【自己吃过的方】感冒喉咙痛

感冒

7月22日

薄荷10g 后入禅苦杏仁10g 炒白扁豆10g 炒牛蒡子10g

淡豆豉10g 淡竹叶8g 甘草片6g 姜厚朴10g

金银花10g 荆芥10g 桔梗10g 连翘10g

芦根10g 香薷10g

共2剂，每日1剂，水煎服，水煎2次，合计400ml

去厦门时，天气太热，直接喉咙痛。老师说其实可以用藿香正气散。

此方包含

1. 银翘散（清热解表）

· 金银花、连翘、薄荷、荆芥、桔梗、淡竹叶、甘草、芦根、淡豆豉

· → 此为银翘散的主要组成部分（去牛蒡子、竹叶减量），用于风热感冒、咽喉肿痛初起

2. 香薷饮（解暑利湿）

· 香薷、厚朴、白扁豆

· → 出自《太平惠民和剂局方》，主治暑湿感冒、夏月外感夹湿。你此方中用的是“炒白扁豆”和“姜厚朴”，与香薷合用，明显借鉴此方。

3. 桑菊饮/宣肺类方剂（宣肺止咳）

· 薄荷、苦杏仁、桔梗、芦根、淡竹叶

· → 这部分偏向宣肺止咳、润肺清热，对咽干咳嗽有效，常见于外感风热夹咳。

7月24日

禅苦杏仁10g 炒牛蒡子10g 淡豆豉10g 淡竹叶8g

甘草片6g 广藿香10g 桔梗10g 芦根10g

夏枯草10g 香薷10g 紫苏叶10g

共2剂，每日1剂，水煎服，水煎2次，合计400ml

复诊时好多，巩固疗效。

7月26号

白芷10g 陈皮6g 党参5g 法半夏10g 麸炒枳实9g

茯苓10g 甘草片5g 黄芩6g 枇杷叶10g 辛夷9g

薏苡仁15g 竹茹10g

共3剂，每日1剂，水煎服，水煎2次，合计400ml

一直有鼻塞，精神差。有开过电解质水。“暑湿夹风热”的外感病已解其半，肺气未复、清阳不升、邪余未尽是鼻塞和精神差的主因。

1. 二陈汤（陈皮、半夏、茯苓、甘草）

· 功效：燥湿化痰、理气和中

· 本方是治疗痰湿中阻、脾失运化的经典基础方。

2. 小柴胡汤变方 + 清气化痰思路

· 黄芩、枳实：清热化痰、降逆宽中

· 竹茹、枇杷叶：清热化痰、和胃止呕

· 配合半夏、陈皮，增强清热化痰兼降气的功效

3. 辛夷散、苍耳子散结构（治鼻病）

· 辛夷、白芷：通鼻窍、祛风止痛

· 配合党参、薏苡仁：补中益气、祛湿除痹

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