【方剂学】祛暑解表剂--香薷散 Mosla Powder

祛暑解表剂

适用于夏月外感风寒，暑湿伤中证

代表方：

香薷散

1. 香薷散--祛暑解表，化湿和中《太平惠民和剂局方》

组成：香薷、厚朴（姜汁）、白扁豆

1a. 组成

君：香薷-------------去土，一斤（10g）

辛微温，芳香质轻，辛温发散，为夏月祛暑解表要药

臣：厚朴-------------去粗皮，各半斤（5g），姜汁炙熟

苦辛性温，行气除满，燥湿运脾

佐：白扁豆------------微炒

甘淡性平，健脾和中，渗湿消暑

入酒少许同煎，意在温经脉，通阳气，使药力畅达周身。

诸药合用，祛暑解表，化湿和中，有表里双解之功。

此为外寒内湿之证，治当发散表寒、祛除里

【辛温芳香以解表，苦温燥化以和中】

1b. 主治

阴暑：夏月乘凉饮冷，外感风寒，内伤于湿所致

恶寒发热，头疼身痛，无汗：夏感风寒，邪滞肌表，正邪相争，卫闭营郁

腹痛吐泻，胸脘痞闷：露卧饮冷，则湿伤脾胃，气机受阻，升降失常

舌苔白腻：寒湿

脉浮：风寒表实证

浮：轻按即得，重按稍减而不空。
浮而无力，为表虚。
病症：

主表证：外邪侵袭，人体正气趋向于表，故脉浮。
主虚阳浮越：久病精气衰竭，阴不敛阳，虚阳外越。“久病逢之却可惊”

香薷散 & 新加香薷饮

同：均用辛温之香薷、厚朴解表散寒，化湿和中。

异：

香薷散

配健脾化湿之扁豆，以散寒化湿见长
为辛温之剂
主治夏季感寒夹湿、寒湿较盛之证

新加香薷饮

又加扁豆花、金银花、连翘等辛凉轻清之品，药性偏凉，以清热解暑见长
为辛温复辛凉之剂
主治夏季感寒，暑湿内蕴，寒轻暑重之证。

Comments

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