仲景对“吐”法的应用

仲景对"吐"法的应用,无论是适应证、选方、剂型、服法还是禁忌,均体现了"吐"法适应实邪停滞上焦胸部的急症。应用"吐"法必须谨慎,必须保护胃气、阳气、正气,中病即止,体质虚弱者禁用。从《伤寒论》及后世医家的临床经验看,瓜蒂散的疗效确切,但近10年来对瓜蒂散应用的报道微乎其微。很多医院中药房没有瓜蒂这味药物,致使祛病良法——"吐"法被束之高阁,值得深思。"吐"法的应用不仅需要把握好"吐"法的适用证及禁忌证,以便在临床应用瓜蒂散,还需要加强实验及临床研究,为古方新用提供更多可靠的理论及临床依据,确保"吐"法的安全应用。

Zhang Zhong-jing's Application of Vomiting

In terms of Zhang Zhong-jing's vomiting,its indications,selection of formula,dosage form,taking method reflect that it is suitable for emergency case of chest due to sthenia pathogen accumulation.The application of vomiting method must be careful,must protect stomach qi,yang qi,healthy qi,and immediately stops as long as it cure the disease.It should be forbidden for people with weak constitution.According to Treatise on Cold-Damage Diseases and physicians of later ages,Melon Stalk Powder has a remarkable efficiency,but there have had few reports in recent 10 years.No Guadi (Melon Stalk) can be found in the medicine pharmacy in many hospitals,so that vomiting is shelved,which is worthy of our consideration.We should first grasp the indications and contraindication of vomiting to use Melon Stalk Powder in clinical practice.Besides,the experiments and clinical study should also need to be strengthened in order to provide a more reliable theoretical and clinical basis,and ensure the safe application of vomiting.