麻杏石甘汤与定喘汤的方证病机及临床应用分析

Analysis of Syndrome, Pathogenesis And Clinical Application of Maxing Shigan Decoction and Ding Chuan Decoction

麻杏石甘汤和定喘汤均为中医治疗肺病的临床常用方剂,均可用于治疗邪热壅肺型肺部疾病,然而两者在具体临证应用中仍存在细微差异。具体而言,麻杏石甘汤之"邪"为外邪、风寒之邪,而定喘汤之"邪"为内邪,是痰邪,虽然两方的病机因素均有邪热闭塞于肺,但不同点在于麻杏石甘汤的病机因素还有感受外邪,而定喘汤则无。本文主要探讨麻杏石甘汤与定喘汤病机、方证、方药及临床应用4个方面的异同,明确两方的临床应用范围。

Both Maxingshigan Decoction and Ding Chuan Decoction were used for clinical treatment of lung disease. They can be used for the treatment of lung disease caused by pathogenic heat obstructing lung.However,there is still slight difference between the two prescriptions in the specific clinical application.Specifically,Maxingshigan Decoction's "evil" is external evil,cold evil,and Ding Chuan Decoction's "evil"is internal evil,phlegm evil.Although the pathogenic factors of the two sides are pathogenic heat,they are blocked in the lung,the difference is that Maxingshigan Decoction's pathogenesis factors and the feelings of evils,but Ding Chuan Decoction has no external evils.This paper is about to identify the differences and commonality between Maxingshigan Decoction and Ding Chuan Decoction in pathogenesis,prescriptionsyndrome,herbal combination and clinical application,and to ascertain their clinical application.