作者曾亲见一老医用升麻代替犀角地黄汤中之犀角,治愈大吐血及大衄血各一例,疗效很好。作者认为犀角颇罕贵,如果升麻可以代替犀角,实获一种方便,既可减轻病家之经济负担,又能节约国家贵重药物的消耗。但一般人多认为:犀角主降,而升麻主升,升降既然相反,何能有同样的效用?兹将管见所及,抒述于下,是否有当,还请同道们作进一步研究。综考古代文献,各家本草,对升麻之功用,大多认为主解百毒,辟瘟疫瘴气,治游风肿毒、痈肿疮疡、头痛口疮、喉痛齿痛、久痢后重,遗浊带下、崩中下血、斑疹及久痔脱肛等。对犀角的功用则成认为:能解大热大毒,解鈎吻鸩羽蛇毒,除瘴气,清胃热,入心凉血,治痈肿疮疡、时疫斑黄、惊烦目赤等。就两药的临床功用来看,大致相同,均系清热解毒之药。这可能就是用升麻代替犀角的主要根据。又考朱肱《活人书》中亦载有:“犀角地黄汤,如无犀角,可用升麻以代之”之说。由此观之,升麻可代犀角,在古人经验上已得到证明。 The author once saw an old medical cohosh instead of the rhinoceros in the rhinoceros Dihuang Tang. He cured each case of vomiting blood and bullous blood. The effect was very good. The author believes that rhinoceros is rare and expensive. If coimb can replace rhinoceros, it is actually convenient. It can reduce the economic burden on the sick family and save the consumption of valuable medicines in the country. However, most people think that: Rhinoceros is the main descendant, and Cimicifuga is the main riser. Since the rise and fall are the opposite, how can they have the same effect? ​​We would like to see what we have to say, describe it in detail, whether we have it, and ask our fellow practitioners for further study. Comprehensive archaeological literature, each of the herbal medicine, the function of Cimicifuga, most of them believe that the main solution Baixie, provision of plague epidemic gas, governance swim wind poisoning, carbuncle swollen sores, headache, mouth sores, sore throat, tooth pain, long time after the weight, The turbid area under the cloud, the blood in the collapse, rashes and prolapse of the anus. The function of the rhino horn is considered to be: to solve the big heat poison, to relieve the kiss of the snake venom poison, in addition to hernia, Qingwei heat, into the heart to cool the blood, cure carbuncle swollen sore, when the disease yellow spots, irritability and red eyes and so on. With regard to the clinical function of the two drugs, they are roughly the same and are all drugs that detoxify and detoxify. This may be the main basis for replacing horns with Cimicifuga. Another test of Zhu Xi’s “Living Man” also contained: “The rhino horn and yellow soup, if there is no rhinoceros, can use Cimicifolia instead”. From this perspective, Cimicifuga can be used on behalf of rhino horn, which has been proven in ancient experience.