2022年中医内科学表格归纳包括方剂歌诀 .pdf
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1、中医内科学表格归纳包括方剂歌诀一、感冒解表达邪是感受触冒风邪,邪犯卫表而导致的常见外感疾病。临床表现以鼻塞、流涕、喷嚏、咳嗽、头痛、恶寒、发热、全身不适、脉浮为其特征。证型治法代表方药1.风寒束表证辛温解表荆防达表汤或荆防败毒散2.风热犯表证辛凉解表银翘散或葱豉桔梗汤3.暑湿伤表证清暑祛湿解表新加香薷饮4.气虚感冒益气解表参苏饮5.阴虚感冒滋阴解表加减葳蕤汤第一节感冒1 风寒束表证 荆防败毒散就是人参败毒散去人参加荆荆防达表汤荆防达表苏芷苓,姜葱神曲橘杏仁,辛温疏表宣肺卫,风寒感冒服康宁。2 风热犯表证 银翘散银翘散主上焦疴,竹叶荆蒡豉薄荷;甘桔芦根凉解法,清疏风热煮无过。葱豉桔梗汤葱豉桔梗薄
2、荷翘,山栀竹叶加甘草,热邪束肺嗽咽痛,风温初起此方疗。葱豉桔梗汤连翘,竹叶栀子薄荷草,疏风解表清肺热,咽痛咳嗽服之效。3 暑湿伤表证 新加香薷饮(辛温辛凉并用)表里双解汤大黄黄芩用酒炒,薄桑银荆加石膏,赤芍再请牡丹皮,表里双解功劳高。4 气虚感冒证 参苏饮方歌二参苏饮内用陈皮,枳壳前胡半夏齐;干葛木香甘桔茯,气虚感寒最相宜。5 阴虚感冒 加减葳蕤汤方歌一玉竹姐为何早操吃葱(玉竹、桔梗、白薇、薄荷、大枣、甘草、豆豉、葱白)方歌二加减葳蕤用白薇,豆豉葱白桔梗随,草枣薄荷成八味,阴虚感冒用毋违。加减葳蕤用白薇,豆豉生姜桔梗随,草枣薄荷共八味,滋阴发汗功可谓。二、咳嗽外感咳嗽应祛邪利肺;内伤咳嗽标实者
3、祛邪止咳,本虚者扶正补虚。指肺失宣降,肺气上逆作声,咯吐痰液而言,为肺系疾病的主要证候之一。分别言之,有声无痰为咳,有痰无声为嗽,一般多为痰声并见,难以截然分开,故以咳嗽并称。证型治法代表方药1)风寒袭肺证疏风散寒、宣肺止咳三拗汤合止咳散2)风热犯肺证疏风清热、宣肺止咳桑菊饮3)风燥伤肺证疏风清肺、润燥止咳桑杏汤4)痰湿蕴肺证燥湿化痰、理气止咳二陈平胃散合三子养亲汤5)痰热郁肺证清热肃肺、豁痰止咳清金化痰汤文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10
4、S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5
5、 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2
6、S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7
7、 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5
8、B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E
9、2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:
10、CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E26)肝火犯肺证清肺泻肝、顺气降火黛蛤散合加减泻白散7)肺阴亏耗证滋阴润肺、化痰止咳沙参麦冬汤第二节咳嗽(一)外感咳嗽1 风寒袭肺证 三拗汤三拗汤用麻杏草,宣肺平喘效不低。止嗽散方歌一止嗽散用百部菀,白前桔草荆陈研。宣肺疏风止咳痰,姜汤调服不必煎。方歌二止嗽散用荆桔前,紫菀百部陈草研,每服三钱姜汤调,止咳化痰解表兼。方歌三止嗽散内用桔梗,紫菀荆芥百部陈;白前
11、甘芷共为末,姜汤调服止嗽频。2 风热犯肺证 桑菊饮桑菊饮中桔杏翘,芦根甘草薄荷饶;清疏肺卫轻宣剂,风温咳嗽服之消。3 风燥伤肺证 桑杏汤(温燥)方歌一桑杏汤中浙贝宜,沙参栀豉与梨皮;干咳鼻涸又身热,清宣凉润燥能祛。方歌二桑杏杀身,智斗贝利(桑杏沙参,栀子、豆豉、浙贝母、梨皮)杏苏散(凉燥)方歌一杏苏散内夏陈前,枳桔苓草姜枣研;轻宣温润治凉燥,咳止痰化病自痊。方歌二杏苏二陈三,更值钱(二陈:二陈汤;三:姜、草、枣;桔梗、枳实、前胡)(二)内伤咳嗽4 痰湿蕴肺证 二陈汤平胃散合三子养亲汤二陈平胃散=二陈+平胃散二陈汤用半夏陈,苓草梅姜一并存;利气祛痰兼燥湿;湿痰为患此方珍。平胃散:苍术皮老厚(苍术
12、、陈皮、甘草、厚朴)平胃散平胃散用朴陈皮,苍术甘草四味齐,燥湿宽胸消胀满,调胃和中此方宜。三子养亲(来借书)莱芥苏5 痰热郁肺证 清金化痰汤清金化痰肺热吃,芩草蒌仁与山栀;桔梗云苓广橘红,桑皮二母麦冬施。(二母:知母贝母)6 肝火犯肺证 黛蛤散合加减泻白散黛蛤散:青黛蛤蚧泻白散(清泻肺中伏火,清郁热,小儿稚阴)泻白桑皮地骨皮,粳米甘草扶肺气。7 肺阴亏虚证 沙参麦冬汤方歌一沙参麦冬扁豆桑,玉竹花粉甘草襄;秋燥耗津伤肺胃,咽涸干咳最堪尝。方歌二沙参麦冬用玉竹,桑叶扁豆伴甘草文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM
13、2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C
14、5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO
15、1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z
16、10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档
17、编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2
18、R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q8V5 HM2J2S3C5Y7 ZO1J5B2Z10E2文档编码:CL2R10S9Q
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