《金匮要略》甘草泻心汤临床应用举隅

Clinical Application of Gancao Xiexin Decoction in Jin Gui Yao Lue

甘草泻心汤出自《金匮要略·百合狐■阴阳毒病脉证治》。本方重用甘草四两,一方面用其解毒清热,另一方面与人参、大枣配伍以健脾补虚;以辛温之干姜,温中燥湿,配甘草即甘草干姜汤,辛甘生阳以补脾肺阳气;黄芩、黄连清热燥湿。诸药合用共奏健脾燥湿,清热解毒之效。临床应用甘草泻心汤加减治疗白塞病、结节性红斑、干燥综合征、复发性口腔溃疡、口腔黏膜白斑、咳嗽、痤疮、手足口病、真菌性食管炎、肿瘤化疗引起的消化道反应等,取得了较好疗效。甘草泻心汤出自《金匮要略·百合狐阴阳毒病脉证治》。本方重用甘草四两,一方面用其解毒清热,另一方面与人参、大枣配伍以健脾补虚;以辛温之干姜,温中燥湿,配甘草即甘草干姜汤,辛甘生阳以补脾肺阳气;黄芩、黄连清热燥湿。诸药合用共奏健脾燥湿,清热解毒之效。临床应用甘草泻心汤加减治疗白塞病、结节性红斑、干燥综合征、复发性口腔溃疡、口腔黏膜白斑、咳嗽、痤疮、手足口病、真菌性食管炎、肿瘤化疗引起的消化道反应等,取得了较好疗效。

Gancao Xiexin Decoction was first recorded in Jin Gui Yao Lue Baihe Huhuo Yinyang Du Bingmai Zhengzhi. There are four Liang of Gancao in this prescription,in order to detoxify Toxin and Heat on the one hand and to tonify Spleen deficiency on the other hand be used with Ginseng and Jujube. Dried ginger,which is warm and can dispel Dampness,can be used with Gancao. The prescription is called Gancao Ganjiang Decoction,which functions to tonify Yang of Spleen and Lung. Huangqin and Huanglian can clear Heat and dispel Dampness. All kinds of these medicines are used together to work in tonifying Spleen,dispelling Dampness,clearing Heat and detoxifying. The Clinical application of Gancao Xiexin Decoction can cure Behcet’s disease,nodular erythema,Sjogren’s syndrome,recurrent oral ulcer,oral mucosal leukoplakia,cough,acne,hand-foot-and-mouth disease,fungal esophagitis and digestive tract reaction induced by tumor chemotherapy,etc. with satisfactory efficacy.