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葶苈大枣理肺贴源自《金匮要略》葶苈大枣泻肺汤,原方由葶苈子、大枣二味组成,具有开胸利壅、祛痰定喘之功。原为治疗肺痈初起,痰涎壅肺,未成脓者。《中医原著选读》在本条文后、按语中解释说:“将本条文中肺痈之‘痈’字解释为壅,肺之壅塞不通,而非脓痈‘并’认为肺痈初起与痰饮均有痰涎壅塞于肺,而见证亦很相似”。然小儿急慢性支气管炎,其中包括风寒、风热、痰热、寒痰等,所表现的咳嗽、气喘或气促、发热或不发热、肺部湿啰音、喉间痰鸣音等,其病变机理亦属外邪犯肺或痰涎壅塞肺系而致。笔者受《理瀹骈文》:“外治之理,即内治之理;外治之药,亦即内治之药。所异者,法耳”的启发,将葶苈大枣泻肺汤改变剂型加味变贴、制成两方贴剂并利用假期试治小儿咳嗽,疗效较好,谨择两例介绍如下。1葶苈大枣清肺贴1.1方剂组成葶苈子一次量5 g研末,薄荷一次量2 g研末,冰片一次量1 g,大枣一次量为能将上3味药捣如泥为度,若是干枣,需先浸湿,并将上药同大枣共捣如泥捏为扁圆形药饼4枚,即成葶苈大
葶 苈 Jujube Pulmonary stickers from the “Synopsis” Jujube diarrhea lung soup, the original side by the 葶 苈 son, jujube two flavors, with thoracic Lee 壅, expectorant Dingchuan power. Originally for the treatment of lung 痈 early, sputum 壅 lung, not asymptomatic. After reading this article, “Chinese medicine original reading” is explained in terms of language: “Interpreting the word 痈 of the lung in this article as 壅, the obstruction of the lung is blocked, not the purulent 痈Both phlegm and phlegm congestion in the lungs, and witness is very similar ”. However, children with acute and chronic bronchitis, including cold, wind heat, phlegm, Han Tan, etc., manifested cough, wheezing or shortness of breath, fever or fever, lung wet rales, throat phonation, etc., which Pathogenesis is also exogenous evils lung or sputum congestion caused by the pulmonary system. The author by the “reason 瀹 骈 Wen”: “the rule of the external governance, that is, the principle of internal governance; external treatment of medicine, that is, the medicine within the governing. Different persons, France ear” inspired, Modified paste, made of two patches and the use of holiday test for children with cough, better effect, choose two cases are described below. 1 葶 苈 jujube Qingfei paste 1.1 prescription composition 葶 苈 sub-5 g powder, mint a quantity of 2 g powder, a borneol amount of 1 g, jujube once the amount of 3 drugs can be smashed as mud Degree, if it is dried jujube, you need to soak, and the drug together with the jujube Daogu mud as flat round cake 4, that is,