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中国中医科学院广安门医院心血管科,北京 100053
刘斐斐,男,25岁,硕士研究生。研究方向:中西医结合治疗急慢性心力衰竭。
周育平,E-mail:maomao7227@sina.com
收稿日期:2024-08-13,
纸质出版日期:2025-07-25
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刘斐斐,周育平.己椒苈黄丸方证析疑与思考[J].北京中医药,2025,44(7):912-914.
LIU Feifei,ZHOU Yuping.Analysis and reflection on the prescription and syndrome of Jijiao Lihuang Pills[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(07):912-914.
刘斐斐,周育平.己椒苈黄丸方证析疑与思考[J].北京中医药,2025,44(7):912-914. DOI: 10.16025/j.1674-1307.2025.07.020.
LIU Feifei,ZHOU Yuping.Analysis and reflection on the prescription and syndrome of Jijiao Lihuang Pills[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(07):912-914. DOI: 10.16025/j.1674-1307.2025.07.020.
己椒苈黄丸出自《金匮要略》,古今医家对此方证论述较少,且对该方的病位、病证及加减法均存在争议。己椒苈黄丸方证病位在肠壁,病证为水饮夹气滞、血瘀和郁热,加用芒硝重在泄水,可用来治疗心力衰竭、肝硬化腹水、结核或癌性多浆膜腔积液、肠鸣等,其适应证包括以腹胀、肠鸣、大便性状改变为主的消化道疾病,以体循环淤血为主的肠道水肿,以水饮,夹气滞、夹血瘀和夹郁热为病机的各种疾病。
Jijiao Lihuang Pills
originate from the
Synopsis of Prescriptions of the Golden Chamber
. Ancient and modern medical experts have discussed this formula relatively little, with controversies particularly regarding disease location, syndrome differentiation, and modifications. The formula's disease location is in the intestinal wall, and its syndrome is characterized by water retention accompanied by
qi
stagnation, blood stasis, and depressed heat. The addition of
Natrii Sulfas
emphasizes water elimination.
Jijiao Lihuang Pills
can be used to treat heart failure, liver cirrhosis with ascites, tuberculosis, or cancer-related multiple serosal effusions, as well as bowel sound disorders. Its indications include digestive tract diseases mainly characterized by abdominal distension, abnormal bowel sounds, and changes in stool characteristics; ascites primarily associated with systemic blood stasis; and various diseases in which water retention occurs alongside
qi
stagnation, blood stasis, and depressed heat.
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