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经方方证辨治要诀
书 号: 978-7-5359-7970-4
主 编: 梁如庆
开 本: 大32开
页 数: 464页
字 数: 350千字
出版时间:2023年05月01日
定 价: 78.80元
  •        梁如庆,中医内科主任医师,祖辈六代业中医,幼承家学,崇尚经方。先后就读于广州中医药大学、安徽医科大学等院校,曾任阳江市人民医院门诊部主任、医务科主任,阳江市中西医结合医院院长等职。为阳江市名中医、中华中医药学会感染分会委员、广东省中西医结合学会理事、广东省膏方学会副主席、国家中医药管理局科技咨询专家委员会委员。
       本书精选医圣张仲景《伤寒论》《金匮要略》的248首著名经方,以方名为首重新编写方歌,内含药物组成、剂量、主证、病机等。书中分“方歌”“组成”“用法”“功效”“主证”“应用”“提示”“经选”等栏目来阐述。书后附有经方索引、中医主要证候经方治疗索引、西医常见疾病选方参考等。
一、太阳病(表阳证) ············································ 001
(一)桂枝解外类方···················································· 004
1.桂枝汤(阳旦汤) ··············································· 004
2.桂枝加桂汤(桂枝汤加重桂枝量) ·························· 007
3.桂枝加葛根汤(桂枝汤加葛根) ····························· 008
4.瓜蒌桂枝汤(桂枝汤加瓜蒌根) ····························· 009
5.桂枝加黄芪汤(桂枝汤加黄芪) ····························· 010
6.黄芪芍药桂枝苦酒汤(芪芍桂酒汤) ······················· 011
7.黄芪桂枝五物汤(桂枝汤去甘草加黄芪增生姜) ········ 012
8.桂枝加厚朴杏子汤(桂枝汤加厚朴、杏仁) ·············· 013
9.桂枝甘草汤(桂枝汤去芍药、大枣、生姜) ·············· 014
10.桂枝救逆汤(桂枝去芍药加蜀漆牡蛎龙骨救逆汤) ··· 015
11.桂枝甘草龙骨牡蛎汤(桂枝甘草汤加龙骨、牡蛎) ··· 015
12.桂枝加龙骨牡蛎汤(桂枝汤加龙骨、牡蛎) ············ 016
    【附】二加龙骨汤 ······································· 017
13.桂枝去芍药汤(桂枝汤去芍药) ··························· 017
14.桂枝去芍药加皂荚汤(桂枝汤去芍药加皂荚) ········· 018
15.小建中汤(桂枝汤增芍药加饴糖) ························ 018
16.当归建中汤(小建中汤加当归) ··························· 020
17.黄芪建中汤(小建中汤加黄芪) ··························· 020
18.桂枝加芍药生姜各一两人参三两新加汤(桂枝新加汤,桂枝汤加芍药、生姜量并加人参) ············· 022
19.桂枝人参汤(桂枝甘草汤合理中汤) ····················· 022
20.当归四逆汤(桂枝汤去生姜加当归、细辛、通草) ··· 023
21.当归四逆加吴茱萸生姜汤(当归四逆汤加吴茱萸、生姜)························································· 024
22.苓桂术甘汤(茯苓桂枝白术甘草汤,桂枝甘草汤加茯苓、白术)················································· 025
23.茯苓桂枝甘草大枣汤(桂枝甘草汤加茯苓、大枣) ··· 026
24.茯苓甘草汤(桂枝甘草汤加茯苓、生姜) ··············· 027
25.茯苓泽泻汤(茯苓甘草汤加泽泻、白术) ··············· 028
26.桂苓五味甘草汤(茯苓桂枝五味甘草汤,桂枝甘草汤加茯苓、五味子) ······································· 029
27.五苓散(茯苓泽泻汤去生姜、甘草加猪苓) ············ 029
28.防己茯苓汤(桂枝甘草汤加防己、茯苓、黄芪) ······ 031
29.蜘蛛散····························································· 032
30.桂枝生姜枳实汤 ················································ 033
31.桂枝茯苓丸······················································· 034
32.半夏散及汤(桂枝甘草汤加半夏) ························ 035
33.炙甘草汤(复脉汤,桂枝去芍药汤加人参、麦冬、生地黄、阿胶、麻仁) ······························· 036
(二)麻黄解表类方···················································· 038
1.麻黄汤 ······························································ 038
2.葛根汤(桂枝汤加葛根、麻黄) ····························· 040
3.甘草麻黄汤 ························································ 041
4.半夏麻黄丸 ························································ 042
5.葛根加半夏汤(葛根汤加半夏) ····························· 042
6.麻黄加术汤(麻黄汤加白术) ································ 043
7.射干麻黄汤 ························································ 044
8.桂枝麻黄各半汤(桂枝汤、麻黄汤合方) ················· 045
9.桂枝二麻黄一汤(桂枝汤、麻黄汤合方) ················· 046
10.小青龙汤·························································· 047
(三)其他解表类方···················································· 049
1.防己黄芪汤 ························································ 049
2.桂枝去桂加茯苓白术汤(桂枝汤去桂枝加茯苓、白术)···050
3.葛根黄芩黄连汤(葛根芩连汤) ····························· 051
4.升麻鳖甲汤 ························································ 052
5.升麻鳖甲汤去雄黄蜀椒汤(升麻鳖甲汤去雄黄、蜀椒)···053
二、阳明病(里阳证) ············································ 055
(一)表里双解类方···················································· 057
1.白虎加桂枝汤 ····················································· 057
2.桂枝加芍药汤(桂枝汤芍药增量) ·························· 057
3.桂枝加大黄汤(桂枝加芍药汤加大黄) ···················· 058
4.防己地黄汤(桂枝甘草汤加防己、防风、地黄) ········ 059
5.竹皮大丸 ··························································· 060
6.木防己汤、木防己汤去石膏加茯苓芒硝汤 ················· 061
7.厚朴七物汤(桂枝去芍药汤合厚朴三物汤) ·············· 062
8.越婢汤 ······························································ 062
9.越婢加术汤 ························································ 063
10.越婢加半夏汤(越婢汤加半夏) ··························· 064
11.大青龙汤(麻黄汤合越婢汤) ······························ 065
12.麻黄杏仁甘草石膏汤(麻杏甘石汤,麻黄汤去桂枝加石膏)······················································ 066
13.小青龙加石膏汤(小青龙汤加石膏) ····················· 068
14.厚朴麻黄汤(小青龙加石膏汤去桂枝、芍药加厚朴、杏仁、小麦)·············································· 069
15.文蛤汤(麻黄杏仁甘草石膏汤合越婢汤加文蛤) ······ 070
16.桂枝二越婢一汤(桂枝汤合越婢汤) ····················· 071
17.麻黄杏仁薏苡甘草汤(麻杏薏甘汤) ····················· 072
18.风引汤····························································· 073
19.麻黄连翘赤小豆汤 ············································· 074
20.竹叶石膏汤(麦门冬汤去大枣加竹叶、石膏) ········· 075
(二)和解清里类方···················································· 076
1.柴胡加芒硝汤(小柴胡汤加芒硝) ·························· 076
2.柴胡加龙骨牡蛎汤(小柴胡汤去甘草加桂枝、茯苓、大黄、龙骨、牡蛎、铅丹) ····························· 077
3.大柴胡汤 ··························································· 078
(三)清里实热类方···················································· 079
1.瓜蒂散 ······························································ 079
   【附】一物瓜蒂汤 ·········································· 080
2.白虎汤 ······························································ 081
3.白虎加人参汤 ····················································· 082
4.调胃承气汤 ························································ 085
5.小承气汤 ··························································· 087
6.厚朴三物汤(小承气汤增厚朴、枳实量) ················· 089
   【附】厚朴大黄汤 ·········································· 090
7.大承气汤 ··························································· 090
8.大黄甘草汤(调胃承气汤去芒硝) ·························· 094
9.麻子仁丸(小承气汤加火麻仁、杏仁、芍药) ··········· 095
10.泻心汤····························································· 096
11.大黄黄连泻心汤(泻心汤去黄芩) ························ 097
12.附子泻心汤(泻心汤加附子) ······························ 098
13.大黄硝石汤······················································· 099
14.茵陈蒿汤·························································· 100
15.栀子豉汤·························································· 101
16. 栀子甘草豉汤··························································103
17. 栀子生姜豉汤··························································104
18.枳实栀子豉汤··························································105
19.栀子大黄汤··························································105
20.栀子厚朴汤··························································106
21.栀子干姜汤··························································107
22.栀子柏皮汤··························································108
23.黄连阿胶汤··························································109
24.三物黄芩汤··························································110
25.白头翁汤··························································111
26.白头翁加甘草阿胶汤··························································112
27.苇茎汤··························································113
28.薏苡附子败酱散··························································114
29.猪苓汤··························································115
30.葵子茯苓散··························································117
31.牡蛎泽泻散··························································118
32.瓜蒌牡蛎散··························································119
33.百合地黄汤··························································119
34.百合鸡子汤··························································121
35.百合知母汤··························································122
36.百合洗方··························································123
37.百合滑石散··························································124
38.滑石代赭汤··························································125
39.蒲灰散··························································126
40.滑石白鱼散··························································127
41.茯苓戎盐汤··························································128
42.猪膏发煎··························································129
43.文蛤散··························································129
44.矾石汤····························································· 131
45.硝石矾石散······················································· 131
46.苦参汤····························································· 132
47.当归贝母苦参丸 ················································ 133
48.下瘀血汤·························································· 134
49.桃核承气汤(调胃承气汤加桂枝、桃仁) ··············· 135
50.大黄牡丹汤······················································· 136
51.抵当汤····························································· 138
52.抵当丸····························································· 140
53.大黄䗪虫丸······················································· 142
54.大陷胸汤·························································· 143
55.大陷胸丸·························································· 146
56.十枣汤····························································· 147
57.甘遂半夏汤······················································· 149
58.大黄甘遂汤······················································· 150
59.己椒苈黄丸······················································· 151
60.小陷胸汤·························································· 152
61.葶苈大枣泻肺汤 ················································ 154
62.枳实芍药散······················································· 155
63.排脓散····························································· 156
64.雄黄熏方·························································· 156
三、少阳病(半表半里阳证) ·································· 158
1.小柴胡汤 ··························································· 159
2.柴胡去半夏加瓜蒌汤 ············································ 167
3.柴胡桂枝汤 ························································ 167
4.四逆散 ······························································ 169
5.泽漆汤 ······························································ 171
6.黄芩汤 ······························································ 173
7.黄芩加半夏生姜汤(黄芩汤合小半夏汤) ················· 174
8.当归散 ······························································ 175
9.猪肤汤 ······························································ 176
10.奔豚汤····························································· 177
11.甘草汤 ···························································· 178
12.桔梗汤····························································· 179
四、太阴病(里阴证) ············································ 181
(一)温中祛饮类方···················································· 182
1.干姜附子汤 ························································ 182
2.理中丸(汤)(人参汤,甘草干姜汤加人参、白术) ································································· 183
3.四逆汤 ······························································ 185
4.通脉四逆汤(四逆汤增干姜、附子量) ···················· 190
5.通脉四逆加猪胆汤 ··············································· 192
6.四逆加人参汤(四逆汤加人参) ····························· 193
7.茯苓四逆汤(四逆加人参汤加茯苓) ······················· 195
8.附子汤 ······························································ 196
9.附子粳米汤 ························································ 198
10.大乌头煎·························································· 199
11.乌头赤石脂丸 ··················································· 201
12.赤丸································································ 202
13.薏苡附子散······················································· 203
14.瓜蒌瞿麦丸······················································· 205
15.大黄附子汤······················································· 206
16.肾气丸(汤)(崔氏八味丸,八味肾气丸) ············ 208
17.小半夏汤·························································· 210
18.生姜半夏汤(小半夏汤减半夏倍生姜量) ··············· 212
19.半夏干姜散(小半夏汤生姜易为干姜) ·················· 213
20.小半夏加茯苓汤 ················································ 214
21.大半夏汤·························································· 215
22.干姜人参半夏丸(小半夏汤合半夏干姜散) ············ 217
23.半夏厚朴汤(小半夏汤加茯苓、厚朴、紫苏叶) ······ 219
24.厚朴生姜半夏甘草人参汤(生姜半夏汤加厚朴、甘草、人参)···················································· 220
25.大建中汤·························································· 222
26.吴茱萸汤(茱萸汤) ·········································· 224
27.生姜甘草汤······················································· 226
28.麦门冬汤·························································· 227
29.甘草干姜汤······················································· 228
30.甘草干姜茯苓白术汤(甘姜苓术汤,肾著汤) ········· 229
31.苓甘五味姜辛汤(桂苓五味甘草汤去桂枝加干姜、细辛)························································· 230
32.桂苓五味甘草去桂加干姜细辛半夏汤(苓甘五味姜辛汤加半夏)················································· 232
33.苓甘五味加姜辛半夏杏仁汤 ································· 233
34.苓甘五味加姜辛半杏大黄汤(苓甘五味加姜辛半夏杏仁汤加大黄)·············································· 235
35.茯苓杏仁甘草汤 ················································ 236
36.橘枳姜汤·························································· 237
37.旋覆代赭汤······················································· 240
38.橘皮汤····························································· 241
39.橘皮竹茹汤(橘皮汤加竹茹、甘草、人参、大枣) ··· 242
40.茯苓饮(橘皮枳实生姜汤加人参、茯苓、白术) ······ 244
41.甘麦大枣汤······················································· 245
42.苦酒汤····························································· 246
43.甘草粉蜜汤······················································· 247
44.排脓汤(桔梗汤加生姜、大枣) ··························· 248
45.枳术汤····························································· 250
46.瓜蒌薤白白酒汤 ················································ 251
47.瓜蒌薤白半夏汤(瓜蒌薤白白酒汤减薤白量加半夏)···252
48.枳实薤白桂枝汤(瓜蒌薤白白酒汤去白酒加枳实、厚朴、桂枝)················································· 254
49.猪苓散(五苓散减泽泻、桂枝) ··························· 255
50.泽泻汤····························································· 257
51.皂荚丸····························································· 258
52.蜀漆散····························································· 259
53.柏叶汤····························································· 260
54.蛇床子散·························································· 261
55.诃黎勒散·························································· 262
56.走马汤····························································· 263
57.三物备急丸······················································· 264
58.桔梗白散(三物白散) ······································· 265
59.赤石脂禹余粮汤 ················································ 267
60.桃花汤····························································· 268
(二)养血利水类方···················································· 270
1.当归芍药散 ························································ 270
2.温经汤 ······························································ 271
3.薯蓣丸 ······························································ 273
4.胶艾汤(胶艾四物汤,芎归胶艾汤) ······················· 275
5.当归生姜羊肉汤 ·················································· 276
6.赤小豆当归散 ····················································· 277
7.芍药甘草汤 ························································ 278
8.芍药甘草附子汤 ·················································· 280
9.酸枣仁汤 ··························································· 282
10.红蓝花酒·························································· 283
11.旋覆花汤 ························································· 284
五、少阴病(表阴证) ············································ 286
1.麻黄附子甘草汤(麻黄附子汤) ····························· 287
2.麻黄细辛附子汤(麻黄附子汤去甘草减麻黄量加细辛)······························································ 289
3.白通汤 ······························································ 291
4.白通加猪胆汁汤 ·················································· 292
5.桂枝去芍药加麻黄细辛附子汤(桂枝去芍药加麻辛附子汤)······················································· 295
6.桂枝芍药知母汤 ·················································· 296
7.桂枝加附子汤(桂枝汤加附子) ····························· 297
8.乌头汤 ······························································ 299
9.乌头桂枝汤(大乌头煎合桂枝汤) ·························· 301
10.桂枝去芍药加附子汤(桂枝汤去芍药加附子) ········· 302
11.桂枝附子汤 ······················································ 304
12.桂枝附子去桂加白术汤(去桂加白术汤,白术附子汤)··························································· 305
13.甘草附子汤······················································· 306
14.天雄散····························································· 308
15.真武汤(附子汤去人参加生姜) ··························· 309
16.术附汤····························································· 311
六、厥阴病(半表半里阴证) ·································· 313
1.乌梅丸 ······························································ 314
2.柴胡桂枝干姜汤(柴胡桂姜汤) ····························· 316
3.半夏泻心汤 ························································ 319
4.甘草泻心汤(半夏泻心汤增甘草量) ······················· 321
5.生姜泻心汤 ························································ 323
6.黄连汤(半夏泻心汤去黄芩增黄连量加桂枝) ··········· 325
7.干姜黄芩黄连人参汤 ············································ 327
8.麻黄升麻汤 ························································ 328
9.六物黄芩汤(《外台》黄芩汤) ····························· 329
10.鳖甲煎丸·························································· 331
11.侯氏黑散 ························································· 333
12.黄土汤····························································· 334
13.王不留行散······················································· 336
14.续命汤····························································· 337
附录一 经方索引······················································· 340
附录二 经方度量衡古今折算法 ···································· 345
附录三 中医主要证候经方治疗索引 ······························ 348
附录四 西医常见疾病选方参考 ···································· 410
一、传染病····························································· 410
二、呼吸系统疾病···················································· 411
三、循环系统疾病···················································· 413
四、消化系统疾病···················································· 416
五、血液和造血系统疾病 ·········································· 419
六、内分泌、代谢、营养疾病 ···································· 420
七、泌尿系统疾病···················································· 422
八、结缔组织病与风湿性疾病 ···································· 423
九、神经系统疾病···················································· 424
十、精神心理疾病···················································· 426
十一、自身免疫性疾病 ············································· 427
十二、外科疾病······················································· 428
十三、五官科疾病···················································· 428
十四、妇产科疾病···················································· 431
十五、儿科疾病······················································· 432
十六、皮肤病·························································· 434
十七、骨科疾病······················································· 435
十八、男性疾病······················································· 436
十九、恶性肿瘤······················································· 437
主要参考书目····························································· 442
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