温胆汤“温”义试析

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温胆汤,首见于《备急千金要方》。言其“治大病后虚烦不得眠,此胆寒故也,宜服温胆汤。”其方由半夏、竹茹、枳实、橘皮、生姜、甘草组成。陈言《三因极一病证方论》之温胆汤在此方基础上增茯苓、大枣,而减生姜之量。其主治“虚烦不得眠”与之同。目前,高等医药院校教材《方剂学》之温胆汤(许济群主编),系选自《三因极一病证方论》。述其功用为“理气化痰,清胆和胃”。“主治胆胃不和,痰热上扰。虚烦不眠,或呕吐呃逆,以及惊悸不宁,癫痫等证。”《医方集解》释义:温胆汤“乃以凉肺经之热,非以温胆经之寒也,以胆欲不寒不燥常温为侯耳。”并且,《方剂学》 Wendantang was first seen in “Prepare for the Thousand Gold Precipice”. It is said that “the treatment of major illness can not sleep after the virtual trouble, this is also cold, it should be served Wendan Tang.” The party by Pinellia, Zhuru, citrus aurantium, orange peel, ginger, licorice composition. Chen Yan’s “Three Causes of a Disease Syndrome Side” warm bile soup on the basis of this side increase wolfberry, jujube, and reduce the amount of ginger. Its attendance is “immortality can not sleep” with it. At present, Wendan Tang (Editor-in-Chief of Xu Jiqun), a teaching material for higher medicine colleges and universities in the “Fundamentals”, is selected from the “Three Causes of a Disease Syndrome”. Its function is called “reconstruction of gas, clearing of gallbladder, and stomach.” “Indications of discomfort between gallbladder and stomach, dispelling heat and disturbing on one hand, irritability and insomnia, or vomiting and disobedience, as well as convulsions and restlessness, epilepsy and other syndromes.” “Medical Settlement Interpretation”: Wendan Tang “is based on the heat of the cold lung, It is not only for the cold gallbladder but also for the cold, not to cold and dry at room temperature for the ears.” And, “Fundamentals”
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