157311.shtml" articlerela="4082473" target="_blank">【干貨】中醫(yī)診斷學(xué)里的“真真假假”</a></p><p><a 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