理中丸、附子理中丸、桂附理中丸和参桂理中丸的区别
<div align="left"><p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt"> 很多人脾胃虚寒，吃点凉的，胃就不舒服，拉肚子，看舌相 舌淡苔白，腹部喜暖，这些症状是脾胃虚寒，有人说用了</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">附子理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，感觉效果不太好，甚至</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">还上火</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，这时就要考虑，是不是用错药了？</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span lang="EN-US" style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; letter-spacing: .4pt">
</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">
桂附理中丸：</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">如果说您</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">不仅脾胃虚寒，还经常上火，那可能属于“上热下寒”</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，单纯用“附子理中丸”恐怕就不行了，这时可参考</span><b><span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">“桂附理中丸”</span></b><span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b><span lang="EN-US" style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt"><br></span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
桂附理中丸是在附子理中丸的基础上，做了加减，加上了肉桂。</span><b><span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #FA5359; letter-spacing: .4pt">肉桂</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">除了温补肾阳，还有个作用就是</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #FA5359; letter-spacing: .4pt">“引火归元”</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">。如果您</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">肾阳不足，</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">外加</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">脾胃虚寒</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，肾水就不能上行
去制约心火，就容易</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #FA5359; letter-spacing: .4pt">“上热下寒”</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，而肉桂不仅能鼓动肾水上行，去制约心火，还能</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #FA5359; letter-spacing: .4pt">化“火气”为“元气”</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><br></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
如果您不仅脾胃虚寒，还有肾阳虚，全身怕冷，大便不成形，尿频，心火旺，失眠，口舌生疮等症状，就可参考</span><b><span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">桂附理中丸。</span></b></p><p class="MsoNormal" align="left"><br></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 21.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #FA5359; letter-spacing: .4pt">
详解：</span><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">理中丸，附子理中丸，桂附理中丸，参桂理中丸</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><br></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 21.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">
①理中丸</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
主要功效：</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">温中健脾，和胃止痛。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
同类中成药：</span><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">附子理中丸、香砂养胃丸、小建中合剂、温胃舒颗粒等。</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span lang="EN-US" style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; letter-spacing: .4pt">
</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
典型症状：</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">胃部隐隐作痛，痛喜轻按，怕冷喜欢热食，空腹时疼痛加重，进食后可缓解，体倦乏力，手脚发凉，大便溏薄等。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span lang="EN-US" style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; letter-spacing: .4pt">
</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">
脾胃虚寒</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">的表现：临床上，有这样一类脾胃病的患者，从来不敢吃凉的东西，即使在炎热的夏季，西瓜、绿豆汤、雪糕或冰镇啤酒等这些解暑的东西也不敢吃，</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span lang="EN-US" style="font-size: 13.0pt; font-family: 'Segoe UI Emoji',sans-serif; color: black; letter-spacing: .4pt">
✨</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">一吃胃就隐隐地疼，疼得不厉害，但总是感觉胃部不舒服，喝点热水，或者用热水袋捂一捂，或者用手轻轻按揉一会儿，马上就会感觉舒服多了。</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span lang="EN-US" style="font-size: 13.0pt; font-family: 'Segoe UI Emoji',sans-serif; color: black; letter-spacing: .4pt">
✨</span><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">饿的时候，胃部感觉不舒服或胃痛明显，吃点东西就能缓解，但吃多了会不消化、肚子胀，有时还会吐清水。有些人还伴有体倦乏力、手脚发凉、大便不成形等症状。</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
这些都是</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">脾胃虚寒</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">的典型表现。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span lang="EN-US" style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; letter-spacing: .4pt">
</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
脾胃虚寒包含两层意思，一是</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">脾气虚</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，二是</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">脾的阳气不足</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，导致阴寒内生。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
理解了这两点就为我们选药提供了依据，</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #FA5359; letter-spacing: .4pt">脾气虚，就要健脾；脾寒，就要温中。</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
所以，我们在选药的时候就要选择那些具有温中健脾、和胃止痛作用的药物。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
比如，理中丸就是具有代表性的一味成药。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span lang="EN-US" style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; letter-spacing: .4pt">
</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
理中丸是临床上</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">治疗脾胃虚寒</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">的常用方和基础方，出自《伤寒论》。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
组方：</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">干姜、党参、白术、炙甘草。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
方解：</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">其中</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">干姜</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">性味辛温，是治疗胃寒的专药，能温中祛寒、扶阳抑阴；</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">党参</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">性味甘温，可补气健脾；</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">白术</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">甘温枯燥，可健脾燥湿，既能祛除脾胃的湿浊之气，又能让脾脏重新活跃起来，与干姜、党参搭配，</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">一温一补一燥</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，三法合用，而又</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">以温为主，温中阳，去中焦之寒，补脾气，燥湿浊，助运化，</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">再加上调和诸药的</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">炙甘草</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，共同起到温中祛寒、补气健脾的作用，因此这个药取名为</span><b><span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">“理中”</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span lang="EN-US" style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; letter-spacing: .4pt">
</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
那些脾胃虚寒症状不严重的患者，如胸满腹痛、腹满食少、呕吐泄泻、消化不良、畏寒肢冷等，都可以服用理中丸来调治。不过，在服药前，大家一定要注意，这个药是针对虚寒胃痛的。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span lang="EN-US" style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; letter-spacing: .4pt">
</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
注意：</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">如果是湿热内蕴中焦、脾胃阴虚、泄泻时腹部热胀痛、胃痛灼热、口干舌燥等患者就</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #FA5359; letter-spacing: .4pt">不适合</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">服用这个药了。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
另外，方中有温补药物，所以，感冒发热的患者也不适合服用这个药，以免使体温更高；孕妇则要慎重服用，以免补药影响胎儿的健康。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 21.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">
②附子理中丸</span></b><span lang="EN-US" style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt"><br>
</span><b>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
组方：</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">附子（制）、党参、白术（炒）、干姜、甘草。<span lang="EN-US"><br>
</span><b>功效：</b>温中健脾。用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。<span lang="EN-US"><br>
</span><b>方解：</b>方中</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">附子</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">辛甘温煦，有峻补元阳、散寒止痛的功效；</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">干姜</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">大辛大热、温脾暖胃，和附子配伍是治疗脾胃虚寒、寒湿内盛的要药；阳虚则气弱，</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">党参</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">益气健脾、补虚助阳、养血生津；脾为中土，喜燥恶湿，</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">白术</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">甘温苦燥，健脾除湿；</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">甘草</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">一可健脾益气，二可缓急止痛。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span lang="EN-US" style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
<br>
</span>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
因此这个药不但可以用于治疗</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">胃阳虚</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，也可以用于治疗</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">胃有实寒</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，只要是</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">脾胃的寒证</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，此药当为首选。</span></p><p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><br></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">
理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">适合</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">脾胃虚寒轻症</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">的患者。如果患者的虚寒很严重，胃脘、腹部冷痛，手脚冰凉，甚至小腿都凉，这时吃</span><b><span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">附子理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">温中祛寒的效果会更好。</span></p><p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 21.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">
③参桂理中丸</span></b><span lang="EN-US" style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt"><br>
</span><b>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
组方：</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">人参、肉桂、附子（制）、干姜、白术（炒）、甘草。<span lang="EN-US"><br>
</span><b>功效：</b>温中散寒，祛湿定痛。<span lang="EN-US"><br>
</span>用于脾胃虚寒，阳气不足引起的腹痛泄泻，手足厥冷，胃寒呕吐，寒湿疝气，妇女血寒，行经腹痛。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span lang="EN-US" style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
<br>
</span>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
此方是附子理中丸的加味方，多了肉桂。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">
参桂理中丸<span lang="EN-US">=</span>附子理中丸<span lang="EN-US">+</span>肉桂</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">
肉桂</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">甘热助阳以补虚，辛热散寒以止痛，辛散温通以通气血，最善去痼冷沉寒。因此若是寒证更甚，或是有痛经腹痛，选</span><b><span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">参桂理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">更合适。</span></p>
<p class="MsoNormal" align="left">
<span lang="EN-US" style="font-size: 12.0pt; font-family: MS Gothic"></span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 21.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">
④香砂养胃丸</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
如果患者是胃脘隐痛不舒服、胃中嘈杂、呕吐酸水、没胃口不想吃饭，且四肢倦怠、舌淡胖、苔白滑，说明他不仅</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">中焦虚寒，</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">而且</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">体内有湿，阻滞了气机</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">。这时就既需要</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">温中和胃，还要理气祛湿，</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">可参考</span><b><span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">香砂养胃丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">。</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><br></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 21.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">
⑤小建中合剂</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
如果患者是胃脘拘急疼痛，痛喜重按，而且胃中嘈杂、吞酸、吃饭少、没精神、舌淡苔白，这说明他是</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">中焦虚寒导致的肝脾失调了</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">。这时就需要</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">温中补虚、柔肝理脾、和里缓急</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，临床常用的就是</span><b><span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">小建中合剂。</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><br></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 21.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">
⑥温胃舒颗粒</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
如果患者是胃脘冷痛，而且肚子胀、经常打嗝、吃饭少、怕冷、乏力。这说明他的</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">中焦虚寒使气机阻滞了</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，需要</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">加大行气的力度</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">。这时可选择</span><b><span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">温胃舒颗粒</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">来</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">温胃散寒、行气止痛。</span></b></p><p class="MsoNormal" align="left"><span lang="EN-US" style="font-size: 12.0pt; font-family: 宋体">
</span></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">
桂附理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">和</span><b><span style="font-size: 15.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">参桂理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">的区别：</span></p><p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b>
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
① 药物成分不同：</span><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">桂附理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">的成分包括肉桂、附子、党参和白术等，而</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">参桂理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">的成分则包括人参、肉桂、附子和干姜等。<span lang="EN-US"><br>
</span><b>②功效不同：</b></span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">桂附理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">的功效主要是</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">补肾助阳和健脾温中</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">，而</span><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">参桂理中丸</span><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">的功效则是</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">温中散寒和祛湿定痛</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">。<span lang="EN-US"><br>
</span><b>③适用范围不同：</b></span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">桂附理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">主要用于治疗</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">肾阳衰弱、脾胃虚寒、脘腹冷痛、呕吐泄泻</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">等症，而</span><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">参桂理中丸</span><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">主要用于治疗</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">阳气不足</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">所引发的腹痛泄泻、手足厥冷、胃寒呕吐以及神经腹痛等症。</span></p>
<p class="MsoNormal" align="left"><b>
<span style="font-size: 15.0pt; font-family: 宋体; letter-spacing: .4pt">
平时怎么做，可祛除胃腹中的冷寒？</span></b></p>
<p class="MsoNormal" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">
<span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">
胃腹冷寒的人，平时可用几颗</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">附子理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">或</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">桂附理中丸</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">碾碎加</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #4DBF40; letter-spacing: .4pt">生姜汁</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">适量调匀，填敷在</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #2F76C3; letter-spacing: .4pt">肚脐</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">处，外用伤湿止痛膏固定，能起到不错的</span><b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: #F8AD19; letter-spacing: .4pt">温中养胃</span></b><span style="font-size: 13.0pt; font-family: 'Microsoft YaHei UI',sans-serif; color: black; letter-spacing: .4pt">作用。</span></p>
<p class="MsoNormal"><span lang="EN-US"> </span></p></div><div align="left"> </div> https://mp.weixin.qq.com/s?__biz=MzI4NjUxNDYwMA==&mid=2247485960&idx=1&sn=08723dc66b44be82363f29c0459d92d4&chksm=ebda86cfdcad0fd9f40e93f227e3c0ef1bdb8b2ec21b288f1a74346bd24061ba024fcd91899f&scene=27 总结来说，仅仅是脾胃虚寒参考理中丸，如果是脾肾阳虚，参考附子理中丸，如果肾阳虚特别厉害，还有点心火旺，参考一个桂附理中丸。
页:
[1]