刘喜明老师乌梅丸临床应用心法

Clinical Application of Wumei Pill by Professor Liu Ximing

乌梅丸出自《伤寒论》厥阴病篇,原为蛔厥、久利而设,清代柯琴谓"乌梅丸为厥阴主方"。刘喜明老师认为乌梅丸酸苦甘辛寒热并用、阴阳共调、气血兼顾、攻补兼施、刚柔相济,集扶正祛邪于一方;凡厥阴风木同夹寒热,乘虚内扰脾胃而木土不和,及寒热虚实错杂的内、外、妇、儿各科诸证皆可使用。本文从厥阴之本质、乌梅丸使用指征、乌梅丸的组方思想、应用关键及验案举例几个方面全面阐述了刘师使用乌梅丸的经验。

Wumei pill is recorded in Shanghan Lun·Jueyin diseases. It is firstly used to treat ascariasis of biliary tract and Ludovic giuly. Ke Qin from Qing Dynasty regards that＂Wumei pill can be used as a master medicine to treat Jueyin diseases＂. Professor Liu Ximing argues that Wumei pill combines soreness,bitterness,pungency,coldness and heat,so it can co-regulate yin and yang,qi and blood,and both tonify healthy qi and purge dirty. It can be used when cold and heat pathogen attack Jueyin liver,when the coordination of the spleen and stomach was disrupted,or when cold,heat,excessiveness and deficiency mixed together. Also,it can be used in internal medicine,surgery,gynecology,and pediatrics. This paper discuss the nature of Jueyin diseases,the indications and composition principle of Wumei pill,the caution in using it and some examples of application to illustrate the experience of Liu Ximing in using Wumei pills.