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基于现代病理生理机制的柴胡加龙骨牡蛎汤临床应用

[Clinical application of Chaihu Jia Longgu Muli Decoction based on modern pathophysiology mechanism].

作者信息

Liu Heng-Liang, Jin Zi-Xuan, Su Ke-Lei, Wang Peng-Qian, Xiong Xing-Jiang

机构信息

Traditional Chinese Medicine Hospital of Shijiazhuang City Shijiazhuang 050000, China.

Guang'anmen Hospital, China Academy of Chinese Medical Sciences Beijing 100053, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2023 May;48(10):2620-2624. doi: 10.19540/j.cnki.cjcmm.20230206.501.

Abstract

Chaihu Jia Longgu Muli Decoction was firstly recorded in Treatise on Cold Damage(ZHANG Zhong-jing, Eastern Han dynasty). According to this medical classic, it is originally used in the treatment of the Shaoyang and Yangming syndrome. Based on the modern pathophysiological mechanism, this study interpreted the classic provisions of Chaihu Jia Longgu Muli Decoction. Original records of "chest fullness" "annoyance" "shock" "difficult urination" "delirium" "heavy body and failing to turn over" all have profound pathophysiological basis, involving disorders in cardiovascular, respiratory, nervous, and mental systems. This formula is widely used, which can be applied to treat epilepsy, cerebral arteriosclerosis, cerebral infarction, and other cerebrovascular diseases, hypertension, arrhythmia, and other cardiovascular diseases, insomnia, constipation, anxiety, depression, cardiac neurosis and other acute and chronic diseases as well as diseases in psychosomatic medicine. The clinical indications include Bupleuri Radix-targeted syndrome such as fullness and discomfort in chest and hypochondrium, bitter taste mouth, dry throat, and dizziness, the insomnia, anxiety, depression, susceptibility to fright, upset, dreamfulness and other psychiatric symptoms, red tongue, thick and yellow tongue coating, and wiry hard and powerful pulse. This formula was found to be used in combination with other formulas, such as Gualou Xiebai Decoction, Wendan Decoction, Zhizhu Pills, Juzhijiang Decoction, Suanzaoren Decoction, and Banxia Baizhu Tianma Decoction.

摘要

柴胡加龙骨牡蛎汤最早记载于《伤寒论》(东汉张仲景)。根据这部医学经典,其原本用于治疗少阳阳明合病。基于现代病理生理机制,本研究对柴胡加龙骨牡蛎汤的经典条文进行了解读。“胸满”“烦”“惊”“小便不利”“谵语”“身重不可转侧”等原文记载均有深刻的病理生理基础,涉及心血管、呼吸、神经和精神系统紊乱。该方应用广泛,可用于治疗癫痫、脑动脉硬化、脑梗死等脑血管疾病,高血压、心律失常等心血管疾病,失眠、便秘、焦虑、抑郁、心脏神经官能症等急慢性疾病以及心身医学方面的疾病。临床适应证包括以柴胡为主的证候,如胸胁满闷不适、口苦、咽干、头晕,失眠、焦虑、抑郁、易惊、心烦、多梦等精神症状,舌红、苔黄厚,脉弦硬有力。发现该方常与其他方剂合用,如瓜蒌薤白汤、温胆汤、枳术丸、橘枳姜汤、酸枣仁汤、半夏白术天麻汤等。

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