滋补肝肾的方法,看看古人如何“一以贯之”!
肝脏在中医学中是一个复杂的脏腑,作为人体五脏之一,中医认为其功能为主疏泄、主藏血、主筋华爪、开窍于目,与胆相表里。其生理特性是具有升发,喜条达,恶抑郁,体阴而用阳。而且肝脏病变多人的精神情志相关,根据五行相生相克的规律可见“乘脾刑肺,冲心耗肾”。
古人说:“肝为万病之贼”。由于这些特点,肝脏容易出现阴虚和气郁证。所以,肝病表现多变,治疗较为复杂。很多人都知道逍遥散,是调和肝脾,疏肝解郁,养血健脾的中药方剂。但是当肝病及肺、肾时的治疗就不清楚了。下面就来一起了解一下,治肝病名方一贯煎。
一贯煎出自《续名医类案》,由北沙参、麦冬、当归身各9g,生地黄18-30g,枸杞子9-18g,川楝子4.5g等药物组成。水煎服,去渣温服。具有滋阴疏肝的功效,可以用来治疗肝肾阴虚,肝气郁滞证。
肝肾阴虚,肝气郁滞,导致阴血不足,不能濡养肝脉,又有肝气不舒,气滞不通,所以胸脘胁肋疼痛。肝气犯胃,可以见到吞酸吐苦的症状。阴虚消耗津液,津液不能上承于口,切有虚火,所以有口腔及咽部干燥,舌头红而干。肝气不舒,导致肝脏的经脉郁滞,时间久了就成了包块。所以治疗时应当大力滋养肝肾阴血,同时调达肝气,标本兼治。
一贯煎这个方子里,重用生地黄滋阴养血、补益肝肾为君药,内寓滋水(肾)涵木(肝)之意。当归、枸杞养血滋阴柔肝;北沙参、麦冬滋养肺胃,养阴生津,意在佐金(肺)平木(肝),扶土(脾)制木(肝),四药共为臣药。佐以少量川楝子,疏肝泄热,理气止痛,复其条达之性。全方共同达到滋补肝肾之阴,疏泄肝脏气机。
古人在命名方剂名子都很有讲究,“一贯煎”这个方子载于《续名医类案》,为清代魏之琇作创制,后被王孟英所推崇,编入《柳州医话》。魏之琇说:“余自创一方,名一贯煎……可统治胁痛、吞酸、疝瘕、一切肝病。”
因此,立方的本意、用药、遣方全部从治疗肝脏着眼,有养肝血、滋肝阴、泻肝气、补肝体、和肝用,统治一切肝病的功效,应证了“吾道一以贯之”的说法,所以名叫“一贯煎”。这个小小的方子里包含了滋水(肾)涵木(肝)、佐金(肺)平木(肝)、扶土(脾)制木(肝)三种方法,全部安五行规律围绕肝脏进行治疗,所以取名“一贯”确实名副其实。
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