仲景泻心汤临床应用新探

文章信息/Info

• Title:仲景泻心汤临床应用新探

• 卷期:2024年22卷19期

• 作者:张振宇1 胡润萍2*朱玲逸2  阮艳玲1 李京效3 黄丽娟3

• 1. 昆明市官渡区金马街道社区卫生服务中心中医科，云南 昆明  650216;2.云南中医药大学第一临床学院，云南 昆明 650500; 3.昆明市官渡区关上街道社区卫生服务中心，云南 昆明  650200

• Author(s):Hu RunPing1  Zhang ZhenYu2*  Zhu LingYi1  Ruan YanLing2  Li JingXiao3 Huang LiJuan3

• 1.Jinma Street Community Health Service Center, Guandu District, Kunming, Yunnan,China,650216;2. Yunnan University of traditional Chinese medicine, Kunming,Yunnan, China,650500;3.GuanShang Street Community Health Service Center, Guandu District, Kunming, Yunnan,China,650200

• 关键词仲景；泻心汤；临床应用；新探

• Keywords:Zhong Jing; Xie heart soup; Clinical application; The new agent

• 摘要: 泻心汤是张仲景《伤寒杂病论》里的有名方剂，分别包括半夏泻心汤、甘草泻心汤、生姜泻心汤、附子泻心汤、大黄黄连泻心汤五个泻心汤。泻心汤在临床中被广泛运用于多个系统疾病的治疗，有着很好的疗效。笔者通过查阅泻心汤的古籍及相关文献，在临床中精当辨证，抓住主要病机，对仲景泻心汤临床应用进行探析，以期在临证应用中可更广泛灵活的运用此方，取得满意的疗效。                                                                                                                                                                                

• AbstractXiexin Decoction is a famous prescription in Zhang Zhongjing's treatise on Febrile and miscellaneous diseases, which includes Pinellia Xiexin Decoction, liquorice Xiexin Decoction, ginger Xiexin Decoction, Fuzi Xiexin Decoction and rhubarb Huanglian Xiexin Decoction. Xiexin Decoction has been widely used in the treatment of many systemic diseases and has a good effect. Through consulting the ancient books and relevant documents of Xiexin Decoction, the author makes a thorough analysis of the clinical application of Zhongjing Xiexin Decoction in order to make a more extensive and flexible use of this recipe in clinical application and obtain satisfactory curative effect.

  张仲景《伤寒杂病论》里五个泻心汤即半夏泻心汤、甘草泻心汤、生姜泻心汤、附子泻心汤、大黄黄连泻心汤。诸方在《伤寒杂病论》为太阳病误下后见“心下痞”所用。仲景根据“痞”的程度及兼证所不同，分别运用以上五方对应而治之。后世各医家在继承中不断创新，五个泻心汤也被广泛运用于临床多个系统疾病的治疗，有着不错的疗效。