基于古代白虎类医案中药后调摄的研究

Research on the post medication adjustment of Baihu decoction in ancient medical records

白虎类方是在白虎汤基础上,针对阳明经证或并夹他证,加减或合方组成的方剂。古代运用白虎类方的医案中,有丰富的药后调摄方式,通过对收集的20例记载有药后调摄的病案进一步挖掘,可知其药后调摄分为三大类:药后饮食、饮食禁忌、环境调摄,具有重视津液顾护、兼清胃中余火、防邪复感、培蕴正气三方面特色。在现代运用上,一应加强对于白虎类方药后调摄的重视;二应依据时代的变化,丰富药后调摄的多样性,舍去不合理的方式;三应在辨证论治基础上施用各类调摄方式。

Baihu decoction formula is a kind of prescription based on Baihu decoction,which is composed of Yangming meridian or with other syndromes,it′s the addition or subtraction or combination of Baihu decoction.In ancient times,there were abundant methods of post medication adjustment in the medical records of the Baihu decoction formula.Through further investigation of 20 medical records which with post medication adjustment,it was known that the adjustments were classified into three categories:post medication diet,diet taboos and environmental adjustment,and there were three aspects of attaching importance to body fluid care,clearing the remaining fire in the stomach,preventing evil and strengthening the healthy Qi.In modern application,firstly we should strengthen the emphasis on the post medication adjustment of the Baihu decoction.Secondly,according to the changes of the times,we should enrich the diversity of post medication adjustment and abandon unreasonable ways.Thirdly,we should apply various kinds of adjustment methods on the basis of syndrome differentiation and treatment.