也论“甘温除大热”及补中益气汤之应用

Relieving fever with sweet and warm-natured drugs and Buzhong Yiqi Decoction

"甘温除大热"之论,出自李东垣的《脾胃论》。导师刘景源教授认为,其实气虚发热的机制并不复杂,它是因为气虚不能内守,浮越于外所致,也可以说是阴阳失调的表现。"劳者温之,损者益之",明确指出了治疗劳损气虚之证,应当用温补之品。东垣依《内经》制补中益气汤一方,用温补脾胃之品以补气升阳而除热。补中益气汤由温补脾胃的药物组成,通过补气升阳而除热。方中以黄芪、人参、白术、炙甘草补益中气,黄芪、柴胡、升麻升举清阳,使气充而内敛,则不浮越于外,虚热自退。

The theory of ＇relieving fever with sweet and warm-natured drugs＇, from Li Dongheng＇s Treatise on Spleen and Stomach. Professor Liu Jingyuan believes, deficiency of Qi and fever mechanism is not complex, it is because of deficiency of Qi to body can＇t guard inside, while floating at outside, can also be said an imbalance of Yin and Yang＇ s performance. The theory of ＇ warming method for the fatigue, tonifying method for the strain＇ in Canon of Medicine obviously points out that treatment for the strain of Qi deficiency should use warm-tonification product Dongheng according to this system to make Buzhong Yiqi Decoction, use warm-tonifying spleen and stomach medicine to benefit Qi, supply Yang and relieving heat, it is essence of Canon of Medicine. Buzhong Yiqi Decoction consist of waml-tonifying spleen and stomach medicine, by supply Qi and build Yang to removing heat. The prescription adopts astragalus root, ginseng, atractylodes, main licorice to benefit Qi, astragalus, bupleurum, Cimicifuga foetida clearing Yang, make the Qi filling inside, don＇t float at outside, heat will cured.