四逆散-不是新东西

2009-04-03 14:00 楼主
四逆散
-不是新东西,把前人的东西整理了一下
本方一直被作为调和肝脾的基本方,其主治,传统表述为肝气郁滞、阳气内郁而不达四末的四逆证(四肢发凉,冷不过肘膝),患者的这种四肢发凉,特别是在冬天晚上睡觉后也不能恢复正常的情况,为典型的四逆证,系末梢循环不良的表现。也有的表现为患者自觉不冷而实际温度降低者。总之,此类患者四肢逆冷并非阳气虚弱所致,而是阳气内郁所致。说白了,就是阳气在人体内分布不均,体内较多,而四肢较少。所以说,四逆散是人体内阳气分布的调节剂,而不是阳气的补益剂。
这类患者,以女性较为多见,对寒冷、疼痛等的刺激比较敏感,并易于紧张,易于出现脘腹疼痛等肌肉痉挛的情况,其肌肉的痉挛并不仅仅表现在脘腹,心肌、支气管平滑肌、胆道平滑肌、泌尿道平滑肌、子宫平滑肌等均可出现痉挛。如果四肢肌肉易于紧张,则血液循环易受阻,这就是四肢逆冷产生的原因。基于此,也可以说,四逆散是肌肉紧张的调节剂。为什么这么说呢?枳实(枳壳)对肌肉的影响是促进其收缩,而芍药是抑制肌肉的收缩,二者配伍后起调节作用。相比之下,芍药甘草汤则是肌肉痉挛的松驰剂。
JWSNS - not new things, organize things that our predecessors put a bit
The side has been to reconcile the liver and spleen as the basic side, the indications, traditional expressions for the liver郁滞, Yu yang not reached within four cards at the end of Sini (cold extremities, cold but肘膝), patients with this cold limbs, hair types, especially in the winter can not sleep at night after the situation returned to normal for the typical Sini card, the Department of the performance of peripheral circulation. Some patients also manifested consciously or cold and the actual temperature decreased. In short, the limbs of such patients with yang is not weak against the cold, but rather the result of Yu-yang within. Put it plainly, the yang in the human body is unevenly distributed, more intimate, and less limbs. So that the human body are JWSNS distribution yang regulator, rather than the benefit agent yang.
Such patients, more often female, on a cold, pain, etc. to stimulate the more sensitive and easy to tension, abdominal pain easy to appear脘circumstances, such as muscle spasm, the muscle spasm is not just manifested in the脘abdominal, cardiac, bronchial smooth muscle, smooth muscle biliary tract, urinary tract smooth muscle, uterine smooth muscle spasm, such as may arise. If the limbs, muscle tension easily, blood circulation is blocked easily, and this is against the cold limbs causes. Based on this, it can be said, are JWSNS regulator of muscle tension. Why? Bitter orange (Poncirus trifoliata) on the effects of muscle contraction are the promotion of its, and paeoniflorin are inhibiting the contraction of muscles, the two combined after adjustment. In contrast, the Peony Decoction is relaxation of muscle spasm agent.
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2011-09-21 10:31 2楼
有点中西医结合的味道!
⬅ 病因在方证辨证中的地位 娄绍昆 老茶馆 黄煌教授运用五苓散的经验——附98例病案分析 ➡