图书 馆员 / 口腔 / 滚痰丸

分享

   

滚痰丸

2021-12-06  图书 馆员

『方剂学』滚痰丸

滚痰丸

《丹溪心法附余》

【组成】  大黄(15g)  黄芩(15g)  礞石(3g)  沉香(2g)

【功用】  泻火逐痰。

【主治】  实热老痰证。癫狂惊悸,或怔忡昏迷,或咳喘痰稠,或胸脘痞闷,或眩晕耳鸣,或绕项结核,或口眼蠕动,或不寐,或梦寐奇怪之状,或骨节卒痛难以名状,或噎息烦闷。大便秘结,舌苔黄腻,脉滑数有力。

【歌诀】  滚痰丸用青礞石,大黄黄芩与沉香,百病皆因痰作祟,顽痰怪证力能匡。

敌痰丸

【处方】黑牵牛3两,皂角2两(去皮弦,火中微烧),白研(枯)1两,半夏曲(炒)1两,陈皮(去白)1两。

【制法】上为细末,煮萝卜为丸,如梧桐子大。

【功能主治】宽胸膈,快气。主痰盛。

【用法用量】本方方名,《普济方》引作“涤痰丸”。

【摘录】《瑞竹堂方》卷二引完颜府判方

中医方剂:倒痰汤
【处方】参芦1两,瓜蒂7枚,白芍1两,白芥子1两,竹沥2合。

【功能主治】性喜食酸,因多食青梅,得痰饮之病,痰饮随气升降而作痛,日间胸膈中如刀之刺,至晚而胸膈痛止,膝(骨可)大痛。

【用法用量】水煎服。1剂必大吐,尽去其痰,其痛如失,然后用二陈汤调理,不再痛。

【各家论述】用参芦以扶胃土,用白芍以平肝木,用白芥子、竹沥并入于瓜蒂之中,吐痰即用消痰之药,使余痰尽化,旧痰去而新痰不生,得治痰之益,又绝其伤气之忧也。

【摘录】《辨证录》卷九

    中医五绝网建议:以上中医方剂仅供参考,一定要在中医师的临证指导下用药

中医常用的除痰方剂

◎方  名:二陈汤(除痰之剂) 
   总  结:溼痰 
   组  成:半夏、陈皮、茯苓、甘草。 
   主  治:治一切痰饮为病,欬嗽胀满,呕吐恶心,头眩心悸。 
   加  减:1.风痰:加南星、白附、皂角、竹沥。 
           2.寒痰:加半夏、姜汁。 
           3.火痰:加石膏、青黛。 
           4.湿痰:加苍术、白术。 
           5.燥痰:加栝蒌、杏仁 
           6.食痰:加山查、麦芽、神麴。 
           7.老痰:加枳实、海石、芒硝。 
           8.气痰:加香附、枳壳。 
           9.痰在皮裏膜外:加白芥子。 
           10.四肢痰:加竹沥。 
   归  经:此足太阳明药也。 
   方  义:1.半夏:辛温体滑,性燥,行水利痰为君。 
2.痰因气滞,气顺则痰降,故以橘红利气。 
           3.痰由湿生,湿去则痰消,故以茯苓渗湿为臣。 
           4.中不和则痰涎聚,又以甘草和中补土为佐。 
   变化方:1.六君子汤:本方加人参、白术。治气虚有痰。 
           2.陈皮半夏汤:本方去茯苓、甘草。 
           3.桔梗半夏汤:上方加桔梗。 
           4.半夏茯苓汤:本方去陈皮、甘草。 
           5.小半夏加茯苓汤:上方加生姜。并治水气呕恶。 
           6.茯苓半夏汤:本方加黄芩。治热痰。 
           7.二陈加栀连生姜汤:本方加黄连、栀子、生姜。治膈上热痰,令人呕吐。 
           8.砂枳二陈汤:本方加砂仁、枳壳。行痰利气。 
           9.导痰汤:本方加星、枳实。治顽痰胶固。非二陈汤所能除者,再加菖蒲, 
           治惊悸健忘,怔忡不寐。 
           10.顺气导痰饮:导痰汤加木香、香附。治痰结胸满,喘欬上气。 
           11.本方加枳实、菔子、山查、神麴、栝蒌。治食积痰嗽发热。                  
           12.加味二陈汤:本方加苍术、枳壳、片子姜黄。治痰攻眼肿,并酒家手臂重痛 
           麻木。 
           13.温中化痰丸:本方除甘草,加乾姜、姜汁糊丸。治胸膈寒痰不快。 
           14.三圣丸:本方除茯苓、甘草,加黄连、麴糊丸,姜汤下治痰火嘈杂,心悬如饥 
           15.橘皮汤:单用陈皮生姜。治乾呕哕,及手足厥者。 
           16.生姜半夏汤:单用半夏、姜汁治似喘不喘,似呕不呕,似哕不哕,心中愦愦然 
           无奈者。 
           17.消暑丸:本方半夏醋煮,除陈皮,姜汁丸。 
   煎服法:加姜煎。
   来  源:局方 
 ◎方  名:润下丸(除痰之剂) 
   总  结:膈痰
   组  成:广陈皮、甘草 
   主  治:治膈中痰饮。
   加  减:(1)湿胜加星、夏。 
           (2)火盛加芩、连。 
   归  经:足太阴阳明药。
方  义:(1)陈皮燥湿而利气,湿去而痰涸,气顺而痰行。                              
           (2)食盐润下而软坚,润下则痰降,软坚则痰消。
           (3)痰在膈中,故用甘草引之入胃,甘草经蜜炙能健脾调胃,脾胃健则痰自行矣。 
   煎服法:(1)蒸饼糊丸。 
           (2)或将陈皮盐水煮烂,晒乾,同甘草为末,名「二贤散」,姜汤下。            
   禁  忌:虚弱人慎用。
   备  注:即二贤散 
 ◎方  名:桂苓甘术汤(除痰之剂) 
总  结:痰饮&组  成:茯苓、桂枝、白术、甘草 
   方  义:喻嘉言曰:「茯苓治痰饮,伐肾邪,渗水道。桂枝通阳气,开经络,和营卫。     
           白术燥痰水,除胀满,治风眩。甘草得茯苓,则不资满而反泄满,故本草曰:     
           『甘草能下气,除烦满。』此证为痰饮阻抑其阳,故用阳药以升阳而化气也。     
   来  源:金匮 
 ◎方  名:清气化痰丸(除痰之剂) 
   总  结:热痰 
   组  成:半夏、橘红、茯苓、黄芩、栝蒌仁、枳实、胆星、苦杏仁                       
   主  治:治热痰。                                                                 
   归  经:手足太阴药。                                                             
   方  义:(1)治痰火之通剂也。气能发火,火能役痰。                                  
           (2)半夏、南星以燥湿气,瓜蒌、黄芩以平湿气,陈皮以顺裏气,杏仁以降逆      
           气,枳实以破积气,茯苓以行水气。                                         
           (3)水湿火热,皆生痰之本也。盖气之亢而为火,犹民之反而为贼,贼反则还      
为良民,而复其业矣。火退则还为正气,而安其位矣。故化痰必以清气为先也。                                                                       
   煎服法:姜汁糊丸,淡姜汤下。                                                     

 ◎方  名:顺气消食化痰丸(除痰之剂) 
   总  结:食痰                                                                     
   编  号:005                                                                      
   组  成:半夏、胆星、杏仁、苏子、莱菔子、青皮、陈皮去白、香附、葛根、神麴、山     
           楂、麦芽                                                                 
   主  治:治酒食生痰,胸膈膨闷,五更咳嗽。                                         
   归  经:手足太阴药。                                                             
   方  义:(1)痰由溼生,半夏、南星,所以燥溼。                                      
;(2)痰由气升,苏子、菔子、杏仁,所以降气。                                
           (3)痰由气滞,青皮、陈皮、香附,所以导滞。                                
           (4)痰因於酒食,葛根、神麴,所以解酒;山楂、麦芽,所以化食。              
           (5)溼去食消,则痰不生。气顺则咳嗽止,痰滞既去,满闷自除也。              
   煎服法:姜汁和蒸饼糊丸。                                                         
   来  源:瑞竹堂                                                                   

 ◎方  名:清肺饮(除痰之剂) 
   总  结:痰嗽                                                                     
   编  号:006                                                                      
   组  成:五味子、桔梗、橘红、茯苓、贝母、杏仁、甘草                               
   主  治:治痰溼气逆而咳嗽。                                                       
   加  减:(1)若春时伤风咳嗽,鼻流清涕,宜清解,加薄荷、防风、紫苏、炒芩。          
           (2)夏多火热,宜清降,加桑皮、麦冬、黄芩、知母、石膏。                    
           (3)秋多溼热,宜清热利溼,加苍术、桑皮、防风、栀、芩。                    
           (4)冬多风寒,宜解表行痰,加麻黄、桂枝、乾姜、生姜、半夏、防风。          
           (5)火嗽加清黛、栝蒌、海石。 
           (6)食积痰加香附、山楂、枳实。 
           (7)溼痰除贝母,加半夏、南星。 (8)燥谈痰加栝蒌、知母、天冬。             
           (9)午前嗽属胃火,宜清胃,加石膏、黄连。 
           (10)午後嗽属阴虚,宜滋阴降水,加芎、归、芍、地、知、柏、二冬、竹沥、     
              
           (11)黄昏嗽为火浮于肺,不可用凉药,宜五倍、五味、诃子、,敛而降之。       
           (12)劳嗽见血,多是肺受热邪,宜加归、芍、阿胶、天冬、知母、款冬、紫苑     

           (13)久嗽肺虚,加参、耆。如肺热,去人参,用沙参可也。                     
   归  经:此手太阴之药,治肺之通剂。                                               
   方  义:(1)杏仁解肌散寒,降气润燥。 
           (2)贝母清火散结,润肺化痰。 
           (3)五味敛肺而宁嗽。 
           (4)茯苓除湿而理脾。 
           (5)橘红行气
           (6)甘草和中 
           (7)桔梗清肺利膈,载药上浮,而又能开壅发表也。                            
   煎服法:加姜煎。食远服。                                                         

 ◎方  名:金沸草散(除痰之剂) 
   总  结:伤风欬嗽
   组  成:旋覆花、前胡、细辛、荆芥、赤茯苓、半夏、炙甘草                           
主  治:治肺经伤风,头目昏痛,咳嗽多痰。                                         
   加  减:(1)如满闷,加枳壳、桔梗。                                                
           (2)有热加柴胡、黄芩。                                                    
           (3)头痛加川芎。
   归  经:手太阴药。                                                               
   方  义:(1)痰涎内结,前胡、旋覆消痰而降气。                                      
           (2)半夏燥痰而散逆。 
           (3)风热上壅,荆芥辛轻发汗而散风。                                        
           (4)甘草发散而和中。 
           (7)盖痰必挟火而兼溼,故下气利溼而证自平。                                
           (8)茯苓用赤者,入血分而泻丙丁也。                                        
   又附方:局方加麻黄、赤芍,无赤茯、细辛。                                         
   煎服法:加姜、枣煎。                                                             
   来  源:活人                                                                     

 ◎方  名:百花膏(除痰之剂) 
   总  结:痰嗽                                                                     
   编  号:008                                                                      
   组  成:百合、款冬花                                                             
   主  治:治喘咳不已,或痰中有血,虚人尤宜。                                       
   归  经:手太阴药。                                                               
   方  义:款冬泻热下气,清血除痰。百花润肺宁心,补中益气。并为理嗽要药。           
   变化方:加紫苑、百部、乌梅,名「加味百花膏」。治同,煎服亦可。                   
   煎服法:等分,蜜丸,龙眼大,食後临卧姜汤下。或噙化。                             
   来  源:济生                                                                     

 ◎方  名:三仙丹(除痰之剂) 
   总  结:气痰                                                                     
   编  号:009                                                                      
   组  成:半夏麴、南星麴、香附。                                                   
   主  治:治中脘气滞,痰涎不利。                                                   
   归  经:足阳明、手足太阴药。                                                     
   方  义:(1)星、夏以燥肺胃之痰。                                                  
           (2)香附以快三焦之气,使气行则痰行也。                                    
   煎服法:糊丸,姜汤下。
   来  源:百一方                                                                   
 ◎方  名:半夏天麻白术汤(除痰之剂) 
   总  结:痰厥头痛                                                                 
组  成:半夏、天麻、人参、黄耆、苍术、白术、茯苓、泽泻、神麴、麦芽、陈皮、黄     
           蘗、乾姜                                                                 
   主  治:治脾胃内伤,眼黑头眩,头痛如裂,身重如山,恶心烦闷,四肢厥冷,谓之足     
           太阴痰厥头痛。                                                           
   归  经:足太阴药。                                                               
   方  义:(1)痰厥头痛,非半夏不能除。                                              
           (2)头眩眼黑,虚风内作,非天麻不能除。                                    
           (3)二术甘苦而温,可以除痰,亦可以益气。                                  
           (4)黄耆、人参甘温,可以泻火,亦可以补中。                                
           (5)苓、泻泻热导水。                                                      
           (6)陈皮调气升阳。                                                        
           (7)神麴消食,荡胃中滞气。                                                
           (8)麦芽化结,助戊己运行。                                                
           (9)乾姜辛热,以涤中寒。                                                  
           (10)黄柏苦寒,酒洗,以疗少火在泉发躁也。                                 
   煎服法:每服五钱。                                                               
   来  源:东垣                                                                     

 ◎方  名:茯苓丸(除痰之剂) 
   总  结:停痰臂痛                                                                 
   编  号:011                                                                      
   组  成:茯苓、风化硝、枳壳、半夏麴                                               
   主  治:治痰停中脘,两臂疼痛。 
   归  经:足太阴、阳明药。                                                         
   方  义:(1)茯苓渗水。                                                            
           (2)化硝监。                                                            
           (3)枳壳行气。                                                            
           (4)半夏燥溼。                                                            
           (5)生姜制半夏之毒而除痰,使痰行气通,臂通自止矣。                        
   煎服法:姜汁糊丸,姜汤下。                                                       
   来  源:指迷                                                                     
 ◎方  名:控涎丹(除痰之剂) 
   总  结:痰涎                                                                     
   编  号:012                                                                      
   组  成:白芥子、甘遂、大戟                                                       
   主  治:1.治人忽患胸背手足腰项筋骨牵引钓痛,走易不定,或手足冷痹,气脉不通。     
           1.此乃痰涎在胸膈上下,误认瘫痪,非也。                                   
   加  减:(1)寒厥加胡椒、丁香、姜、桂。     

6 归  经:手足太阴、阳明药。                                                      
   方  义:(1)礞石剽悍之性,能攻陈积伏历之痰。                                     
           (2)大黄荡热去实,以开下行之路。                                         
           (3)沉香能升降诸气,上至天而下至泉,以导诸药为使也。                     
           (4)黄芩泻肺凉心,以平上僭之火。                                         
   变化方:(1)本方加玄明粉一两,朱砂为衣,治同。                                   
           (2)本方减大黄、黄芩各六两,加橘红、半夏各二两,甘草一两,竹沥、姜汁     
           为丸,名「竹沥达痰丸」,治同。力稍和缓。                                
           (3)单用礞石一味,治如前法,名「夺命丹」。薄荷自然汁,蜜调温服。治小     
           儿急慢惊风,痰涎壅盛,药不得下,命在须臾。                              
   煎服法:上将礞石打碎,用朴硝一两,同入瓦罐,盐泥固济,晒乾,火锻,石色如金为    
           度,研末和诸药水丸。量人虚实服之,姜汤送下。服後仰卧,令药在胸膈之间    
           ,除逐上焦痰滞,不宜饮水行动。                                          
   禁  忌:然皆峻剂,非体实者不可轻投。                                            
   来  源:王隐君                                                                  

 ◎方  名:牛黄丸(除痰之剂)
   总  结:风惊痰                                                                
   编  号:016                                                                     
   组  成:牛黄、防风、天麻、僵蚕、蝉蜕、白附子、胆星、金蝎、麝香                  
   主  治:治风痫迷闷,涎潮抽掣。                                                  
   归  经:手少阴、足太阴、厥阴药。                                                
   方  义:牛黄清心,解热开窍利痰。天麻、防风、南星、全蝎辛散之味;僵蚕、蝉蜕清    
           化之品;白附头面之药;皆能搜肝风而散痰结。麝香通窍。水银劫痰。引以姜    
           、芥者,亦以逐风而行痰也。                                              
   煎服法:煮枣肉和水银五分,细研,入药末为丸。荆芥姜汤下。                        

 ◎方  名:辰砂散(除痰之剂)
   总  结:风痰癫痫                                                                
   编  号:017                                                                     
   组  成:辰砂、枣仁、乳香                                                        
   主  治:治风痰诸痫,癫狂心疾。                                                  
   归  经:手少阴药。                                                              
   方  义:(1)辰砂镇心泻心火。                                                     
           (2)枣仁补肝胆而宁心。                                                   
           (3)乳香入心散瘀血。                                                     
   变化方:本方加人参一两,蜜丸,弹丸大,名「宁志膏」,每服一丸,薄荷汤下,治同    
           。                                                                      
   煎服法:温酒调下,恣饮沉醉,听睡一、二日勿动,万一惊寤,不可复治。              
   来  源:灵苑                                                                    
◎方  名:白金丸(除痰之剂)
   总  结:痰血迷心                                                                
   编  号:018                                                                     
   组  成:白矾、郁金。                                                            
   主  治:治癫狂失心。                                                            
   归  经:手少阴药。                                                              
   方  义:白矾酸咸,能顽痰。郁金苦辛,能去恶血。痰血去则心窍开而疾已矣。        
   煎服法:薄荷糊丸。                                                              

 ◎方  名:青州白丸子(除痰之剂)
   总  结:风痰                                                                    
   编  号:019                                                                     
   组  成:川乌、白附子、半夏、南星                                                
   主  治:1.治风痰涌盛,呕吐涎沫,口眼喎邪,手足瘫痪,小儿惊风。                  
           2.及痰盛泄泻。                                                          
   归  经:足厥阴、太阴药。                                                        
   方  义:痰之生也,由风由寒由溼,故用:                                          
           (1)川乌、白附之辛热,以温经逐风。                                       
           (2)半夏、南星之辛温,以燥溼散寒。浸而暴之者,杀其毒也。                 
   煎服法:为末,绢袋盛之,水摆出粉,未尽,再摇再摆,以尽为度。贮磁盆,日暴夜露    
           ,春五日,夏三,秋七,冬十日,晒乾,糯米糊丸,如绿豆大。每服二十丸,    
           姜汤下。瘫痪酒下。惊风薄荷汤下三、五丸。                                

 ◎方  名:星香散(除痰之剂)
   总  结:风痰                                                                    
   编  号:020                                                                     
   组  成:胆星、木香                                                              
   主  治:治中风痰盛,体肥不渴者。                                                
   归  经:足厥阴药。                                                              
   方  义:(1)南星燥痰之品,制以牛胆,以杀其毒,且胆有益肝胆之功。                 
           (2)佐以木香,取其行气以利痰也。                                         
           (3)肥而不渴,宜燥可知,加全蝎者,以散肝风也。                           
   又附方:或加全蝎。                                                              
   煎服法:为末服。                                                                

 ◎方  名:常山饮(除痰之剂)
   总  结:劫痰截疟                                                                
   编  号:021                                                                     
   组  成:常山、乌梅、草果、贝母、槟榔、知母                                      
   主  治:疟久不已者,用此截之。                                                  
   归  经:足少阴、太阴药。                                                        
   方  义:(1)古云:「无痰不作疟。」常山引吐行水,袪老痰积饮。槟榔下气破积,能     
           消食行痰。                                                              
           (2)阴阳不和则疟作。知母滋阴,能治阳明独胜之火。草果辛热,能治太阴独     
           胜之寒。                                                                
           (3)贝母清火散结,泻热除痰。乌梅酸敛濇收,生津退热。                     
           (4)合为截疟之剂也。                                                     
   又附方:(1)一方有良姜、甘草,无槟榔。                                           
           (2)一方加穿山甲、甘草。                                                 
   煎服法:姜三片,枣一枚,半酒半水煎。露一宿,日未出时,面东空心温服。渣用酒浸    
           煎,待疟将发时,先服。                                                  
   来  源:局方                                                                    

 ◎方  名:截疟七宝饮(除痰之剂)
   总  结:疟痰                                                                    
   编  号:022                                                                     
   组  成:草果、槟榔、陈皮、青皮、厚朴、常山、甘草                                
   主  治:1.治实疟久发不止,寸口脉弦滑浮大者。                                    
           2.不问鬼疟食疟,并皆治之。                                              
   归  经:足少阴、太阴药。                                                        
   方  义:(1)1.草果—能消太阴膏梁之痰。                                           
             2.槟榔—能下食积痰结。                                               
             3.陈皮—利气。                                                       
           (2)加甘草入胃,佐常山以吐疟痰也。                                       
   煎服法:等分,用酒、水各一锺,煎熟,丝绵盖之,露一宿,於当发之早,面东温服。

14px;">            (2)脚气加槟榔、木瓜、松脂、卷柏。                                      
           (3)惊痰加朱砂、全蝎。                                                   
           (4)热痰加盆硝。                                                         
           (5)惊气成块加穿山甲、甲、延胡索、蓬术。                               
   归  经:足太阳太阴药。                                                          
   煎服法:等分,为末糊丸。临卧姜汤服五、七丸,至十丸。痰猛加丸数。                
   备  注:一名妙应丸                                                              
   来  源:三因方                                                                  

 ◎方  名:三子养亲汤(除痰之剂)
   总  结:气痰                                                                    
   编  号:013                                                                     
   组  成:紫苏子、白芥子、莱服子                                                  
   主  治:治老人气实痰盛,喘满懒食。                                              
   归  经:手足太阴药。                                                            
   方  义:白芥子除痰,紫苏子行气,莱服子消食。然皆行气豁痰之药,气行则火降而痰    
           消矣。                                                                  
   煎服法:各微炒研。煎服。或等分,或看病所主为君。                                
   来  源:韩                                                                    

 ◎方  名:涤痰汤(除痰之剂)
   总  结:风痰                                                                    
   编  号:014                                                                     
   组  成:茯苓、人参、甘草、橘红、胆星、半夏、竹如、枳实、菖蒲                    
   主  治:治中风痰迷心窍,舌强不能言。                                            
   归  经:手少阴、足太阴药。                                                      
   方  义:(1)心脾不足,风邪乘之,而痰与火塞其经络,故舌本强而难语也。             
           (2)1.人参、茯苓、甘草—补心益脾而泻火。                                 
              2.陈皮、南星、半夏—利热燥而袪痰。                                   
              3.竹茹清燥开郁。                                                     
              4.枳实破痰利膈。                                                     
              5.菖蒲开窍通心。                                                     
              6.使痰消火降,则经通而舌柔矣。                                       
   煎服法:加姜煎。                                                                
   来  源:严氏                                                                    

 ◎方  名:礞石滚痰丸(除痰之剂)
   总  结:顽病怪病                                                                
   编  号:015                                                                     
   组  成:青礞石、大黄、沉香、黄芩                                                

   主  治:治实热老痰,怪证百病。 

痰湿痹---常用11方剂       

 

    本站是提供个人知识管理的网络存储空间,所有内容均由用户发布,不代表本站观点。请注意甄别内容中的联系方式、诱导购买等信息,谨防诈骗。如发现有害或侵权内容,请点击一键举报。

    0条评论

    发表

    请遵守用户 评论公约

    类似文章 更多
    喜欢该文的人也喜欢 更多

    ×
    ×

    ¥.00

    微信或支付宝扫码支付:

    开通即同意《个图VIP服务协议》

    全部>>