| 摘要: |
| 從用量與炮制、主治病癥及藥物配伍3個方面，探析《傷寒雜病論》中應用麻黃的34方及46條相關條文，提出：麻黃的常用量為5.2~32.0 g之間，主治病癥中以“熱”的頻率最高，其次為“疼痛”、“咳喘”，麻黃性溫，不能直接用于熱證，然張仲景巧妙將其與大劑量的石膏配伍，保留麻黃宣通透邪之性，達到辛涼透熱。小便關系體內津液的多少，并與水飲致病互為因果，故配伍上以甘草、桂枝、芍藥、生姜、大棗為主，以辛甘化陽助氣化、酸甘化陰滋其源、固護中州發水氣?？v觀張仲景對麻黃的運用，麻黃的主治病癥涉及面廣，是一味有著較高應用價值的中藥，需要臨床研究的重視與發掘。 |
| 關鍵詞: 傷寒雜病論 麻黃 用量炮制 主治病癥 張仲景 |
| DOI：10.11656/j.issn.1673-9043.2023.02.03 |
| 分類號:R222 |
| 基金項目:天津市衛生局科研課題基金項目（2019098）。 |
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| Analysis on the dosage, main symptoms, and compatibility rules of ephedra in the Theory of Typhoid and Miscellaneous Diseases |
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SUN Yimeng1, LIU Nawen2
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1.Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.Tianjin First Central Hospital, Tianjin 300192, China
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| Abstract: |
| This paper analyzes 34 prescriptions and 46 relevant articles on the application of ephedra in Treatise and Typhoid and Miscellaneous Diseases from three aspects:dosage and processing, main symptoms and drug compatibility, it is suggested that the commonly used amount of ephedra is between 5.2-32.0 g. The frequency of "heat" is the highest among the main symptoms, followed by "pain" and "cough and asthma", ephedra is warm in nature and cannot be directly used for heat syndrome. However, Zhongjing skillfully combines it with high-dose gypsum to retain the nature of ephedra to promote evil and achieve pungent, cool and hot. Urination is related to the amount of body fluid in the body, and is mutually causal with water drinking. Therefore, licorice, Cinnamon Twig, peony, ginger and jujube are mainly used in the compatibility, with xin gan changing yang to help gasify, acid gan changing yin to nourish its source, and protect Zhongzhou hair moisture. Throughout ZHANG Zhongjing's use of ephedra, the main symptoms of ephedra involve a wide range. It is a traditional Chinese medicine(TCM) with high application value, which needs the attention and exploration of clinical research. |
| Key words: Typhoid and Miscellaneous Disease ephedra dosage processing main symptom ZHANG Zhongjing |
