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仲景运用大黄严谨、灵活、广泛。《伤寒》及《金匮》中运用大黄约120多条,方35首。大黄苦寒泄降,有泄实热、破积滞、行瘀血、荡涤胃肠、去陈生新、凉血止血、清热利湿等功效。配伍组方,治疗肠胃积滞,大便燥结,火热亢盛,迫血上滥,瘀血腹痛、经闭,黄疸,症瘕积聚、痰饮、下痢、腹水、肠痈、热痞、呕吐等证。如: 1.泻火(热)荡涤通便:大黄配芒硝,用于胃肠实热积滞,腹账满拒按,便燥不通的阳明腑实证。如大、小调胃承气汤证,大陷胸汤证。以大黄酒洗为君,配芒硝泻热润燥,则泻热荡涤力宏,有润中推下之功。2.攻积导滞、消痞陈满:大黄配枳、朴治阳明腑实,兼痞满重证。如大、小承气汤证,厚朴三物汤证,麻子仁丸证。取大黄泻热攻积,配枳朴行气散结、消痞除满。吴鞠通云:“枳实开幽门之不通,厚
Zhongjing uses rhubarb to be rigorous, flexible and extensive. The use of rhubarb in “Treatise on Febrile Diseases” and “The Golden Chamber” is about 120 pieces, 35 pieces. Rhubarb bitter cold diarrhea, there is real heat leak, breaking stagnation, blood stasis, cleaning up the stomach and intestines, to Chensheng new, cooling blood to stop bleeding, heat and dampness and other effects. Compatible group prescriptions for the treatment of gastrointestinal stagnation, loose stools, fiery fever, overuse of blood, blood stasis, abdominal pain, obstruction, jaundice, dysentery, phlegm, diarrhea, ascites, intestinal fistula, phlegm, vomiting, etc. certificate. Such as: 1. Xiehuo (heat) to purge laxative: rhubarb with Glauber’s salt, for gastrointestinal heat stagnation, abdomen full of refused to press, it will be dry Yangmingbi empirical. Such as large and small tune stomach Chengqi Decoction, chest trap soup card. Rhubarb wine for the king, coupled with Glauber’s salt diarrhea hot Runzao, then diarrhea hot Dynasties Lihong, have run in the power. 2. Accumulation of stagnation, elimination of annihilation Chen Man: rhubarb with Pu, Pu Zhiyang Ming tamping, full of evidence. Such as large and small Chengqi decoction, Magnolia three things decoction card, pockmarked pills. Take rhubarb heat to accumulate, with simple and untidy qi qi, eliminate phlegm and full. Wu Tong Tong Yun: "Challenge the pyloric barrier, thick