- 期刊
補中益氣湯治療下焦病的典籍溯源與臨床驗案解析
The traceability Classics of treating lower-jiao disease by Bu Zhong Yi Ci Tang and the analysis of effective clinical cases
摘要
補中益氣湯是中醫名方，出自李東垣《內外傷辨惑論》，全方由黃耆、人參、白朮、當歸、生薑、大棗、柴胡、升麻、陳皮、甘草所組成，有健脾益氣升提之功效。《醫方集解》論其主治為：「治煩勞內傷⋯⋯或陽虛自汗，或氣虛不能攝血，或瘧痢脾虛，久不能癒。一切清陽下陷，中氣不足之證。」吾等掌握脾氣虧虛的主要病機，以補中益氣湯為主方，依不同疾病病機，靈活加減各類藥物，結果能有效治療許多下焦疾病。包括：加滋陰清熱，利石通淋藥物治療輸尿管結石；加溫肝散寒藥物治療復發性腹股溝疝氣；加溫補腎陽，交通心腎藥物治療攝護腺肥大；加補益腎氣、固濇止遺藥物治療應力性尿失禁；加溫腎利濕，補任督強筋壯骨藥物治療退化性關節炎。
並列摘要
Bu Zhong Yi Ci Tang(BZYCT) is a celebrated formula, originated in the ancient book Nei-Wai-Sun-Bian-Huo-Lun by Li-Dong-Yuan. BZYCT, which has the effect of fortifying the Spleen and boosting Qi for lifting, is consist of Astrahalus, Ginseng, Atractylodes, Angelica, Ginger, Jujube, Bupleurum, Cimicifuga, Citrus and Licorice. Wang Ang expounded the indications of BZYCT in Collected Exegesis of Recipes: ＂To treat internal injury caused by working hard and emotional stress…or spontaneous sweating caused by yang vacuity, or qi failing to control blood, or malaria and dysentery caused by Spleen vacuity. These symptoms can’t be cured for a long time. All symptoms caused by falling of lucid yang and deficiency of center qi.＂ We could mainly prescribed BZYCT as if we mastered the dominated pathogenesis - Spleen Qi vaquity. According to different pathology of diseases, we subjoin or subtract Chinese herbs to flexible vary the prescription. Outcomes: Many diseases got a satisfactory effect in lower-jiao disease when we mainly prescribed BZYCT. We treated ureteral calculus by subjoining herbs enriching yin to clear heat and disinhibiting stone to free stranury. We treated recurrent groin hernia by subjoining herbs warming the Liver and dissipating cold. We treated prostate hypertrophy by subjoining herbs warming the Kidney to supplement yang and coordinating the Heart with the Kidney. We treated stress urinary incontinence by subjoining herbs supplementing the Kidney qi and securing and astringing to enuresis. We treated degenerative arthritis by subjoining herbs warming the Kidney to disinhibiting dampness and supplementing the Governor and Conception vessels to strengthen tendons and bones.