1、方劑學19講銀翹散(二)、桑菊飲、麻杏石甘湯（19 prescription Yinqiaosan (two), Sangju decoction, mxsgd）19 lectures on prescriptionsYinqiaosanThe last lesson is discussed Yinqiaosan main syndromes, its efficacy analysis and induction, Fang yi. From its analysis of the use of point of view, there are two obvious characteri

2、stics of Yinqiaosan compatibility.1. it is pungent and cool jiebiao, a very small amount of intermediate goods of lukewarm and symplectic means, Schizonepeta, light fermented black bean represents a method, to take the. This is a technique in compatibility. Some of the recipes we will learn later wi

3、ll have a lot to do with this method. This method is used to strengthen the medicine and its cooling action.2., the whole side is based on the cold and penetrating table, but it is a mixture of heat clearing and detoxifying drugs, and it is compatible with heat clearing and detoxifying. It reflects

4、the whole situation of both sides, and gives priority to the sparse and sparse. Sparse is sparse table, solution table. Qing Qing, including detoxification, it is both inside and outside, is to take care of the warm pathogen of acute onset, change quickly, easy to accumulate into poison characterist

5、ics. However, the whole party should pay attention to it, but it is mainly based on sparse and pungent and cool.applicationDialectical pointsThe beginning of fever, aversion to cold light.From the beginning to feel the wind and heat evils or air temperature at the beginning, but can have micro avers

6、ion to cold, fever. The beginning of fever, aversion to cold light, but can not heat behind the aversion to cold, this is a dynamic.Sore throat, thirstIt is an important and common card is sore throat. Thirst is based on warm disease, evil, into a different extent, reflecting the obvious degree of d

7、ifference.Pulse floating numberThis is a dialectical point of using it. Basic basis for use.Use noteWind cold and damp heat are not suitable for use.Taking methodShould not be long fried. The "Wen Bing Tiao Bian" Yinqiaosan decoction method, "smell, or take, not boiled, lung to take c

8、lear light, boiled taste is thick in middle Jiao also. The meaning of this passage, in front of a good understanding, that is, take clothes, can not be cooked, the lungs should take light Qing, not light do not lift! As the main, Wei, is "the non light as a feather, not for this principle"

9、. Boiled smell thick in the middle energizer, what does that mean? The middle energizer refers to the gas. Wei Hou Xin Liang relatively speaking, it is often cold. Cold pungent ingredients, aromatics composition, boiling is volatile, taste is thick for the rest of the class, the bitter cold, in the

10、Qing Dynasty in the main. So the Yinqiaosan decoction method, must be the focus of the master. It is an important premise to ensure the efficacy of this prescription. Of course, the choice of dosage forms should also be noted that the side itself is used in cooking powder. For the pestle scattered,

11、after the fried clothes, fried it, the time is short. He originally said that boiling 35 boiling, open 35 open, describe it is very short, big aroma, that is taken, of course, you make pills will affect the efficacy later. The pill is slow. Especially for love is very heavy, it should do the decocti

12、on, the soup is also down, because it is the main characteristics of drug powder with Decoction, spread quickly, play the role of fast absorption.Add and subtract with the cardTianjin injury plus TrichosanthinThe heat and heavy puffball, figwortThe thermal damage of collaterals to Jing, soy, and Rhi

13、zoma imperatae, Platycladus orientalis, gardeniaQi Shangni with almondHuizhuotanzu plus patchouli, turmeric and clipWith the card to add and subtract around febrile disease violations of human evil, some aspects that may arise, we say the temperature heat pathogen of acute onset, change quickly, hur

14、t Tianjin fast and easy to clip dirty, hot poison, and it hurt and hurt the agent of lung Wei to the lung, so several aspects of this reference subtraction commonly used method. Tianjin injury with trichosanthin, "Wen Bing Tiao Bian" Tianjin injury in many places with love with trichosanth

15、in; toxin puffball, Radix Scrophulariae, not only detoxification, but also the throat, as reflected in the certificate of Yinqiao Powder and heat, throat is very important, is common; thermal damage of collaterals is acute onset, change quickly, quickly affect bleeding, shallow blood vessels injury

16、refers to the injury of blood, so that blood vessels, this time bleeding phenomenon, to add cogongrass rhizome, oriental arborvitae, or fried Gardenia in this category, the heat and cooling blood, hemostatic effect; of course this time. TG, pungent and tepid divergence, Schizonepeta, light fermented

17、 black bean reduced,Of course, this is not a general aversion to cold, so the extent of blood, deep, Schizonepeta, light is the use of fermented black bean. It also shows a dynamic, Schizonepeta, light is not reduced even in fermented black bean, not to look at it in the condition, it is often as no

18、t thirsty, and micro bad cold obviously, this time. A dynamic use should be fully reflected. Of course you want to use as the past yinqiaojiedupills this class, certainly the effect is bad, you have no way to use the addition and subtraction. It's directed at different stages of the drug.If the

19、pulmonary system disease, can cause cough with almond, bitter almond, flat, to reduce the lung cough. A dirty dirty and clip, easily deceived mind, dirty and damp it manifests itself, with patchouli, aromatic, aromatic turmeric can effect wet wet, but also opens, protect the mind. Turmeric can make

20、this cold medicine cool but not depressed, this is a modified method commonly used.Sangju Decoction ("Wen Bing Tiao Bian")Pathogenesis analysis of indicationsSyndrome of wind heat invading lungSuperficial heat syndromeEvil injury lung collateral wind heat light syndrome, body heat is not v

21、ery much, pulse floating numberEvil impairing lung collateral and coughPathogenic heat hurts the mouth and is thirstyXinliang table represents, is generally based on Yinqiaosan and Sangju Decoction two do two aspects as the representative. Yinqiaosan is mainly lung health disease. Fever, weight, fig

22、ht evil is on the surface, this. It is a kind of light wind attacking the lung. To a certain extent, (1) the light wind invading the lung. (2) it directly damages the lungs. Wind heat lung, which is lung disease, so it Lung Qi syndrome symptoms are not prominent, because the disease is relatively mi

23、ld, but it affects the lung (respiratory tract). So the general pathogenesis induction is heat invading the lung, Yinqiaosan is wind heat invading, "there is a difference. Wind heat invading lung but light syndrome.The pathogenesis separates it, including two parts: (1) table heat light certifi

24、cate, is relatively light. Because the pathogen is lighter and shallow, but as the mouth and nose into the mouth, and hurt the lung collateral, collateral is light and shallow meaning, wind heat lung, light syndrome, injury lung collateral.Indications around these aspects of the expansion of the win

25、d heat invasion is relatively light, the body surface evil is not serious struggle, coupled with the wind itself light, fever is not heavy, the body heat is not very. The pulse is attributed to the floating number, for its nature is wind heat after all. Because of its focus is reflected in the evil

26、injured lung collaterals, so cough is the main symptom of Xuan lung is not it. "Tiao Bian" in the sense of attending Sangju soup, "lunar wind temperature but not very hot cough, cough, micro, pungent and cool light agent, the main Sangju decoction. "But well, say certainly is abs

27、olute, it is only his cough, cough as a main body, less heat, heat is also lighter, lighter or cold light, heat has more obvious characteristics, so cold, slight fever, cough, lung is not there is a different degree of Xuan, thirsty, so heat evil is not heavy, even slight thirst, do early can not th

28、irsty, because warm pathogen is light, even if some into the inside, it also hurt Tianjin degree is not heavy, still floating pulse number, so from the analysis of the pathogenesis of attending syndrome see,Pathogenic factors - wind heat, wind, temperature beginning, this is light syndrome, so the t

29、able is not heavy.The lung is the main site of invasion. It's the lung, the respiratory tract. (so the Qi Xuan, cough, fever is not heavy.)This is the pathogenesis and indications, the difference between Yinqiaosan and Sang Juyin. This pair is the common two trends of wind heat. A pair of pungen

30、t and cool and moderate prescription, pungent and cool light agent, which refers to the pungent and cool degree, for it refers to the degree of warm diseases. Often as the two representative.Semantic analysisMonarch mulberry leaves, chrysanthemumsAlmond and Platycodon rootWith forsythia, peppermintG

31、lycyrrhizaFunction: dispelling wind and clearing heat, freeing lung and relieving coughSpeaking in front of compatibility techniques mentioned, mulberry leaf, chrysanthemum although we are that it is liver meridian tropism, the actual lung by two. Several editions of the textbook did not mention why

32、 the liver and lungs were taken after using it Of course, some of these views, it is not suitable for general rules written into, teaching materials have a continuous consideration, of course, here, for example, we have some experience,Let us know, some do not understand, and some textbooks written,

33、 others will not speak, it is also difficult to handle. But the mulberry leaf, chrysanthemum is also the liver meridian tropism, can Qingfei against lung, liver and liver. That is to say, we need to come to the side of the liver, and then we will talk about the antelope horn and Uncaria Decoction, t

34、he liver meridian, the heat and the wind, then we should clear the liver and cool the air. Including some liver, liver, and so on, so also with mulberry leaves, chrysanthemum as an adjuvant. This square miles, it is the heat invading the lung, cough and asthma caused by inverse Qi, our medicine Qing

35、fei, descending lung qi, clearing lung su. As we mentioned in front of liver and lung, it is the middle of lifting, lifting the outer wheel, both opposite and complementary each other. Both in the lifting of the division of labor, and at the same time restrict each other to maintain normal fall or r

36、ise. So these two are used here. They can clear lung and lung, and clear liver and liver. Here it can help calm the liver and liver, normal lung qi descending.The wind after the patient will have a headache red eyes, there is a liver heat, or liver ascending too this characteristic, liver Qi ascendi

37、ng too, do not fall down, when you choose medicine Qingfei Su Fei, this is the two drug it unluckily with Qinggan Pinggan, well, shoot two hawks with one arrow. This makes the liver ascending not too, Qi down more easily. Therefore, Fang's consideration is very appropriate. This is the technique

38、 of compatibility.The official medicine, almonds and Platycodon grandiflorum is one of our common uses. The commonly used combination of dispersing the lung qi, relieving cough. This reflects the very prominent in Sangju decoction. Sangju Decoction combination basic physical skills, the two group is

39、 a key of understanding. Because a lot of square, these basic combination of understanding, and in the future in the clinical organization of new, add and subtract, such as the use of time, can reduce randomness, improve efficacy.Adjuvants, three herbs, forsythia, peppermint, forsythia root weight c

40、ompared to here in Yinqiaosan here more than a small amount of forsythia. What do you think of a small amount of Forsythia? Warm pathogen easily, accumulate into poison, although there is no indications in heat toxin, but consider an unaffected evil, a little. Mint can also Qingrejiedu, and at the s

41、ame time can clear the head, with mulberry leaves, chrysanthemum can clear the head, and increase the role of permeability. Because the entire Xin cool table force, because the light wind heat syndrome. With Phragmites thirst, heat fluid, its micro thirsty, prevent the onset of acute injury, change

42、quickly, Tianjin fast, from Sangju decoction, its continued development can also be formed into hot, so the modified method can also add gypsum, Anemarrhena, by Weifen intake, atmosphere heat is very high, so with roots itself can heat Sheng Jin, the three flavours are ".Use licorice as a drug

43、to reconcile the drug properties. For example, and its corresponding Platycodon match, throat or light, has this effect, but this is fully expressed in a symplectic cool table, dispelling effects and dispersing the lung qi force is big for cough. Because from mulberry leaf, chrysanthemum also can Qi

44、nggan Pinggan, almond, Platycodon is dispersing the lung qi, Qi Xuan treatment of cough, cough due to wind heat, this is the main card.With the comparison of Sangju Decoction of YinqiaosanThe two party is Xinliang relieving prescription, composition of Platycodon root, forsythia, peppermint, liquori

45、ce five drugs are the same. The difference is: Yinqiaosan relieving heat stress as "strong, pungent and cool and moderate prescription; Sangju Decoction Su lung cough of force," pungent and cool light agent ".Sangju Yin mulberry leaf, chrysanthemum is not yinqiaosan. Add almonds. The

46、other five kinds of Yinqiaosan have. Yinqiaosan solution table through table and strong, he has a hairy, light to take fermented black bean, enhance its divergence. At the same time it is clear in the effect of heat clearing and detoxifying effect is relatively large, so it is called the pungent and

47、 cool and moderate prescription. Sangju drink jiebiaoqingli force is relatively small, but the strong Su lung cough, descending lung qi, called the acrid cold light agent. Peace is the light according to the characteristics of its pungent and cool to the pungent and cool this property to the size of

48、 the table, also is the solution of heat power, Xinliang or detoxification, this power in Qing Dynasty, so it is pungent and cool and moderate prescription or pungent cool light agent.Compatibility characteristics1. use light, clear, scattered powder, evacuation of wind heat to clear the head.Mulber

49、ry leaves, chrysanthemums, and mint are all flowers and leaves. Light, clear, clear and scattered. Treatment of wind heat light syndrome. Against a leader or a cough.2., with bitter Xin Xuan down the product, Qi, Su lung, to stop coughing.Bitter acrid, Xuan drop, mulberry leaves, chrysanthemums, mea

50、ning Xin scattered, Platycodon bitter flat, and at the same time, Kai Kai Xuan hard flat, there are characteristics of this. The almond is bitter and bitter, and bitter.The head and cough. This is the smell, flowers and leaves of light scattered with Qing Xuan, cough to dispersing the lung qi, which

51、 is the main characteristic of Medicine on it.This side of doubt, Xin cold solution table medicine many, why choose mulberry leaves, chrysanthemum? We have just discussed the future in treating wind agent Lingjiao Gouteng Decoction, calming wind, after may experience some more.Dialectical points of

52、applicationCough, fever, thirst, pulseUse note1., when the lungs are hot, when the modified compatibility, so as not to seriously ill medicine light2., cold cough should not be used3. should not be long friedThe most important aspect of clinical help is to say how much heat is hot. The lung heat is

53、heavy, and the interior heat is the main, while the exterior and the exterior point table, we say that the heat is bright, the Yangming is added to the mother's cream, plus the Anemarrhena, the gypsum. This is a commonly used method of compatibility. Cough due to wind cold is improper. Should no

54、t be long fried, but also light, clear and transparent through the main, not long fried.Here comes to cold cough should not be used, we mentioned in front of Yinqiao Powder, now speak of Sangju Decoction in this category, Xin cool table in medicine, we have in drug research, accounting for a large p

55、roportion of. Add cold pungent bitter components. Especially in the new drug research early, because the source of the parties was about clinical reaction combined to a little less, because, Xin Xin Liang differentiation is not clear, for this, it can dispel the evil Xinsan point, but it is easy to

56、cause the solution table is not complete, easy to cause the solution table is not complete, so differentiation is the use of attention, must discern the cold, not suitable for use. The use of cold, may be a scattered point table, not completely, but the cold closed lung qi stagnation, Qi Xuan not mo

57、re. Coughing for a long time, and then bring a result, it is easy to damage the surface gas. The muscular Yang is more likely to cause colds in the future.Add and subtract with the cardQi, Sheng Sheng: gypsum, AnemarrhenaCough frequency: plus Scutellaria (often because of lung heat)Expectoration? Th

58、ick yellow: Trichosanthes, Radix Scutellariae, Morus alba, FritillariaCollateral injury? Hemoptysis: Rhizoma imperatae, madder, PaeonolTianjin? Hurt very thirsty: TrichosanthinSore throat:? Toxin plus Scrophulariaceae, Radix IsatidisAs mentioned earlier, excessive heat in the system refers to the he

59、at proof, and gypsum, Anemarrhena, by lung heat caused by frequent cough, high fever is not necessarily reflected in the above, often reflected in the moss yellow above, upset these hot, plus huangqinqingfei heat; two of clearing away the lung heat and some clearing away the lung heat, Scutellaria often more heat, gypsum, Anemarrhena, heat more heat loose, this sometimes targeted drug selection.Jus