그래서 문재앙 이새끼가 조국을 못 놓는구나..
저게 조국 손에서 가능한 일이냐?
뒤에 문재앙 이새끼 지시가 있는거지..ㅋㅋㅋㅋㅋㅋ
1000억이면 문재앙 조국 무기징역 확정...ㅋㅋㅋㅋㅋㅋㅋㅋㅋ
저게 조국 손에서 가능한 일이냐?
뒤에 문재앙 이새끼 지시가 있는거지..ㅋㅋㅋㅋㅋㅋ
1000억이면 문재앙 조국 무기징역 확정...ㅋㅋㅋㅋㅋㅋㅋㅋㅋ
조국의 사모펀드는 다음 정권 창출을 위한 자금용이라는 설이 있었는데,
흥미있는 가설이다.
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조국펀드 투자사, 서울 전철 이어 전국 버스 와이파이 사업 따냈었다
[조국 의혹 확산]
작년 버스 사업 발주했던 한국정보화진흥원장은 친문 인사
취임 한달뒤에 공고 내고 조국펀드 운용사 컨소시엄을 선정
두 사업 모두 기술력 이유로 결렬… 야권 "親文이 수주 입김"
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투신자들이 급증하는 원인은 아마도 청와대에 앉아 있을 것이다.
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Gordon G. Chang
#China is not "authoritarian," as so many state. It is now, as it has been in the past, either totalitarian or semi-totalitarian.
중국은 권위주의 국가가 아니라, 과거에도 그랬지만 지금도 전
체주의 국가이거나 유사 전체주의 국가이다.
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War correspondent @Michael_Yon just told me the goals of many protestors are changing, from changing the goals of the #HongKong government to changing their government. Yon is now calling the protestors "Minuteman." Is this the beginning of a revolution?
홍콩 시위대의 목표가, 홍콩 정부의 목표를 바꾸는 것에서, 아
예 정부 자체를 바꾸는 것으로 바뀌고 있다.
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U.S. Senate Majority Leader Mitch
Any attempt by the Chinese government to crush a
peaceful attempt by Hong Kongers to maintain their
rights would require a significant response from the
United States. The Chinese government is playing
with fire, but hopefully they do not go too far.
만일 중국이 홍콩 시위대를 진압한다면, 미국은 이에 대해 심
각하게 반응해야 한다. 중국이 그런 극단적인 조치를 취하지
않기를 희망한다.
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Niall Ferguson
Re. my column on @GretaThunberg: 1. My being a 55, white and male does not disqualify me from writing on this subject (you ageist, racist sexists). 2. The column did not "deny" climate change. 3. History is relevant. Data on post-1492 global cooling here: https://doi.org/10.1016/j.quascirev.2018.12.004 …
기후 변화를 부정하지 않았다. 또 역사는 상대적인 것이고,
1492년 이후 지구의 냉각화에 관한 자료는 관련 논문에서 찾
을 수 있다.
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The most dangerous thing about the Amazon fires is the apocalyptic rhetoric
Moralising on social media from footballers, actors and politicians is doing harm
Matt Ridley
아마존 화재 사건에서 가장 위험한 일은 종말론적 선동이다.
축구선수, 배우, 정치가들이 소셜 미디어에서 훈계조로 하는 말
들은 오히려 방해가 되고 있다.
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Nassim Nicholas Taleb
If you lose money, it can be bad luck. It you blow up, it is certainly incompetence.
#FooledbyRandomness
당신이 돈을 잃는다면 그것은 운이 없기 때문일 수도 있다.
하지만 당신이 성질을 참지 못하고 폭발하면, 그것은 무능력이
다.
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"Statistics isn't about discovering correlations, it's
about eliminating coincidence." @nntaleb
통계는 상관관계를 발견하는 게 아니라, 우연의 일치를
제거하는 것이다.
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@nntaleb Rent seekers! 지대 착취자들!
의사들과 관리자들의 증가 도표.
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Robert Doisneau (1912-1994) Jardin des Tuileries, Paris 1er, 1944
1944년 2차대전 중에 철조망이 쳐진 파리 툴레리 공원의 두 남녀. 암흑의 시간에 사랑은 더욱 뜨겁게 타오른다.
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Claire Lehmann
"Belief in free will seems to be associated with retributive attitudes and credulity. However, the evidence also suggests it is positively correlated with subjective well-being, tangible success in life, along with pro-social and compassionate behaviour"
자유 의지에 대한 믿음은 주관적인 행복, 삶에서의 구체적 성
공, 친사회적이고 동정적인 행동과도 밀접하게 관련이 있다.
------------------------------------------------------------
Quillette
"While Hong Kong students detest Communism,
many of their Western counterparts embrace
Marxism. While Western post-colonialists deride
Western civilization, Hong Kongers wish they could
have more of it."
홍콩 학생들은 공산주의를 혐오하지만, 서구의 학생들은 마르
크스 사상에 빠져 있다. 서구의 식민지 후기 세대는 서구 문화
를 조롱하지만, 홍콩인들은 더 많은 서구문화를 원한다.
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Claire Lehmann
"The myths of the obedient Hong Kong child, of the
disciplined drone-like worker, of the person who puts money
above everything else, are shattered for ever. But can Hong
Kong people triumph over the Communist Party? Surely not
and they know it."
홍콩인들이 돈만 밝힌다는 신화는 깨졌다. 하지만 홍콩인들은
공산당과 싸워 이길 수 있을까?
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지디피(GDP) 통계는 시장에 돈을 퍼부으면 경제가 성장한다는 환상을 조성하는데 어떻게 기여하는가?
대부분의 전문가들은 경제의 건전성을 국내총생산(GDP)에 의거해 판단하는데, 지디피는 일반적으로 생산된 최종 상품과 서비스의 총량을 반영한다고 여겨진다.
그런데 전체 생산량을 계산하려면 여러 상품들을 더하기 해야 한다. 그리고 더하기를 하려면 공통된 단위가 있어야 한다. 하지만 냉장고와 자동차 그리고 셔츠 등을 더해서 전체 생산량을 계산하는 것은 불가능하다.
이런 난관을 극복하기 위해 경제학자들은 상품에 사용된 전체 지출 통화를 내고, 그것을 상품들의 평균 가격으로 나눈다. 하지만 평균 가격을 계산해내는 일이 가능할까?
지디피는 달러로 표기되므로, 지디피의 변동은 결국 경제에 투입된 달러 통화량의 변동을 반영하게 된다.
따라서 경제의 성장률이라는 것은 통화량의 증가율을 반영한 것에 지나지 않는다. 그래서 경제 불황이 찾아왔을 때, 중앙은행이 시장에 돈을 퍼부으면 불황이 조금 완화되는 듯한 효과를 지닌다. 또 이런 이유로 불황에는 중앙은행이 개입해야 한다는 주장이 나오게 된다.
지디피는 경제의 진정한 건전성을 반영하지 않고, 단지 통화량의 투입을 반영할 뿐이다. 따라서 돈이 더 투입될수록 경제가 튼튼한 것처럼 보인다. 하지만 정부와 중앙은행의 이런 시장 개입 행위는, 진정한 부의 창출자들을 약화시켜서 경제를 더욱 망치게 된다
How GDP Measures Help Create the Illusion that Money Pumping Grows the Economy
Frank Shostak
In response to a weakening in the yearly growth rate of key economic indicators such as industrial production and real gross domestic product (GDP) some commentators have raised the alarm of the possibility of a recession emerging.
Some other commentators are dismissive of this arguing that the likelihood of a recession ahead is not very high given that other important indicators such as consumer outlays as depicted by the annual growth rate of retail sales and the state of employment appear to be in good shape (see charts).
Most experts tend to assess the strength of an economy in terms of real gross domestic product (GDP), which supposedly mirrors the total amount of final goods and services produced.
To calculate a total, several things must be added together. In order to add things together, they must have some unit in common. It is not possibl, however, to add refrigerators to cars and shirts to obtain the total amount of final goods.
Since total real output cannot be defined in a meaningful way, obviously it cannot be quantified. To overcome this problem economists employ total monetary expenditure on goods, which they divide by an average price of goods. However, is the calculation of an average price possible?
Suppose two transactions are conducted. In the first transaction, one TV set is exchanged for $1,000. In the second transaction, one shirt is exchanged for $40. The price or the rate of exchange in the first transaction is $1000/1 TV set. The price in the second transaction is $40/1 shirt. In order to calculate the average price, we must add these two ratios and divide them by 2. However, $1000/1 TV set cannot be added to $ 40/1 shirt, implying that it is not possible to establish an average price.
On this Rothbard wrote in Man, Economy, and State:
Thus, any concept of average price level involves adding or multiplying quantities of completely different units of goods, such as butter, hats, sugar, etc., and is therefore meaningless and illegitimate.
Since GDP is expressed in dollar terms, which are deflated by a dubious price deflator, it is obvious that the so called real GDP fluctuations mirror fluctuations in the amount of dollars pumped into the economy.
Hence, various statements by government statisticians regarding the growth rate of the real economy are nothing more than a reflection of the fluctuations in the growth rate of the money supply.
Now, once a recession is assessed in terms of real GDP it is not surprising that the central bank appears to be able to counter the recessionary effects that emerge. For instance, by pushing more money into the economy the central bank's actions would appear to be effective since real GDP will show a positive response to this pumping after a time lag. (Remember that changes in real GDP reflect changes in money supply).
This means that if the economy can be expressed through indicators such as GDP, then this will allow the central bank to appear to be able to navigate the economy (i.e., GDP) by means of a suitable policy mix. In addition, it makes sense to demand that the central bank should interfere in order to help the economy.
Why Business Cycles Are Recurrent
Even if one were to accept that real GDP is not a fiction and depicts the so-called true economy there is still a problem as to why recessions are of a recurrent nature. Is it possible that it is only external shocks that cause this repetitive occurrence of recessions? Surely, there must be a mechanism here that gives rise to this repetitive occurrence?
In a free market, we could envisage that the economy would be subject to various shocks but it is difficult to envisage a phenomenon of recurrent boom-bust cycles. According to Rothbard,
Before the Industrial Revolution in approximately the late 18th century, there were no regularly recurring booms and depressions. There would be a sudden economic crisis whenever some king made war or confiscated the property of his subjects; but there was no sign of the peculiarly modern phenomena of general and fairly regular swings in business fortunes, of expansions and contractions.
The boom-bust cycle phenomenon is somehow linked to the modern world. But what is the link? The source of recurrent recessions turns out to be the alleged "protector" of the economy — the central bank itself.
We suggest that the phenomenon of recessions is not about the weakness of the economy as such but about the liquidation of various activities that sprang up on the back of the loose monetary policies of the central bank. Here is why.
A loose central bank monetary policy, which results in an expansion of money out of “thin air” sets in motion an exchange of nothing for something, which amounts to a diversion of real wealth from wealth-generating activities to non-wealth-generating activities. In the process, this diversion weakens wealth generators, and this in turn weakens their ability to grow the overall pool of real wealth.
The expansion in activities that emerge from the loose monetary policy is what an economic "boom" (or false economic prosperity) is all about. Note that an increase in the monetary pumping due to loose monetary policy of the central bank lifts the monetary turnover and hence GDP.
Once this monetary turnover is deflated by the so-called average price index this will manifest itself in terms of a strengthening in real GDP. Most experts and commentator are likely to proclaim that the central bank’s loose monetary policies were successful in growing the economy.
Once however, the central bank tightens its monetary stance, this slows down the diversion of real wealth from wealth producers to non-wealth producers. Activities that sprang up on the back of the previous loose monetary policy are now getting less support from the money supply - they fall into trouble and an economic bust or recession emerges in terms of the monetary turnover deflated by the average price index i.e. the growth rate of real GDP comes under downward pressure.
Activities that emerged on the back of previous loose monetary policy cannot now divert real wealth to support themselves. This is because these activities were never economically viable – they could not support themselves without the diversion of real wealth to them by means of an expansion in money supply. Consequently, most of these activities are likely to perish or barely survive.
Could these activities escape the consequences of a bust if they are well managed and have solid appearance? For instance, as a result of the loose monetary stance on the part of the Fed various activities emerge to accommodate the demand for goods and services of the first receivers of newly injected money.
Now, even if these activities are well managed, and maintain very efficient inventory control, this fact cannot be of much help once the central bank reverses its loose monetary stance. These activities are the product of the loose monetary stance of the central bank and they were never approved by the market as such. They emerged on account of the increase in money supply, which gave rise to an increased demand for goods.
Once the central bank monetary stance is reversed, regardless of efficient inventory management, these activities will come under pressure and run the risk of being liquidated. The supply of real savings is not large enough to support these activities.
From what was said we could conclude that recessions are about the liquidation of economic activities that emerged on the back of the loose monetary policy of the central bank . This recessionary process is set in motion when the central bank reverses its earlier loose stance. Note that recession is good news for wealth generators since less real wealth is now being taken from them.
This means that central bank's ongoing policies that are aimed at mitigating the consequences that arise from its earlier attempts at stabilizing the so-called economy, i.e., real GDP, are key factors behind the repetitive boom-bust cycles. Because of the variable time lags from changes in money to changes in prices and changes in real GDP, Fed policy makers are confronted with economic data that could be in conflict with the Fed’s targets. Hence, this forces central bank officials to respond to the effects of their own previous monetary policies.
Note that Fed policy makers regard themselves as being responsible to bring the so-called economy onto a path of stable economic growth and stable price inflation. Consequently, any deviation from the stable growth path as outlined by policy makers sets the Fed’s response in terms of either tighter or looser stance. These responses to the effects of past policies give rise to fluctuations in the growth rate of the money supply and in turn to recurrent boom-bust cycles.
In fact, the downtrend in the yearly growth rate in the adjusted money supply (AMS) during 2002 to 2007 was responsible for the economic slump of 2008. An uptrend in the growth rate of AMS during 2008 to 2011 provided a support for the strengthening in economic activity until very recently. A visible decline in the annual growth rate in AMS since 2012 has set in motion an economic slump. This slump is likely to strengthen as time goes by.
Even if the Fed were to lift aggressively its monetary pumping it will not be possible to reverse the downtrend in the AMS growth rate instantly. The state of the pool of real wealth is going to determine the severity of the downturn. We suggest that prolonged reckless monetary and fiscal policies have likely severely undermined the process of real wealth generation. This in turn raises the likelihood that the pool of real wealth is hardly growing. Consequently, it will not surprise us that the likely emerging economic downturn is going to be quite severe by most historical standards.
It is now popular to blame the policies of the US President Trump in particular his trade war with China as the key factor behind a possible recession ahead. While President Trumps’ policies are not in the spirit of the free market, we suggest that the downtrend in the AMS annual growth rate since 2012 has nothing to do with President Trump’s policies but with the policies of the Fed.
Conclusions
Recessions, which are set in motion by a tight monetary stance of the central bank, are about the liquidations of activities that sprang up on the back of the previous loose monetary policies. Rather than paying attention to the so-called strength of real GDP to ascertain where the economy is heading, it will be more helpful to pay attention to the growth rate of the money supply.
By following the growth rate of the money supply, one can ascertain the pace of damage to the real economy that central bank policies inflict. Thus, the increase in the growth momentum of money should mean that the pace of wealth destruction is intensifying. Conversely, a fall in the growth momentum of money should mean that the pace of wealth destruction is weakening.
Real GDP growth rate does not measure the real strength of an economy but rather reflects monetary turnover adjusted by a dubious statistic called the price deflator. Obviously then the more money is pumped, all other things being equal, the stronger the economy appears to be. In this framework of thinking one is not surprised that the Fed can “drive” the economy since by means of monetary pumping the central bank can influence the GDP growth rate. By means of the real GDP statistic Fed policy makers and government officials can create an illusion that they can grow the economy. In reality the policy of intervention of the Fed and the government can only deepen the economic impoverishment by weakening wealth generators.
.
It now seems to be the consensus that the key factor behind a possible recession ahead would be the policies of the US President Trump in particular his trade war with China. However we suggest that a key cause behind the possible recession had already been set in motion by the downtrend in the AMS annual growth rate since 2012. This downtrend has nothing to do with President Trump’s current policies but with the past policies of the Fed.
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심장병에 유용한 8가지 경방
实用有效的8个心脏病经方----费维光
一、苓桂术甘汤加味方
原方出自《伤寒论》、《金匿要略》。加味后又名定悸饮。
[方药]茯苓18g、桂枝10g、白术12g、甘草6g、吴茱萸6g、牡蛎15g、桑白皮10g
[笔者经历]患者病症:心脏血管神经性阵发性心动过速。
[方药]茯苓18g、桂枝10g、白术12g、甘草6g、吴茱萸6g、牡蛎15g、桑白皮10g
[笔者经历]患者病症:心脏血管神经性阵发性心动过速。
献曝语:根据龙野一雄氏对原方苓桂术甘汤的应用总结中有此方可治心脏疾患:心脏瓣膜症、心功能不全、心源性喘息、神经性心悸亢进症(心动悸、贫血性浮肿〉。此方后经北宋时代朱肱加味后名为定悸饮,治疗阵发性心动过速,效果更佳。所谓心悸,即心动过速,其解释为:患者在精神上受到刺激,或身体受到劳累,或无缘无故,突然心中咚咚乱跳的时间长短不一。
笔者用此方已治愈不少病人,屡试屡中,至今尚未遇到一例无效。患此症者不论青年、中年、老年人都有,一般服药6剂、或12剂可愈。又据日本医家经验,此方治间歇性心悸,炙甘草汤治无休止性心悸。
医界珠玉:指苓桂术甘汤原方。
1 、吉益东洞氏云:"苓桂术甘汤,治心下悸,上冲,起则头眩,小便不利者。"
2、尾台榕常氏云:"苓桂术甘汤,治痰饮家眼睛生长云翳,昏暗疼痛,上冲眩晕,眼睑肿,多有眵泪,用之其效甚佳。应以心胸动悸,胸胁支满,心下逆满等症为主。治雀目症,亦有奇效。"
3、浅田宗伯氏云:"下总国小见川西云寺,脐下动悸,时时迫于心下,眩晕倒地,头上常重如石,上盛下虚,不能行走,遍求国内医中髙手皆治而无效。来京城,求治于余,余与苓桂术甘汤,兼用妙香散,服之数旬,积年之疾,脱然而愈。"
4、矢数道明氏治阵发性心动过速症云:‘’33岁男子,数年前心脏肥大,但未衰竭。20年前进行野球比赛时,由于心情不佳,心动过速而倒下。以后胸部有重压感,呼吸气短,心动过速。脉结代,起立时眩晕。噫气、尿频、多汗等。投与苓桂术甘汤加牡蛎12克,病情逐渐好转,服药3个月恢复工作而停药。"
5、中琴神溪氏著《生生堂医谭》云:"一男子腰痛,大便每次下血一合有余。面色鲜明,站立时则眩晕。先生处以苓桂术甘汤,立即得到痊愈。"
6、河野顺用此方的提纯剂治眩晕云:"患者某女士,65岁,无工作,与老伴共度闲散生活,患者言,也许自己是乐天派,或过得闲散,身体逐渐肥胖。不但如此,还有一站起就头晕,心动悸,呼吸困难。胃部有振水音,腹部松软。给与苓桂术甘汤提纯剂30日的量,服20日来院称,有了疗效,喘气得到改善,未发生心脏动悸,想继续服用下去。共服2 个月后,近于完全康复。又服1个月后,已不再来院,定是痊愈。"
7、矢数道明氏对本方的变方云:"本间枣轩氏家传方,即本方与四物汤(当归、芍药、川芎、地黄)相合,名为连珠饮。治贫血所致的动悸,呼吸困难,颜面浮肿等。又吉益东洞氏将本方加川芎、大黄,名为应钟散。治髙血压引起的气之上冲、肩痠痛、眩暈、头痛、动悸、便秘等。又原南阳氏将本方加针砂、牡蛎、人参,名为针砂汤。治心脏瓣膜症、贫血、神经症引起的动悸、眩晕、呼吸困难等。又本方加车前子、细辛、黄连为明朗饮。用于眼科一般疾患、视力障碍、网膜炎等。"
医界珠玉:指苓桂术甘汤原方。
1 、吉益东洞氏云:"苓桂术甘汤,治心下悸,上冲,起则头眩,小便不利者。"
2、尾台榕常氏云:"苓桂术甘汤,治痰饮家眼睛生长云翳,昏暗疼痛,上冲眩晕,眼睑肿,多有眵泪,用之其效甚佳。应以心胸动悸,胸胁支满,心下逆满等症为主。治雀目症,亦有奇效。"
3、浅田宗伯氏云:"下总国小见川西云寺,脐下动悸,时时迫于心下,眩晕倒地,头上常重如石,上盛下虚,不能行走,遍求国内医中髙手皆治而无效。来京城,求治于余,余与苓桂术甘汤,兼用妙香散,服之数旬,积年之疾,脱然而愈。"
4、矢数道明氏治阵发性心动过速症云:‘’33岁男子,数年前心脏肥大,但未衰竭。20年前进行野球比赛时,由于心情不佳,心动过速而倒下。以后胸部有重压感,呼吸气短,心动过速。脉结代,起立时眩晕。噫气、尿频、多汗等。投与苓桂术甘汤加牡蛎12克,病情逐渐好转,服药3个月恢复工作而停药。"
5、中琴神溪氏著《生生堂医谭》云:"一男子腰痛,大便每次下血一合有余。面色鲜明,站立时则眩晕。先生处以苓桂术甘汤,立即得到痊愈。"
6、河野顺用此方的提纯剂治眩晕云:"患者某女士,65岁,无工作,与老伴共度闲散生活,患者言,也许自己是乐天派,或过得闲散,身体逐渐肥胖。不但如此,还有一站起就头晕,心动悸,呼吸困难。胃部有振水音,腹部松软。给与苓桂术甘汤提纯剂30日的量,服20日来院称,有了疗效,喘气得到改善,未发生心脏动悸,想继续服用下去。共服2 个月后,近于完全康复。又服1个月后,已不再来院,定是痊愈。"
7、矢数道明氏对本方的变方云:"本间枣轩氏家传方,即本方与四物汤(当归、芍药、川芎、地黄)相合,名为连珠饮。治贫血所致的动悸,呼吸困难,颜面浮肿等。又吉益东洞氏将本方加川芎、大黄,名为应钟散。治髙血压引起的气之上冲、肩痠痛、眩暈、头痛、动悸、便秘等。又原南阳氏将本方加针砂、牡蛎、人参,名为针砂汤。治心脏瓣膜症、贫血、神经症引起的动悸、眩晕、呼吸困难等。又本方加车前子、细辛、黄连为明朗饮。用于眼科一般疾患、视力障碍、网膜炎等。"
二、苓桂术甘汤
[方药]茯苓18g、桂枝12g、白术10g、甘草6g〔笔者经历〕患者病症:小儿短气、眼疾、眩暈。
献曝语:最初有人问,孩子一玩得时间稍久,发现他总要吸一口长气,好像舒服些,问有何治法。作者令其带孩子来一趟。来后诊之,亦无其他症状。当时想起《金匮要略》云:"夫短气有微饮,当以小便去之,苓桂术甘汤主之,肾气丸亦主之。"与苓桂术甘汤,后知服六剂而愈。直至今日,知患此症者不少,用此方无不效者,皆不过六剂。也未见成人患此症使用此方无效,须改用肾气丸者。
医界珠玉:
1、陆渊雷氏云:"慢性胃病,人世间最多,不一定皆有积水〈有无可由医院确诊),如有积水,大多为苓桂术甘汤证,所以本方应用极为广泛。胃中有水,常引发眼疾,赤痛而多眵泪者,用本方加车前子,有奇效。现在中医治眼疾,但只知用寒凉滋润药,如此方中的桂枝性温,白术性燥,都视作眼疾中之禁药,于是长久服药而不得愈。而世间随有'眼疾百贴'之说"。
2、藤平健氏的《慢性轴性视神经炎患者的全身症状见识补遗》云: "观察197例慢性轴性视神经炎的患者,所呈现的全身症状,眼睛疲劳,注意力不能集中,头重与头痛,精神不安,体位变动时眩晕等,大多为苓桂术甘汤症。用本方制剂投药,视力好转者占95%,假性近视减轻对慢性轴性视神经炎的治疗获得良好效果。"
3、吉益南涯氏之《成绩录》(为学生所记)云:"摄南某人之妻子,头目昏沉,眼前发黑,起居经常惊恐,听到别人的脚步声音,则惊惧不堪。因此,不欲见人,一个人常常独处深闺。因家中富裕,使人走路不发声音,家内铺毡以备人行。加倍以营养治疗,亦毫无寸效。如此在床者,已荏苒数年。于是请先生,先生诊之。与苓桂术甘汤,数年之疾,服药后得逐渐而愈。"汤本求真氏云:"此病乃重症療病,即《金匮要略》中之脏燥。"
4、竹内达氏治神经衰弱云:"18岁之中学生,近来情绪不佳,不考虑学习问题,智力已不如前。脉沉无力,胃内有停水,有明显之振水音,角膜反射消失,瞳孔散大,膝跳反射亢进,腹直肌严重挛急,小便频数,诊为神经质患者。投与苓桂术甘汤,服药三周而愈。"
6、矢数道明氏治阵发性心动过速云:"33岁男子,数年前心脏已肥大,但心力未衰竭。2年前进行野球比赛时,由于心情不佳,心动过速而倒下。此后胸有重压感,短气,心动过速,脉结代。动悸,呼吸困难,起则眩晕,噫气,尿频、多汗等。与苓桂术甘汤加牡蛎,病情逐渐好转,3 个月后痊愈。"
7、浅田宗伯氏《桔窗书影》治眩晕神经症云:"下总国小见川西云寺之僧,脐下有动悸,时时迫于心下,眩晕卒倒,头内感觉如载重石。上盛下虛(上有头暈目眩,下有虚脱,腿则软弱无力,不得健步),尽国中之医手而无效。余投与苓桂术甘汤与妙香散,服之数旬,积年之疾,霍然而愈。"
[方药]茯苓18g、桂枝12g、白术10g、甘草6g〔笔者经历〕患者病症:小儿短气、眼疾、眩暈。
医界珠玉:
1、陆渊雷氏云:"慢性胃病,人世间最多,不一定皆有积水〈有无可由医院确诊),如有积水,大多为苓桂术甘汤证,所以本方应用极为广泛。胃中有水,常引发眼疾,赤痛而多眵泪者,用本方加车前子,有奇效。现在中医治眼疾,但只知用寒凉滋润药,如此方中的桂枝性温,白术性燥,都视作眼疾中之禁药,于是长久服药而不得愈。而世间随有'眼疾百贴'之说"。
2、藤平健氏的《慢性轴性视神经炎患者的全身症状见识补遗》云: "观察197例慢性轴性视神经炎的患者,所呈现的全身症状,眼睛疲劳,注意力不能集中,头重与头痛,精神不安,体位变动时眩晕等,大多为苓桂术甘汤症。用本方制剂投药,视力好转者占95%,假性近视减轻对慢性轴性视神经炎的治疗获得良好效果。"
3、吉益南涯氏之《成绩录》(为学生所记)云:"摄南某人之妻子,头目昏沉,眼前发黑,起居经常惊恐,听到别人的脚步声音,则惊惧不堪。因此,不欲见人,一个人常常独处深闺。因家中富裕,使人走路不发声音,家内铺毡以备人行。加倍以营养治疗,亦毫无寸效。如此在床者,已荏苒数年。于是请先生,先生诊之。与苓桂术甘汤,数年之疾,服药后得逐渐而愈。"汤本求真氏云:"此病乃重症療病,即《金匮要略》中之脏燥。"
4、竹内达氏治神经衰弱云:"18岁之中学生,近来情绪不佳,不考虑学习问题,智力已不如前。脉沉无力,胃内有停水,有明显之振水音,角膜反射消失,瞳孔散大,膝跳反射亢进,腹直肌严重挛急,小便频数,诊为神经质患者。投与苓桂术甘汤,服药三周而愈。"
6、矢数道明氏治阵发性心动过速云:"33岁男子,数年前心脏已肥大,但心力未衰竭。2年前进行野球比赛时,由于心情不佳,心动过速而倒下。此后胸有重压感,短气,心动过速,脉结代。动悸,呼吸困难,起则眩晕,噫气,尿频、多汗等。与苓桂术甘汤加牡蛎,病情逐渐好转,3 个月后痊愈。"
7、浅田宗伯氏《桔窗书影》治眩晕神经症云:"下总国小见川西云寺之僧,脐下有动悸,时时迫于心下,眩晕卒倒,头内感觉如载重石。上盛下虛(上有头暈目眩,下有虚脱,腿则软弱无力,不得健步),尽国中之医手而无效。余投与苓桂术甘汤与妙香散,服之数旬,积年之疾,霍然而愈。"
三、炙甘草汤又别名复脉汤
出自《伤寒论》、《金匮要略》
[方药]炙甘草10g、生地12g、麦冬1g、桂枝10g、火麻仁10去壳打碎)、党参10g、大枣3枚切、生姜6片、阿胶6g,前八味去渣,加阿胶溶化之。
[笔者经历]患者病症:脉结代,即西医所谓早搏。西医书上海第一医院编《实用内科学》亦持此说法。我开始颇信这一说法,用时亦不加味,服药一月,此症未能治愈。后笔者亦患此症,脉搏二十多次,才停一次。竟服一月,方能得愈。可知此方药力之微弱。家妻亦患过此症,后知三、四个月,未服此方亦愈。据说省中医院善于加减药方的老中医亦未能治愈此症。如说服药太少而未能治愈,笔者不知必服几个月方可。如说此方无效,自知轻症亦愈。请海内名家指点。有的人以为此方对连续性心动过速有效。
医界珠玉:
1 、陆渊雷氏论脉之结代云: "而后世医家,往往与结代并论,亦为歇止。谓歇止见于数脉者为促,见于迟脉者为结。然脉之歇止,本与迟数不相涉。舍迟数而但论歇脉,则促结不当目为两种脉。本论(指《伤寒论》〉促与结代两不相蒙,盖古义也。若夫脉之所以有歇止或因心肌衰弱,其张縮自有歇止;或因张縮力微弱,血液不能逐步输送于桡骨动脉;或因大动脉口之瓣膜闭锁不全,心张时不少量血液逆流入左心室,因影响于脉搏,或因动脉管失去弹力性,致心缩时脉管受血液之撞击力大,大则脉数;心张时脉管中血行缓,缓则脉迟。迟数相同,若真有歇止者,若此者皆为结脉。至于代脉,多起于代偿机能已障碍之脏病,其脉或二至而一歇,或三至、四至而一歇,秩然不乱,西医二连脉、三连脉、四连脉者是也"。
2、有持桂里氏《方舆鲵》云:"此仲景治伤寒脉结代心动悸之圣方也。孙真人用之以消虚劳,王剌史用之以消肺瘘。凡仲景诸方,通变如此,然此方之妙用,在于脉结代,故一名复脉汤。不论何病,但脉结代者,当先用此方。析言之,则脉来缓,时一止复来者,结脉也。止而即还,不失至数,但稍间歇耳!代者,止而不还,断而复动,此绝彼来,相代之义也。二者相似而小异,然治方则唯此一方,故结代连称。此病,大病得之,可畏殊甚。又平人有时时见此脉者,此则无害,亦不须服药也。昔人有曰:有病见之难治,若气逆得之则无忧,确言也。此汤,《金》引《千金翼》,今阅《翼》,标复脉汤,注云:仲景名炙甘草汤,盖后世调血气,补虚劳不足诸方,似多出于此方也"。
3、浅田宗伯氏《桔窗书影》治巴塞杜氏病?云:"40岁妇女,伤寒后,心中动悸甚,咽喉时迫急而少气。咽喉外壅肿如肉瘤(甲状腺肿大)。脉虚数,形体羸瘦如柴,腹内虚软如贴,饮食不进。余曰:"舍炙甘草汤加桔梗,余无适合之方也。连服此方,数旬渐安,肌肉大生,咽喉壅肿亦减,气息爽快,悠闲散步,云之后无恙"。
4、片仓鹤陵氏《静验堂治验》治发语障碍云:日本桥本屋吉妻,心中悸,胸下痞硬,脐上动悸,失音不语。大便已五、六日未行,时或头晕。脉沉细,饮食不进。…经治疗诸症虽有减轻,但仍不能言语。已动悸不止19日,用炙甘草汤七、八日后,动悸止,发语复常。
5、大塚敬节氏《汉方治疗实践》治巴塞杜氏病云:"3g岁妇女,主诉二、三年前动悸,被诊为脚气。最近甲状腺肿大明显,曾劝其手术。现主诉动悸、头痛、汗多、便秘。患者体瘦,眼球突出而明亮,脉搏每分106次,时有结代,皮如涂油,润而发光,跻部动悸亢进,口渴。用炙甘草汤10日,动悸减轻,每日均一行大便,一般状态好转,甲状腺亦见减少"。又大塚氏《汉方临床三十年》治产褥热云;"39岁妇女,12日前入院分娩,产生周身严重水肿,呼吸困难,失眠。体温在39°3以上,口渴,脉结代,脐上动悸甚、便秘。患者言语困难,因浮肿不能睁眼,舌乳头鲜而干。根据脉结代,动悸、舌象,舌为用地黄之证,与炙甘草汤。服药后,当日傍晚心情转佳,夜大汗出,热退而眠,3日后,胸中爽快,浮肿亦大部分消退"。
6、矢数道明氏治不整脉云:"74岁男子,每日晨骑自行车,大约疾驰2小时的运动,虽已养成习惯,但因此而患感冒。自感冒后,引起脉结代已近一月,并日趋严重。脉结代必心动悸、胸闷。饮食与大便,无异常改变。体瘦似贫血,脉有力,但结代频发,血压170/90毫米汞柱,腹部心下之动悸。据此与炙甘草汤,服药10日,脉基本恢复正常。再服用一个月后,全身状态良好,血压降至130/g0毫米汞柱,则停药。
7、矢数道明氏总结自己与各家对此方的应用为:本方多用于肠伤寒、肺炎等热性病之高热,动悸,虚烦不眠,脉结代;以及心脏瓣膜病、心肌亢进、不整脉(心律不齐)、心内膜病、交感神经紧张症高血压症、巴塞杜氏病、产褥热、胃溃疡、肺结核、喉头结核、真性臭鼻症等。
出自《伤寒论》、《金匮要略》
[方药]炙甘草10g、生地12g、麦冬1g、桂枝10g、火麻仁10去壳打碎)、党参10g、大枣3枚切、生姜6片、阿胶6g,前八味去渣,加阿胶溶化之。
[笔者经历]患者病症:脉结代,即西医所谓早搏。西医书上海第一医院编《实用内科学》亦持此说法。我开始颇信这一说法,用时亦不加味,服药一月,此症未能治愈。后笔者亦患此症,脉搏二十多次,才停一次。竟服一月,方能得愈。可知此方药力之微弱。家妻亦患过此症,后知三、四个月,未服此方亦愈。据说省中医院善于加减药方的老中医亦未能治愈此症。如说服药太少而未能治愈,笔者不知必服几个月方可。如说此方无效,自知轻症亦愈。请海内名家指点。有的人以为此方对连续性心动过速有效。
医界珠玉:
1 、陆渊雷氏论脉之结代云: "而后世医家,往往与结代并论,亦为歇止。谓歇止见于数脉者为促,见于迟脉者为结。然脉之歇止,本与迟数不相涉。舍迟数而但论歇脉,则促结不当目为两种脉。本论(指《伤寒论》〉促与结代两不相蒙,盖古义也。若夫脉之所以有歇止或因心肌衰弱,其张縮自有歇止;或因张縮力微弱,血液不能逐步输送于桡骨动脉;或因大动脉口之瓣膜闭锁不全,心张时不少量血液逆流入左心室,因影响于脉搏,或因动脉管失去弹力性,致心缩时脉管受血液之撞击力大,大则脉数;心张时脉管中血行缓,缓则脉迟。迟数相同,若真有歇止者,若此者皆为结脉。至于代脉,多起于代偿机能已障碍之脏病,其脉或二至而一歇,或三至、四至而一歇,秩然不乱,西医二连脉、三连脉、四连脉者是也"。
2、有持桂里氏《方舆鲵》云:"此仲景治伤寒脉结代心动悸之圣方也。孙真人用之以消虚劳,王剌史用之以消肺瘘。凡仲景诸方,通变如此,然此方之妙用,在于脉结代,故一名复脉汤。不论何病,但脉结代者,当先用此方。析言之,则脉来缓,时一止复来者,结脉也。止而即还,不失至数,但稍间歇耳!代者,止而不还,断而复动,此绝彼来,相代之义也。二者相似而小异,然治方则唯此一方,故结代连称。此病,大病得之,可畏殊甚。又平人有时时见此脉者,此则无害,亦不须服药也。昔人有曰:有病见之难治,若气逆得之则无忧,确言也。此汤,《金》引《千金翼》,今阅《翼》,标复脉汤,注云:仲景名炙甘草汤,盖后世调血气,补虚劳不足诸方,似多出于此方也"。
3、浅田宗伯氏《桔窗书影》治巴塞杜氏病?云:"40岁妇女,伤寒后,心中动悸甚,咽喉时迫急而少气。咽喉外壅肿如肉瘤(甲状腺肿大)。脉虚数,形体羸瘦如柴,腹内虚软如贴,饮食不进。余曰:"舍炙甘草汤加桔梗,余无适合之方也。连服此方,数旬渐安,肌肉大生,咽喉壅肿亦减,气息爽快,悠闲散步,云之后无恙"。
4、片仓鹤陵氏《静验堂治验》治发语障碍云:日本桥本屋吉妻,心中悸,胸下痞硬,脐上动悸,失音不语。大便已五、六日未行,时或头晕。脉沉细,饮食不进。…经治疗诸症虽有减轻,但仍不能言语。已动悸不止19日,用炙甘草汤七、八日后,动悸止,发语复常。
5、大塚敬节氏《汉方治疗实践》治巴塞杜氏病云:"3g岁妇女,主诉二、三年前动悸,被诊为脚气。最近甲状腺肿大明显,曾劝其手术。现主诉动悸、头痛、汗多、便秘。患者体瘦,眼球突出而明亮,脉搏每分106次,时有结代,皮如涂油,润而发光,跻部动悸亢进,口渴。用炙甘草汤10日,动悸减轻,每日均一行大便,一般状态好转,甲状腺亦见减少"。又大塚氏《汉方临床三十年》治产褥热云;"39岁妇女,12日前入院分娩,产生周身严重水肿,呼吸困难,失眠。体温在39°3以上,口渴,脉结代,脐上动悸甚、便秘。患者言语困难,因浮肿不能睁眼,舌乳头鲜而干。根据脉结代,动悸、舌象,舌为用地黄之证,与炙甘草汤。服药后,当日傍晚心情转佳,夜大汗出,热退而眠,3日后,胸中爽快,浮肿亦大部分消退"。
6、矢数道明氏治不整脉云:"74岁男子,每日晨骑自行车,大约疾驰2小时的运动,虽已养成习惯,但因此而患感冒。自感冒后,引起脉结代已近一月,并日趋严重。脉结代必心动悸、胸闷。饮食与大便,无异常改变。体瘦似贫血,脉有力,但结代频发,血压170/90毫米汞柱,腹部心下之动悸。据此与炙甘草汤,服药10日,脉基本恢复正常。再服用一个月后,全身状态良好,血压降至130/g0毫米汞柱,则停药。
7、矢数道明氏总结自己与各家对此方的应用为:本方多用于肠伤寒、肺炎等热性病之高热,动悸,虚烦不眠,脉结代;以及心脏瓣膜病、心肌亢进、不整脉(心律不齐)、心内膜病、交感神经紧张症高血压症、巴塞杜氏病、产褥热、胃溃疡、肺结核、喉头结核、真性臭鼻症等。
四、防己茯苓汤
出自《金匮要略》
[方药]防己10g、茯苓18g、黄芪10g、桂枝10g、甘草6g
出自《金匮要略》
[方药]防己10g、茯苓18g、黄芪10g、桂枝10g、甘草6g
[笔者经历]患者病症:手指振颤。
献曝语:笔者自1991年12月发生过轻微的脑中风。愈后,未留下其他后遗症,惟写字不能快写,写快了手则不能操纵笔杆,近几年一年不如一年。余在1997年11月试服此方,服药10剂,即感觉有效,服30剂后,效果颇能令人满意。虽然手写字只恢复了青年时期的十之七、八,但记忆力却提高了不少。誊写稿子,也很少脱漏字了。出人意料,偶遇一点精神刺激,使我彻夜未能人睡,次日写字又如以前旧貌了。写字时则时有振颤一、二次,但不能自止。自1999年3月4日,再服此方看看如何。谁知服药10剂,已恢复从前服30剂的水平,这次共服1g剂停药,以后再犯,以为年老,未再复试。
医界珠玉:
1、陆渊雷氏对《金匮要略,水气病》中一条:"皮水为病,四肢肿^ 气在皮肤中,四肢聂聂动者,防己茯苓汤主之。"注释云:"四肢聂聂动,为防己茯苓汤之主证。本因水毒停滞于肌肉,肌肉中之残废物质不能排泄,运动神经末梢起自家中毒症状,即肌肉抽縮跳动。"
2、荒木性次氏云:"全身水肿,尤其以手足为甚,手足发抖与振颤者,用此方为宜。"
3、浅田宗伯氏云:"此方虽主皮水,而方意近防己黄芪汤。但去白术加茯苓者,使其专行于皮肤罢了。有一人身体肥胖,运动不能自如,手足振颤。前医所投为桂枝、茯苓、白术、真武汤之类;或以为痰之所为,令服导痰、化痰之药,皆未得寸效,与此方而愈。又腹泻久不得治,与利水药而不愈者;用此方,或收意外之效。"
4、惠美宁国氏云:"一男子,头及两手振颧不已,得此症已有二、三年之久,腹中和,饮食如故。余认为是仲景所谓四肢聂聂之类,与以防己茯苓汤而愈。"
5、石野信安氏治妊娠子痫云:"24岁初孕妇女,妊娠g个月左右,颜面和下肢出现轻度浮肿,尿蛋白阴性,血压基本正常。第9个月因发生呕吐、头痛而来院求治。诊之,全身浮肿严重,歩行困难,尿量减少,尿蛋白变为阳性,诊察中引起子痫发作,血压为170/110毫米汞注,做应急处理,兼用降压,与防己茯苓汤。于是服药后尿量每日达到2000 至7000毫升,大致在预产日期正常分娩,平安出院。按子痫之痉挛发作,有四肢聂聂而动甚者,又因水气严重而见皮水者,皆可以用本方治之。"
6、岩崎熊氏治本态性振颤云:"患者为60岁男子,自10年前开始头和手振颤,经神经内科检査,不明原因,作为本态性颤振,服卩波罗柯,也服过中药,皆不得治。病症以姿式振颧为主,因精神紧张或饮酒之后而加剧-又言:10年前痔疮恶化,多次住院,反复进行过手术,每月一定有一次大出血。此人身上不出汗,头上汗多。特别是饮食热物之后,苦于汗如泉涌。除手足冷外,无其他烦恼。头部有周期性三、四次上下颤动,说话口吃,手有轻度的颧动。多种振颤,在仰卧时都会消失。脉沉、腹力松软,胃有振水音,胸胁苦满,腹直肌紧张,皆无压痛。因与水毒性体质的人,无明显相同的头汗、口渴。乃给与茯芩甘草汤加龙骨牡蛎。服药后不久,头汗止,痔出血也未发生。服药2个月后,振颤也稍见改善。但有一天患了感冒,照常服药,苦于出现高热,完全不能排出汗水。用电话通知我,使其立即停药。据说停药后大量出汗,又过了 2个月,又开始服原方,这次对头汗全然无效。考虑到没有浮肿、四肢急速颤动的水气病症。改服防己茯苓汤。服此药约两个月后,颧抖明显减少,几乎巳不再放在心上。"
7、矢数道明氏总结自己及各家对此方的应用为:本方要用于因水毒发生之搐搦(抽动和运动肌痉)、振颤、麻痹感等;亦用于肾炎、妊娠肾、尿毒症、子痫、振颤麻痹、黑内障、慢性腹泻
献曝语:笔者自1991年12月发生过轻微的脑中风。愈后,未留下其他后遗症,惟写字不能快写,写快了手则不能操纵笔杆,近几年一年不如一年。余在1997年11月试服此方,服药10剂,即感觉有效,服30剂后,效果颇能令人满意。虽然手写字只恢复了青年时期的十之七、八,但记忆力却提高了不少。誊写稿子,也很少脱漏字了。出人意料,偶遇一点精神刺激,使我彻夜未能人睡,次日写字又如以前旧貌了。写字时则时有振颤一、二次,但不能自止。自1999年3月4日,再服此方看看如何。谁知服药10剂,已恢复从前服30剂的水平,这次共服1g剂停药,以后再犯,以为年老,未再复试。
医界珠玉:
1、陆渊雷氏对《金匮要略,水气病》中一条:"皮水为病,四肢肿^ 气在皮肤中,四肢聂聂动者,防己茯苓汤主之。"注释云:"四肢聂聂动,为防己茯苓汤之主证。本因水毒停滞于肌肉,肌肉中之残废物质不能排泄,运动神经末梢起自家中毒症状,即肌肉抽縮跳动。"
2、荒木性次氏云:"全身水肿,尤其以手足为甚,手足发抖与振颤者,用此方为宜。"
3、浅田宗伯氏云:"此方虽主皮水,而方意近防己黄芪汤。但去白术加茯苓者,使其专行于皮肤罢了。有一人身体肥胖,运动不能自如,手足振颤。前医所投为桂枝、茯苓、白术、真武汤之类;或以为痰之所为,令服导痰、化痰之药,皆未得寸效,与此方而愈。又腹泻久不得治,与利水药而不愈者;用此方,或收意外之效。"
4、惠美宁国氏云:"一男子,头及两手振颧不已,得此症已有二、三年之久,腹中和,饮食如故。余认为是仲景所谓四肢聂聂之类,与以防己茯苓汤而愈。"
5、石野信安氏治妊娠子痫云:"24岁初孕妇女,妊娠g个月左右,颜面和下肢出现轻度浮肿,尿蛋白阴性,血压基本正常。第9个月因发生呕吐、头痛而来院求治。诊之,全身浮肿严重,歩行困难,尿量减少,尿蛋白变为阳性,诊察中引起子痫发作,血压为170/110毫米汞注,做应急处理,兼用降压,与防己茯苓汤。于是服药后尿量每日达到2000 至7000毫升,大致在预产日期正常分娩,平安出院。按子痫之痉挛发作,有四肢聂聂而动甚者,又因水气严重而见皮水者,皆可以用本方治之。"
6、岩崎熊氏治本态性振颤云:"患者为60岁男子,自10年前开始头和手振颤,经神经内科检査,不明原因,作为本态性颤振,服卩波罗柯,也服过中药,皆不得治。病症以姿式振颧为主,因精神紧张或饮酒之后而加剧-又言:10年前痔疮恶化,多次住院,反复进行过手术,每月一定有一次大出血。此人身上不出汗,头上汗多。特别是饮食热物之后,苦于汗如泉涌。除手足冷外,无其他烦恼。头部有周期性三、四次上下颤动,说话口吃,手有轻度的颧动。多种振颤,在仰卧时都会消失。脉沉、腹力松软,胃有振水音,胸胁苦满,腹直肌紧张,皆无压痛。因与水毒性体质的人,无明显相同的头汗、口渴。乃给与茯芩甘草汤加龙骨牡蛎。服药后不久,头汗止,痔出血也未发生。服药2个月后,振颤也稍见改善。但有一天患了感冒,照常服药,苦于出现高热,完全不能排出汗水。用电话通知我,使其立即停药。据说停药后大量出汗,又过了 2个月,又开始服原方,这次对头汗全然无效。考虑到没有浮肿、四肢急速颤动的水气病症。改服防己茯苓汤。服此药约两个月后,颧抖明显减少,几乎巳不再放在心上。"
7、矢数道明氏总结自己及各家对此方的应用为:本方要用于因水毒发生之搐搦(抽动和运动肌痉)、振颤、麻痹感等;亦用于肾炎、妊娠肾、尿毒症、子痫、振颤麻痹、黑内障、慢性腹泻
五、木防己汤
出自《金匮要略》
[方药]防己12g、石膏20g、桂枝10g、党参10g
[笔者经历]患者病症:脉有结代之心脏病、心脏瓣膜病。
献曝语:脉结代即有间歇之意。若用本方其病轻快,以后病症再次恶化时,应去方中石膏加茯等、芒硝,名为木防已去石膏加茯苓芒硝汤(根据《金匮要略》)。有一李姓老人6g岁,因患大面积心肌梗塞,住院两次,共计一个半月,体力极为衰弱。出院时,得到医生的允许,可服中药,由其女儿引导,求笔者诊治,自言:四肢无力,缺乏食欲。诊之,脉无结代,右脉无神(跳动次数难分)。与木防已汤,令服3剂,如有效,可多服几剂。服1剂后,其女儿来电话言:服后心动过速及下颏疼,两小时方止。笔者令其次日再服1剂试试如何。服完3剂后,其女儿来电话言:次日服后未见出现心动过速及下颏痛,服完第3剂后,有了食欲,脲9剂停药。除此例之外,皆极平妥。
出自《金匮要略》
[方药]防己12g、石膏20g、桂枝10g、党参10g
[笔者经历]患者病症:脉有结代之心脏病、心脏瓣膜病。
献曝语:脉结代即有间歇之意。若用本方其病轻快,以后病症再次恶化时,应去方中石膏加茯等、芒硝,名为木防已去石膏加茯苓芒硝汤(根据《金匮要略》)。有一李姓老人6g岁,因患大面积心肌梗塞,住院两次,共计一个半月,体力极为衰弱。出院时,得到医生的允许,可服中药,由其女儿引导,求笔者诊治,自言:四肢无力,缺乏食欲。诊之,脉无结代,右脉无神(跳动次数难分)。与木防已汤,令服3剂,如有效,可多服几剂。服1剂后,其女儿来电话言:服后心动过速及下颏疼,两小时方止。笔者令其次日再服1剂试试如何。服完3剂后,其女儿来电话言:次日服后未见出现心动过速及下颏痛,服完第3剂后,有了食欲,脲9剂停药。除此例之外,皆极平妥。
医界珠玉:
1 、陆渊雷氏云:"二方皆以利小便为主治,木防已去石膏加茯苓芒硝汤,治急性肾炎之尿闭,有奇效。肾炎往往引起全身水肿及胸膜炎。今将方药、病理、症候而考查之。此条为慢性胸膜炎及胸水,其在胸腔内者,故吐下而不愈;上迫肺叶,故喘满;下贮于胸膜腔之底,故心下痞坚;其面色黧黑,则皆是水病通常之症候。"
2、吉益南涯氏之《成绩录》云:"某人妻,病后两脚微肿,久之,一身面目洪肿,小便不利,短气微喘,不能自转侧。迎先生求治,乃与木防巳汤加茯苓(本方但加茯苓不去石膏),日尽七帖,数日,小便快利,徐徐得愈。"又云:"商人某一身面目浮肿,小便不利,肚腹满肿,短气不得卧,其水渗溢于外皮,日夜更衣数次,饮食减少,众医以为必死。先生与木防已加茯芩汤,数日而小便快利,遂得痊愈。"
3、陆渊雷氏云:"合读以上吉益氏七种医案(今录两种)观之,其主证为:肢体浮肿,小便不利,心下痞坚,咳逆倚息,短气不得卧,此虽是篇首之症候,然其水停膈上者,泛滥于肢体者多。青龙汤证者,在无热,在肿而不痛。七种医寒但加茯苓者少,木防已汤治胸水及慢性腹膜炎。今治水肿,则为心脏瓣膜病或肾炎以利小便。茯苓淡渗,无刺激性,故肾炎亦可用。"
4、藤平健氏治心脏瓣膜障碍云:"41岁男子,颜面浅黑,口唇紫黑色。自15年前患关节风湿病,约4年前发生心悸,呼吸困难。自觉症状:大便日一行,小便日20行,心悸,呼吸困难,咳嗽、头痛、心下痞塞,经常自汗。他觉症状:脉沉紧,苔薄白,心下有较强之抵抗,按之有不快感,心浊音区扩大,收縮期杂音明显。与木防已汤,5日后心悸和咳嗽减退,1个月后自觉症状基本消失,并已就业,连服1年3个月,腹部及心下部症状均已正常。
5、大塚敬节氏治心源性喘息云:"65岁男子,自g个月前开始,每夜发生喘息,且逐渐加重。每夜半发作,有痰难以咯出,脉弦大而浮。腹诊肝大五横指,上腹其硬如板。大便秘结,夜尿二、三行,尿有蛋白,尿胆原素阳性。发作时严重口渴,下肢浮肿。与增损木防已汤〈木防已汤加苏子四钱、桑白皮三钱、生姜6片),病情逐渐减轻,发作次数减少,肝肿大减至二横指。"
6、矢数道明氏总结自己及各家对此方的应用为:本方主要用于心脏瓣膜症、心功能不全、心源性喘息、冠心病类似症、原因不明之下肢浮肿;亦可用于肾炎、肾病、妊娠肾、脚气、支气管喘息。
1 、陆渊雷氏云:"二方皆以利小便为主治,木防已去石膏加茯苓芒硝汤,治急性肾炎之尿闭,有奇效。肾炎往往引起全身水肿及胸膜炎。今将方药、病理、症候而考查之。此条为慢性胸膜炎及胸水,其在胸腔内者,故吐下而不愈;上迫肺叶,故喘满;下贮于胸膜腔之底,故心下痞坚;其面色黧黑,则皆是水病通常之症候。"
2、吉益南涯氏之《成绩录》云:"某人妻,病后两脚微肿,久之,一身面目洪肿,小便不利,短气微喘,不能自转侧。迎先生求治,乃与木防巳汤加茯苓(本方但加茯苓不去石膏),日尽七帖,数日,小便快利,徐徐得愈。"又云:"商人某一身面目浮肿,小便不利,肚腹满肿,短气不得卧,其水渗溢于外皮,日夜更衣数次,饮食减少,众医以为必死。先生与木防已加茯芩汤,数日而小便快利,遂得痊愈。"
3、陆渊雷氏云:"合读以上吉益氏七种医案(今录两种)观之,其主证为:肢体浮肿,小便不利,心下痞坚,咳逆倚息,短气不得卧,此虽是篇首之症候,然其水停膈上者,泛滥于肢体者多。青龙汤证者,在无热,在肿而不痛。七种医寒但加茯苓者少,木防已汤治胸水及慢性腹膜炎。今治水肿,则为心脏瓣膜病或肾炎以利小便。茯苓淡渗,无刺激性,故肾炎亦可用。"
4、藤平健氏治心脏瓣膜障碍云:"41岁男子,颜面浅黑,口唇紫黑色。自15年前患关节风湿病,约4年前发生心悸,呼吸困难。自觉症状:大便日一行,小便日20行,心悸,呼吸困难,咳嗽、头痛、心下痞塞,经常自汗。他觉症状:脉沉紧,苔薄白,心下有较强之抵抗,按之有不快感,心浊音区扩大,收縮期杂音明显。与木防已汤,5日后心悸和咳嗽减退,1个月后自觉症状基本消失,并已就业,连服1年3个月,腹部及心下部症状均已正常。
5、大塚敬节氏治心源性喘息云:"65岁男子,自g个月前开始,每夜发生喘息,且逐渐加重。每夜半发作,有痰难以咯出,脉弦大而浮。腹诊肝大五横指,上腹其硬如板。大便秘结,夜尿二、三行,尿有蛋白,尿胆原素阳性。发作时严重口渴,下肢浮肿。与增损木防已汤〈木防已汤加苏子四钱、桑白皮三钱、生姜6片),病情逐渐减轻,发作次数减少,肝肿大减至二横指。"
6、矢数道明氏总结自己及各家对此方的应用为:本方主要用于心脏瓣膜症、心功能不全、心源性喘息、冠心病类似症、原因不明之下肢浮肿;亦可用于肾炎、肾病、妊娠肾、脚气、支气管喘息。
六、柴胡桂枝干姜汤加吴茱萸茯苓
原方出自《伤寒论》、《金匱要略》
[方药]柴胡15g、桂枝10g、天花粉10g、黄芩10g、牡蛎15g、干姜6g、甘草6g、吴茱萸10g、茯苓12g
[笔者经历]患者病症:心肌炎。
献曝语:心动过速,如服前加味方仍不能治愈者,可用此方试之,此外亦可治贫血性动悸心脏瓣膜病。1996年5月份有一位女中学生,由其母亲胡姓带来求治。其母言:孩子发病后,感到极为疲倦,不能走动,而且心脏跳动有间歇,医院诊断为心肌炎。每次犯病,在医院必须多次打针,而且不能根治。笔者诊之,脉亦无间歇,与柴胡桂枝干姜汤加吴茱萸茯芩令服6剂。如服后良好,可服至痊愈。以后知共服42 剂,痊愈后未见再发。故患者告诉其父母说:"以后有病,不必再去医院,直接找费老师即可。"医界珠玉:指柴胡桂枝干姜汤原味方
1、陆渊雷氏云:"柴胡桂枝干姜汤之证候,为胸部疼痛,干咳,肩背强痛,寒热往来,其病古人称做水饮,亦不过是胸膜炎。只有硬痛,没有大陷胸汤证那样严重罢了。"
2、吉益南涯氏之《成绩录》云:"远州一农夫,30余岁,去年以来,时常感冒,稍有吐血,出盗汗,往来寒热,微渴,脐旁跳动厉害,请先生诊治,与以柴胡姜桂汤,服后而愈。"又云:"备中一村甲,经常易受惊吓,后则胸腹动悸,挛急,恶寒,手足微冷。虽在夏天,亦必须内外重衣。受惊后必腹泻,服大黄剂后腹泻更甚,已10余年不愈,请先生诊治,与以柴226 ^姜桂汤,服后而愈。"又云:"一男子,平常郁郁不乐,喜端坐密室,不欲
见人。其动作不时直视,胸腹动悸,此病6年不得愈。先生诊之,与柴胡姜桂汤而愈。"
3 、有持桂里氏治肩背痠痛云:"某高僧,病症多端,其肩背强痛为其最痛苦之症。每日令小僧按摩,或用金槌或用铁尺叩之。如此已二、三年。在此期间,采用服药、刺络、艾灸等法,但不见寸效。这种病为柴胡姜桂汤证,按此证治之。仅服药6、7日,证去大半,肩背强痛,亦自然而愈。高僧大喜,随赠绢物以表感谢。"
4、矢数道明氏治原因不明之高热云:"40岁妇女,9年前发现心下部有肿瘤,已作手术。当时诊为恶性肿瘤,出院后日渐衰弱,与六君子汤,迅速恢复健康,可谓奇迹。以后下腹部的刀口开裂,勉强缝合。患处化脓,更加衰弱,又来复诊。当时用千金散1个月脓方得止,再次恢复健康。以后患者信奉新兴宗教,服药停止,体力又渐次衰弱,十几天前发热,体温达39以上,用各种解热注射剂皆无效,高热原因,亦不明了。体瘦神衰,脉弱而数,颜面苍白,右季肋下自觉紧张,并有压痛,舌苔白而干。于是,诊为柴胡姜桂汤证,故与之,服药3日,发热开始下降,一周后发热全退。服药3个月,体重增加6公斤,以后能顺手地从事家务。"
原方出自《伤寒论》、《金匱要略》
[方药]柴胡15g、桂枝10g、天花粉10g、黄芩10g、牡蛎15g、干姜6g、甘草6g、吴茱萸10g、茯苓12g
[笔者经历]患者病症:心肌炎。
献曝语:心动过速,如服前加味方仍不能治愈者,可用此方试之,此外亦可治贫血性动悸心脏瓣膜病。1996年5月份有一位女中学生,由其母亲胡姓带来求治。其母言:孩子发病后,感到极为疲倦,不能走动,而且心脏跳动有间歇,医院诊断为心肌炎。每次犯病,在医院必须多次打针,而且不能根治。笔者诊之,脉亦无间歇,与柴胡桂枝干姜汤加吴茱萸茯芩令服6剂。如服后良好,可服至痊愈。以后知共服42 剂,痊愈后未见再发。故患者告诉其父母说:"以后有病,不必再去医院,直接找费老师即可。"医界珠玉:指柴胡桂枝干姜汤原味方
1、陆渊雷氏云:"柴胡桂枝干姜汤之证候,为胸部疼痛,干咳,肩背强痛,寒热往来,其病古人称做水饮,亦不过是胸膜炎。只有硬痛,没有大陷胸汤证那样严重罢了。"
2、吉益南涯氏之《成绩录》云:"远州一农夫,30余岁,去年以来,时常感冒,稍有吐血,出盗汗,往来寒热,微渴,脐旁跳动厉害,请先生诊治,与以柴胡姜桂汤,服后而愈。"又云:"备中一村甲,经常易受惊吓,后则胸腹动悸,挛急,恶寒,手足微冷。虽在夏天,亦必须内外重衣。受惊后必腹泻,服大黄剂后腹泻更甚,已10余年不愈,请先生诊治,与以柴226 ^姜桂汤,服后而愈。"又云:"一男子,平常郁郁不乐,喜端坐密室,不欲
见人。其动作不时直视,胸腹动悸,此病6年不得愈。先生诊之,与柴胡姜桂汤而愈。"
3 、有持桂里氏治肩背痠痛云:"某高僧,病症多端,其肩背强痛为其最痛苦之症。每日令小僧按摩,或用金槌或用铁尺叩之。如此已二、三年。在此期间,采用服药、刺络、艾灸等法,但不见寸效。这种病为柴胡姜桂汤证,按此证治之。仅服药6、7日,证去大半,肩背强痛,亦自然而愈。高僧大喜,随赠绢物以表感谢。"
4、矢数道明氏治原因不明之高热云:"40岁妇女,9年前发现心下部有肿瘤,已作手术。当时诊为恶性肿瘤,出院后日渐衰弱,与六君子汤,迅速恢复健康,可谓奇迹。以后下腹部的刀口开裂,勉强缝合。患处化脓,更加衰弱,又来复诊。当时用千金散1个月脓方得止,再次恢复健康。以后患者信奉新兴宗教,服药停止,体力又渐次衰弱,十几天前发热,体温达39以上,用各种解热注射剂皆无效,高热原因,亦不明了。体瘦神衰,脉弱而数,颜面苍白,右季肋下自觉紧张,并有压痛,舌苔白而干。于是,诊为柴胡姜桂汤证,故与之,服药3日,发热开始下降,一周后发热全退。服药3个月,体重增加6公斤,以后能顺手地从事家务。"
七、苓姜术甘汤
出自《金匮要略》本名甘草干姜茯苓白术汤
[方药]茯冬18g、干姜10g、白术10g、甘草6g
[笔者经历]患者病症:小便频数(寒性〉、中心性视网膜炎。献曝语:一般人属于上热下寒者居多,如患者果真如此,此方对尿频一定有效,约五、六剂即可痊愈。《金匮要略》中所谓"如坐水中,腰重如带五千钱(铜币〉。"即不仅恶寒,而且有腰重感、或冷感。有一王姓同学60余岁,腰冷,小便极频,服此方6剂而愈。余用此方治愈多人。
医界珠玉:
1、陆渊雷氏云:"肾在腰部,所以腰以下病症,古人皆好称为肾病,其实并非是肾脏病。这是因水气停积于腰部,所以腰以下冷痛。如坐水中,水气即湿气。湿盛,所以身重,即腰重如带五千钱。《金匱要略》中有"形如水状"《备急千金要方》中有"形如水洗状",此即形容如同浮肿状。凡水气病多渴,此反不渴。不渴和饮食如故,皆说明胃无停水之证。胃无停水,所以病属下焦。水气病有冲逆证者,多小便不利,此无冲逆证,所以小便自利。"
2、尾台榕堂氏云:"此方治老人平日小便失禁,腰腿沉重、冷痛者。"
出自《金匮要略》本名甘草干姜茯苓白术汤
[方药]茯冬18g、干姜10g、白术10g、甘草6g
[笔者经历]患者病症:小便频数(寒性〉、中心性视网膜炎。献曝语:一般人属于上热下寒者居多,如患者果真如此,此方对尿频一定有效,约五、六剂即可痊愈。《金匮要略》中所谓"如坐水中,腰重如带五千钱(铜币〉。"即不仅恶寒,而且有腰重感、或冷感。有一王姓同学60余岁,腰冷,小便极频,服此方6剂而愈。余用此方治愈多人。
医界珠玉:
1、陆渊雷氏云:"肾在腰部,所以腰以下病症,古人皆好称为肾病,其实并非是肾脏病。这是因水气停积于腰部,所以腰以下冷痛。如坐水中,水气即湿气。湿盛,所以身重,即腰重如带五千钱。《金匱要略》中有"形如水状"《备急千金要方》中有"形如水洗状",此即形容如同浮肿状。凡水气病多渴,此反不渴。不渴和饮食如故,皆说明胃无停水之证。胃无停水,所以病属下焦。水气病有冲逆证者,多小便不利,此无冲逆证,所以小便自利。"
2、尾台榕堂氏云:"此方治老人平日小便失禁,腰腿沉重、冷痛者。"
3、六角重任氏云:"友人某,患小便淋沥之症多年,腰脚冷,夜不寐,心下悸,与此方,诸症痊愈。"又云:"一妇人,平日有上冲感甚重,并有心悸,所以先生〈指六角重任)令服冬姜术甘汤。一夜腹大痛苦不可言,先生往诊之,见疼痛之状,腰部为甚,忽然疼痛立即停止。"又云:"一士人,年73岁,平生小便频数,腰冷如坐水中,厚衣覆盖而坐。精液时泄不能自禁。经各种治疗俱不效,如此已有十几年。余诊之,心下悸,即与此方而痊愈。"
4、中神琴溪氏云:"京师古门前一妪请治,自言腰腿冷,脚萎弱,一步不能行。如此已经10年,余乃作苓姜术甘汤,而且为她放痧,血迸出许多。初来时乘以肩舆,再来时由人扶之,再来时则靠拄杖,以至自己行来,不用拄杖。"
5、大塚敬节氏治坐骨神经痛云:"36岁男子,约在两个月前发病,左侧自腰至下肢疼痛,而且冷甚。患者身体瘦而白晰,形寒,小便频,冷时则更甚。脉弱,腹部微凹而柔软,胃有振水音,舌无苔,食欲一般,口渴。以小便自利和腰以下冷为的症,投与苓姜术甘汤。《金匮要略》云: 1反不渴,而今患此症有口渴,但服本方3周疼痛痊愈。、此方今有口渴,为大琛敬节先生信仰经方之创造一笔者〉。,'
6、中村谦介氏治腰冷如冰、小便频、浮肿云:"1990年7月12日,一位71岁的老妇人来院。腠稍弯曲,微觉肥胖,但不像那么虚弱,主诉:每遇到风吹脸上,血气上升,变为寒冷,特别是腰重冷压如冰。就是在盛夏,下半身也穿着六件衣服。因冷,每小时小便一次。其他,身体有浮肿,便秘如球状,血压高低不定。腹部稍软,心下部与脐左旁有压痛,两腹直肌紧张明显。余投与苓姜术甘汤和八味丸。服完一周药量来院,自言稍见好转,乃继续服用本方。此患者女儿的婆家,就在当地。
最后是9月29日来院。在此期间,一直服用本方。腰冷症已轻快,所穿衣服已减少数件,所以回到信州故乡去了。余对其后主张抱乐观态度。可是,在19g1年3月14日,上述姑娘为求药来院,听其言讲,患者相隔半年,忽然来到她的住处,身体害冷而摇晃且有腹泻。因此中止八味丸,与苓姜术甘汤与真武汤提纯剂,与其10日的药量服用后,患者本人不再摇晃地由其女儿跟随照管着来院了。腹泻已止。通便良好。我觉得有些奇怪,用苓姜术甘汤和八味丸,能使患者很快变好,为什么反而恶化了呢?据她说,去年11月曾经有一僧人劝她每日饮一玻璃杯萝葡、人参、番茄、芹菜等混合汁,这些生菜液汁,可能对怕寒冷的老人是不利的,命其停止饮用。因回远方信州,令其带去服2个月的真武汤提纯剂。以后又向患者家属打听,说一般良好,寒冷的日子走路已不摇晃,但腹痛与腹泻还有。如果患者再来院时,提纯剂中往往附子不足,打算对附子增量,给与真武汤煎剂,或与四逆汤煎剂。"
7、矢数道明氏总结自己及各家对此方的应用为:用于腰以下寒冷、表寒和水邪留滞。主诉腰腿有冷重感,或冷痛感,身体有疲倦感。本方主要用于腰痛、腰冷、坐骨神经痛、夜尿症、带下、遗尿症;亦可用于湿疹、溃疡、漏管、下肢萎弱症等。
4、中神琴溪氏云:"京师古门前一妪请治,自言腰腿冷,脚萎弱,一步不能行。如此已经10年,余乃作苓姜术甘汤,而且为她放痧,血迸出许多。初来时乘以肩舆,再来时由人扶之,再来时则靠拄杖,以至自己行来,不用拄杖。"
5、大塚敬节氏治坐骨神经痛云:"36岁男子,约在两个月前发病,左侧自腰至下肢疼痛,而且冷甚。患者身体瘦而白晰,形寒,小便频,冷时则更甚。脉弱,腹部微凹而柔软,胃有振水音,舌无苔,食欲一般,口渴。以小便自利和腰以下冷为的症,投与苓姜术甘汤。《金匮要略》云: 1反不渴,而今患此症有口渴,但服本方3周疼痛痊愈。、此方今有口渴,为大琛敬节先生信仰经方之创造一笔者〉。,'
6、中村谦介氏治腰冷如冰、小便频、浮肿云:"1990年7月12日,一位71岁的老妇人来院。腠稍弯曲,微觉肥胖,但不像那么虚弱,主诉:每遇到风吹脸上,血气上升,变为寒冷,特别是腰重冷压如冰。就是在盛夏,下半身也穿着六件衣服。因冷,每小时小便一次。其他,身体有浮肿,便秘如球状,血压高低不定。腹部稍软,心下部与脐左旁有压痛,两腹直肌紧张明显。余投与苓姜术甘汤和八味丸。服完一周药量来院,自言稍见好转,乃继续服用本方。此患者女儿的婆家,就在当地。
最后是9月29日来院。在此期间,一直服用本方。腰冷症已轻快,所穿衣服已减少数件,所以回到信州故乡去了。余对其后主张抱乐观态度。可是,在19g1年3月14日,上述姑娘为求药来院,听其言讲,患者相隔半年,忽然来到她的住处,身体害冷而摇晃且有腹泻。因此中止八味丸,与苓姜术甘汤与真武汤提纯剂,与其10日的药量服用后,患者本人不再摇晃地由其女儿跟随照管着来院了。腹泻已止。通便良好。我觉得有些奇怪,用苓姜术甘汤和八味丸,能使患者很快变好,为什么反而恶化了呢?据她说,去年11月曾经有一僧人劝她每日饮一玻璃杯萝葡、人参、番茄、芹菜等混合汁,这些生菜液汁,可能对怕寒冷的老人是不利的,命其停止饮用。因回远方信州,令其带去服2个月的真武汤提纯剂。以后又向患者家属打听,说一般良好,寒冷的日子走路已不摇晃,但腹痛与腹泻还有。如果患者再来院时,提纯剂中往往附子不足,打算对附子增量,给与真武汤煎剂,或与四逆汤煎剂。"
7、矢数道明氏总结自己及各家对此方的应用为:用于腰以下寒冷、表寒和水邪留滞。主诉腰腿有冷重感,或冷痛感,身体有疲倦感。本方主要用于腰痛、腰冷、坐骨神经痛、夜尿症、带下、遗尿症;亦可用于湿疹、溃疡、漏管、下肢萎弱症等。
八、栝蒌薤白半夏汤
出自《金匮要略》
[方药]栝蒌10g、薤白12g、半夏18g,以上三味煎好后,分三次服,每次加入食醋40毫升。
[笔者经历]患者病症:冠心病。
献曝语:记得十几年前,有一位洛口的王姓冠心病患者,随着友人来治心脏病。自诉犯病时心绞痛,一年中有5个月住在医院内。诊后,与栝萎薤白白酒汤和变制心气饮合方,令服10剂,如果有效,可服至痊愈。后听其妻言,共服36剂,虽未根治,犯病时吃点西药即可抵挡过去,以后再也没有住过医院,全家极为满意。当时,笔者原籍之侄女女婿,在外地作汽车运输司机,偶然与我相见,谈及因遭冷雨淋湿而患了冠心病,笔者亦与此合方,后来听说并未不见效。后来友人之妻来治冠心病。诊之,与栝萎薤白半夏汤,令服10剂,后知服9剂停药,痊愈。后知此方优于合方,用此方治愈数人。
医界珠玉:
1、大塚、矢数、清水三氏合著《汉方诊疗要览》云:"古人所言之真心痛,与冠心病相类似。栝蒌薤白半夏汤效佳。此痛起于剑突一带当中,其痛彻背,口难于言,可见其凄惨危笃之状。真心痛剧者有朝发夕死之
说。但椿庭氏曾治疗患此症约10人,均大量服用栝蒌薤白半夏汤而治疗。另外有一个用此方无效,另一个用各种治疗方法无效,而突然死亡(有效率约占g096—一笔者〗。此类患者,腹诊多不喜按,脉沉伏,面色不佳。不仅烦躁,而且隐隐作痛,不能平卧为其特点。条文中白酒宜改为醋。药虽难喝,但病重时并不感觉难服。"
2、矢数道明氏治冠心病云:"50岁男子,由于结核,至今已有5个月反复咯血的既往史,前年连续紧张工作之后引起大咯血,同时感到心痛彻背剧烈,不能人睡。内科医生打注射针剂亦无效。经治疗医生认为该患者至多能活二、三日,此时家兄〈矢数有道氏一笔者)往诊,诊为瘀血冲心,以通导散下之,创造了奇迹。其后一年,第二次发咯血和疼痛,虽然仿上次之法,与通导散,但此次无效。由于神经质接受针刺治疗,治疗后咯血立即中止,继之给与六物黄连解毒汤,逐渐趋于好转。现在为第三次咯血,心痛及背。余与栝荽薤白白酒汤,〖先用此方两例,后用本方一笔者)并用醋湿敷心区。于是这次在很短时间内治愈。此患者虽然咯血,但脉不细数,弦而洪大,胸部无严重所见。"又云:"栝萎薤白白酒汤,即此方去半夏,基本用于同样疾患。"又治急性支气管炎云:”34岁妇女,恶寒发热,咳嗽,体温39°C,辗转反侧痛苦难忍,口干,用大青龙汤发汗,第2天体温降至37.1°C,但此次频频咳嗽,喉中咝咝痰鸣,咳时胸痛如锥刺。由于左乳上部剧痛,用陷胸汤、小青龙汤、桔梗白散但均无效。于发病后第五天,因胸痹、喘息、咳嗽、胸背疼痛,短气严重。与栝萎薤白半夏汤,服后感觉胸中爽快。服药3日,胸部所见症状,完全消失而痊愈。"又治喘息性气管炎、肺炎云:“45岁妇女,感受风邪太重,引起支气管炎,高热达40°C,呼吸困难,两肺听到哮鸣音,心下硬,按之自诉有跳痛。与大青龙汤、小青龙汤加杏仁石膏、麻杏甘石汤等均无效。五日间持续苦闷,咳嗽不止,坐卧不安。并出现左胸刺痛连及于背。因其相当于《金匮要略》中之'胸痹之病,喘息咳唾,胸背痛,短气,与栝萎薤白半夏汤。服药一日,诸症减轻。2日热退,喘咳胸痛皆去,胸部所见消失而痊愈。"
3、矢数道明氏总结自己及各家对此方的应用为:本方最常用于冠心病、心功能不全、心脏神经症、心律异常、心源性喘息、心脏瓣膜病、心肌梗塞症、肋间神经痛等;亦可用于肋膜炎、胆石症、纵膈膜肿疡等。
[方药]栝蒌10g、薤白12g、半夏18g,以上三味煎好后,分三次服,每次加入食醋40毫升。
[笔者经历]患者病症:冠心病。
献曝语:记得十几年前,有一位洛口的王姓冠心病患者,随着友人来治心脏病。自诉犯病时心绞痛,一年中有5个月住在医院内。诊后,与栝萎薤白白酒汤和变制心气饮合方,令服10剂,如果有效,可服至痊愈。后听其妻言,共服36剂,虽未根治,犯病时吃点西药即可抵挡过去,以后再也没有住过医院,全家极为满意。当时,笔者原籍之侄女女婿,在外地作汽车运输司机,偶然与我相见,谈及因遭冷雨淋湿而患了冠心病,笔者亦与此合方,后来听说并未不见效。后来友人之妻来治冠心病。诊之,与栝萎薤白半夏汤,令服10剂,后知服9剂停药,痊愈。后知此方优于合方,用此方治愈数人。
医界珠玉:
1、大塚、矢数、清水三氏合著《汉方诊疗要览》云:"古人所言之真心痛,与冠心病相类似。栝蒌薤白半夏汤效佳。此痛起于剑突一带当中,其痛彻背,口难于言,可见其凄惨危笃之状。真心痛剧者有朝发夕死之
说。但椿庭氏曾治疗患此症约10人,均大量服用栝蒌薤白半夏汤而治疗。另外有一个用此方无效,另一个用各种治疗方法无效,而突然死亡(有效率约占g096—一笔者〗。此类患者,腹诊多不喜按,脉沉伏,面色不佳。不仅烦躁,而且隐隐作痛,不能平卧为其特点。条文中白酒宜改为醋。药虽难喝,但病重时并不感觉难服。"
2、矢数道明氏治冠心病云:"50岁男子,由于结核,至今已有5个月反复咯血的既往史,前年连续紧张工作之后引起大咯血,同时感到心痛彻背剧烈,不能人睡。内科医生打注射针剂亦无效。经治疗医生认为该患者至多能活二、三日,此时家兄〈矢数有道氏一笔者)往诊,诊为瘀血冲心,以通导散下之,创造了奇迹。其后一年,第二次发咯血和疼痛,虽然仿上次之法,与通导散,但此次无效。由于神经质接受针刺治疗,治疗后咯血立即中止,继之给与六物黄连解毒汤,逐渐趋于好转。现在为第三次咯血,心痛及背。余与栝荽薤白白酒汤,〖先用此方两例,后用本方一笔者)并用醋湿敷心区。于是这次在很短时间内治愈。此患者虽然咯血,但脉不细数,弦而洪大,胸部无严重所见。"又云:"栝萎薤白白酒汤,即此方去半夏,基本用于同样疾患。"又治急性支气管炎云:”34岁妇女,恶寒发热,咳嗽,体温39°C,辗转反侧痛苦难忍,口干,用大青龙汤发汗,第2天体温降至37.1°C,但此次频频咳嗽,喉中咝咝痰鸣,咳时胸痛如锥刺。由于左乳上部剧痛,用陷胸汤、小青龙汤、桔梗白散但均无效。于发病后第五天,因胸痹、喘息、咳嗽、胸背疼痛,短气严重。与栝萎薤白半夏汤,服后感觉胸中爽快。服药3日,胸部所见症状,完全消失而痊愈。"又治喘息性气管炎、肺炎云:“45岁妇女,感受风邪太重,引起支气管炎,高热达40°C,呼吸困难,两肺听到哮鸣音,心下硬,按之自诉有跳痛。与大青龙汤、小青龙汤加杏仁石膏、麻杏甘石汤等均无效。五日间持续苦闷,咳嗽不止,坐卧不安。并出现左胸刺痛连及于背。因其相当于《金匮要略》中之'胸痹之病,喘息咳唾,胸背痛,短气,与栝萎薤白半夏汤。服药一日,诸症减轻。2日热退,喘咳胸痛皆去,胸部所见消失而痊愈。"
3、矢数道明氏总结自己及各家对此方的应用为:本方最常用于冠心病、心功能不全、心脏神经症、心律异常、心源性喘息、心脏瓣膜病、心肌梗塞症、肋间神经痛等;亦可用于肋膜炎、胆石症、纵膈膜肿疡等。
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