解析半夏白术天麻汤及其在神经内科的应用

Analysis of Banxia Baizhu Tianma Decoction and Its Application in Neurology

目的:探讨不同组方的半夏白术天麻汤在神经内科的应用。方法:研究原方及相关文献,搜集近2 a来门诊病历,经过分析、辨证论治得出临床疗效,从中进行研究。结果:李东垣之方,是为内伤头痛而设,主治脾胃虚弱,痰湿内阻,虚风上扰致痰厥头痛。程钟龄之方,是为治疗眩晕而设,主治痰浊中阻,清阳不升,浊阴不降,风痰上逆清窍之眩晕。结论:不同组方的半夏白术天麻汤主证不同,临床脑病中常取两方化裁,治疗取得较为满意的结果。

Objective：To discuss the application of the different formulating prescription about Banxiabaizhutianma Decoction in neurology.Methods：Studying the original prescriptions and reference literatures,collecting the clinic medical record in resent two years.Clinical effects were obtained by analysis and syndrome differentiation and treatment.Results：The formulate of Li Dongyuan for headache of internal injure,while the formulate of Cheng Zhongling for dizziness,resistance phlegm turbidity in intermediate stoppage,clear yang failing to bear upward turbidity yin failing to bear downward wind phlegm ascending counterflow.Conclusion：Banxiabaizhutianma Decoction of different formulating prescription are aimed at different main symptoms,but in the clinical application of neurology,we usually change the prescription and then gain the more satisfying effective.