汪逢春活用左金丸经验

A Brief Analysis of Wang Feng-chun's Experience of Using Left Metal Pill Flexibly

汪逢春用左金丸时灵活变化,表现在剂量、剂型、炮制等三个方面,在不同病症中的化裁皆得所宜,对暑湿泄泻、呃逆、便血、崩带、妊娠恶阻、虫积等多种疾病均有治疗作用。《泊庐医案》中有21个案例用到左金丸的剂量化裁应用,与左金丸原方的药物剂量配伍不同,汪老在左金丸原方的思想基础上,以左金丸顾护中焦思想为指导,改变吴茱萸、黄连配伍的剂量。《泊庐医案》中左金丸的炮制方法变化灵活:茱萸、黄连多同炒;所用的黄连多为炒品。汪老在运用左金丸时,根据病情的需要随时调整剂型。

Wang Feng-chun used Left Metal Pill flexibly and appropriately in different symptoms in three aspects,such as dosage,dosage form,and processing methods,and achieved effects on diarrhea due to summer dampness,hiccup,hematochezia,metrorrhagia,pregnant sickness and vomiting,parasitic malnutrition,etc. In Bo-lu’s Case Records,there are 21 cases about proper dosage of Left Metal Pill which is different from that of the original prescription. Based on the original Left Metal Pill,Doctor Wang regarded its function of protecting the middle energizer as the guidance,and changed the dosages of Wuzhuyu（ Fructus Evodiae） and Huanglian（ Rhizoma Coptidis）. In Bo-lu’s Case Records,processing methods of Left Metal Pill are flexible： Zhuyu and Huanglian are often fried. The used Huanglian are usually fried. Doctor Wang always regulated dosage form according to different diseases at any time.