张声生应用百合乌药汤的临证经验

ZHANG Shengsheng's clinical experience in application of Baihe Wuyao Decoction

百合乌药汤是治疗脾虚气滞、寒热错杂之胃痛的名方。张声生教授把握百合乌药汤补脾胃阴、降气润燥、调气和血的作用,可将其辨证配伍用于脾胃阴虚、气滞不通导致的吐酸、胃痛、胃痞等病的治疗,遣方用药时重视药物配伍,以求达到增效减毒、扩大治疗范围等目的,临床常用百合25~30 g配伍乌药10 g,以发挥其补虚降逆的作用,并根据其药性组成特点,配伍活血行气之丹参饮以增强治胃痛之功,清热祛湿之左金丸以治吐酸,健脾益气之六君子汤或异功散以治疗胃痞,扩大了本方的使用范围,临床疗效显著。

Baihe Wuyao Decoction is from Chen Xiuyuan's"Shi Fang Song Kuo".It is composed of lily two liang and Wuyao three liang.It is a famous prescription for treating spleen deficiency and qi stagnation,cold and heat mixed with stomach pain.Professor Zhang Shengsheng grasped the functions of Baihe Wu Decoction in supplementing spleen,spleen and stomach Yin,lowering qi and moistening dryness,regulating qi and blood,and applied it in the treatment of acid vomiting,stomach pain,stomach fullness and other diseases caused by deficiency of spleen Yin,spleen and stomach Yin deficiency and qi stagnation.The application scope of this prescription was expanded,and the clinical effect was remarkable.