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笔者在教学过程中,发现部分中医教学、参考书《方剂学》对麻杏甘石汤方中主药提法不尽一致,使学员无所适从。为了弄清这一问题,不致使初学者在学习过程中造成概念上的混乱,现将近年来各家出版的教课、参考书对该方的组成结构论点归纳为以下四点: 一、以麻黄为主药、石膏为辅药:如广东中医学院主编《方剂学》云:“方中麻黄为主药,既能发汗,亦能宣肺;重用石膏为辅,则专清泄肺热。麻、膏相伍,虽一辛温,一辛寒,而辛寒大于辛温,不失为辛凉之重剂;杏仁宣利肺气为佐,助麻黄以止咳平喘;甘草调和诸药为使。”另如许济群、王绵之主编《方剂学》云:“所以方用麻黄为君,取其能宣肺而泄邪热,是“火郁发之”之义。但其性
In the course of teaching, the author found that some Chinese medicine teaching and reference books “Fundamental Science” are not consistent with the main medicine formulation in Maxing Ganshi Tangfang, making the students at a loss. In order to clarify this issue, beginners will not be confused with the concepts in the learning process. In recent years, the various published textbooks and reference books have been summarized in the following four points: 1. Ephedra. Main medicines and gypsums as adjuvants: For example, the editor of the “Fundamental Science” cloud of the Guangdong College of Traditional Chinese Medicine: “Ephedra is the main drug in the prescription. It can both sweat and promote the lungs; supplemented with gypsum, it can be used exclusively to expel lung heat. , Paste and match, although a Xin Wen, a Xin Han, and Xin Han is greater than the Xin Wen, after all, is a heavy Xin Liang; Almond Xuanli lung gas as adjuvant, to help ephedra cough and asthma; licorice to reconcile the various drugs. Another example is Xu Jiqun and Wang Mianzhi’s editor-in-chief, ”Fundamental Science,“ says: ”So, if you use ephedra as the king, you can use it to expel the lungs and vent evil heat, which is the meaning of “fire flames.”