浅谈参苓白术散中桔梗的妙用

Brief Discussion of the Magical Effects of Jiegeng(Radix Platycodonis) in Ginseng,Poria and Atractylodes Macrocephalae Powder

参苓白术散是主治脾胃虚弱、纳呆腹胀、便溏泄泻、咳嗽痰多、胸闷脘痞等症的常用方剂,对于治疗溃疡性结肠炎、肠易激综合征等均有良好疗效,助于消除肠道炎症,恢复脾肠蠕动功能,增强患者体质而且无不良反应。治疗临床上对其思考研究已较为深入,而为佐药的桔梗在整首方剂中配伍意义巨大,作用不容忽视,用药思路巧妙,且与病机症状环环相扣。

Ginseng,Poria and Atractylodes Macrocephalae Powder is the common formula for treating weakness of the spleen and the stomach,poor appetite; abdominal distention; loose stools and diarrhea,cough and profuse phlegm,stuffed chest and epigastric fullness,which has good therapeutic effects on ulcerative colitis,irritable bowel syndrome,etc. It can eliminate the intestinal inflammation,recover the spleen and intestinal peristalsis and enhance the patients＇ constitution without adverse reactions. It has been studied in depth on the clinical treatment but the effects of the adjuvant drug Jiegeng（ Radix Platycodonis） in the formula should not be neglected. The train of thought of the use of Jiegeng is skillful and is closely related with the pathogenesis and symptoms.