半夏瀉心湯何以不用白術？

Why is Bai Zhu Not Used in Ban Xia Xie Xin Tang?

申一中(Yi-Zhong Shen)

《台灣中醫臨床醫學雜誌》 11卷1期 (2005/03) Pp. 73-76

https://doi.org/10.6968/TJCCM.200503.0073

摘要

張仲景的半夏瀉心湯是治療心下痞的代表方。半夏瀉心湯所治是胃熱腸寒的情形，裡面有大黃黃連瀉心湯的架構來清胃熱，也有理中湯的架構來溫腸寒。而理中湯四味藥內，半夏瀉心湯僅無白術一味，治虛痞的半夏瀉心湯何以不用白術？本文對此問題提出討論，並舉例列述歷代醫家對半夏瀉心湯的應用，期能在臨床治療有更多的思考方向。

關鍵字

半夏瀉心湯 ； 胃熱腸寒 ； 白術

並列摘要

Zhang Zhong Jing's formula, Ban Xia Xie Xin Tang, is the exemplar formula for treating epigastric glomus. Ban Xia Xie Xin Tang is used for treating a condition of stomach heat and intestinal cold. Within the formula exists Da Huang Huang Lian Xie Xin Tang's framework for clearing stomach heat, and Li Zhong Tang's framework for warming intestinal cold. However, of the four herbs comprising Li Zhong Tang, Ban Xia Xie Xin Tang contains all of them except Bai Zhu. Why is it that Ban Xia Xie Xin Tang, which treats vacuity glomus doesn't contain Bai Zhu?
This article attempts to discuss this question as well as give examples and viewpoints of various doctors throughout Chinese medical history and their application of Ban Xia Xie Xin Tang, in hopes of providing more ways of thinking about clinical treatment.

並列關鍵字

Ban Xia Xie Xin Tang ； stomach heat and intestinal cold ； Bai Zhu