苓桂术甘汤剂量变化的临床应用体会

《伤寒杂病论》开创了中医理、法、方、药紧密结合的先河,其立法创方之严谨,临床疗效之卓著,堪称经典。历代医家均精研其辨证思想与方证精髓,从中汲取了诸多宝贵的临床经验。然而,时至今日,关于《伤寒杂病论》中药物剂量的临床应用方面仍有较多争议。古有传药不传火之秘,中医治病在辨证、立法、选方、遣药之外,取效与否的关键很大程度上在于药物的剂量是否恰当。笔者认为,用药以偏纠偏,病轻药宜轻,病重药宜重,兼之因时、因地、因人制宜,方能取得满意的临床疗效。现以经方苓桂术甘汤为例,结合笔者临床案例体会,对该方药物剂量与疗效的临床应用关系做一分析研究。

Experience of Dosage Change of Linggui Zhugan Decoction in Clinical Application

Shanghan Zabing Lun begins the integration of Principle, method, formula, and Chinese herb medicine in traditional Chinese medicine. It develops method and constitutes formula is so rigorous, and it’ s clinic curative effect is so distinguished, that it is known as the classic. The later traditional Chinese medicine masters all studied the thoughts of treatment based on syndrome differentiation and the essence of formula and syndrome on Shanghan Zabing Lun seriously, then learned many valuable clinic lessons. However, even to this day, it is still disputed that how to convert Chinese herbal medicine dosage of Shanghan Zabing Lun. It is said that the secret of formula is dosage rather than component. In other words, except for syndrome differentiation, method development, formulation and Chinese herbal medicine compatibility, the clinic curative effect greatly due to whether the dosage is just appropriate. The author thought that the function of formula is to correct the body’ s abnormal condition. In the process of treatment, dosage should be according to illness state, season, clime, as well as patients’ body condition. This paper will analyze and study the relationship between Chinese herbal medicine dosage of Linggui Zhugan decoction and its clinic curative effect via combine with author’ s clinic case.