何庆勇运用柴胡桂枝干姜汤的经验

HE Qing-yong's Experiences in the Application of Chaihu Guizhi Ganjiang Decoction

柴胡桂枝干姜汤出自《伤寒杂病论》,为胆热脾寒证而设。文章从多角度介绍了何庆勇运用柴胡桂枝干姜汤治疗疑难病的临床经验,其认为柴胡桂枝干姜汤的临床运用有以下五个关键点:一是辨清主要方证,柴胡桂枝干姜汤的主要方证是:口苦或口干,但头汗出,大便溏。二是柴胡剂量须是其他药物的2倍,临床实践证明柴胡量少则疗效锐减或无效。三是依古法加减,认为柴胡桂枝干姜汤属于柴胡类方,小柴胡汤方后的古法加减同样适用于柴胡桂枝干姜汤。四是重视煎服法,主张去滓再煎与日三服。五是注重经方叠用。

Chaihu Guizhi Ganjiang decoction originated from Treatise on Febrile and Miscellaneous Diseases was designed for the gallbladder heat and spleen-cold syndrome. The clinical application of Chaihu Guizhi Ganjiang decoction involved five key aspects by introducing the clinical application of HE Qing-yong by using Chaihu Guizhi Ganjiang decoction to treat the stubborn disease from multi-perspective. Firstly,the main prescriptions and syndromes were differentiated. There were bitter taste in the mouth or dry mouth,sweating only on head and loose stools on the main prescriptions and syndromes of Chaihu Guizhi Ganjiang decoction. Secondly,the dosage of radix bupleuri should be 2 times that of other medicine. If not,the effect would be poor or invalid. Thirdly,according to ancient method of compatibility,Chaihu Guizhi Ganjiang decoction belonged to radix bupleuri compounds,and its compatibility was the same as Xiaochaihu decoction.Fourthly,regularity of decocting and taking medicines was paid attention. The medicine was decocted again before removing herb residue and taken it three times a day. Fifthly,the usage of Chaihu Guizhi Ganjiang decoction with other classic formulas was emphasized.