甘遂半夏汤探微

Discussion on Gansui Banxia Decoction

甘遂半夏汤出自《金匮要略》,因其药味峻猛,后世医家鲜有运用。从条文可知,本方主治病证为痰饮伏结证,且具有“饮”“深”“实”等特点,逐水破结、峻药缓攻。本方方小药精而力猛,甘遂与甘草11比例配伍,相反相成,可激荡留饮以尽除之。煎服方法采取药汁与蜜同煎之法。临床多用于治疗结核性胸膜炎、慢性泄泻、肾积水等疾病。

Gansui Banxia Decoction comes from Synopsis of the Golden Chamber.Because of its strong taste,it is rarely used by later physicians.It can be seen from the articles that the main treatment of this prescription is phlegm retention syndrome,which has the characteristics of"fluid","deep"and"excess".It can expel water,break blood stasis and slowly attack with strong medicine.This prescription is small and powerful.The ratio of Gansui(Euphorbia kansui)and Gancao(licorice)is 1:1,which is opposite to each other.It can remove phlegm retention as much as possible.The decocting method is to decoct the medicine juice and honey together.It is mainly used in the treatment of tuberculous pleurisy,chronic diarrhea,hydronephrosis and other diseases.