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体质学说肇始于《内经》,发展与扩充其运用,则首推仲景。本文以《金匮要略》方后医嘱为依据,从服药时间、方法、剂量、药后调养与注意事项等方面探讨其对体质学说的贡献,借以说明细心剖析仲景有关条文,认真领会其体质学思想,于提高疗效颇有裨益。一、体质与服药方法、时间、剂量的联系 (一)《金匮要略》方后医嘱对于服药方法的论述:服药方法归纳起来有顿服法、再服法、三服法、四服法和五服法共五种。 1.顿服法指浓煎一剂。一次服完。多用于体质强壮,邪气充实,病证危重急迫之时。这种服药法具有药专、势猛和能迅速发挥药效之特点。甘遂半夏汤、半夏干姜汤、大黄牡丹皮汤等19个方剂均采用此法煎服。
The theory of constitution originated from the “Inner Book”, and the development and expansion of its use led to Zhongjing’s devaluation. This article based on the “Fundamentals of the Golden Chamber” followed by doctor’s orders, and discussed its contribution to constitution theory from the time, methods, doses, post-drug training and precautions, etc., in order to illustrate the careful analysis of Zhongjing’s relevant provisions and earnestly understand its constitution. Learning ideas is beneficial for improving curative effect. First, the connection between the physical and medication methods, time, and dose (1) The prescription of the prescriptions of the “Golden Chamber” prescription for the medication method: The medication methods are summed up in Dunfu method, then serve, three methods, four methods and There are five kinds of five laws. 1. Dayton clothing refers to a thick fried. Serve once. Mostly used for strong constitution, full of evil spirits, when critical illness is urgent. This medication method has the characteristics of medicine, potency, and rapid drug efficacy. Ganzi Banxia Tang, Banxia Gan Jiangtang, rhubarb peony bark and other 19 prescriptions are used this method decoction.