https://cmedwiki.com/index.php?action=history&feed=atom&title=%E5%B0%8F%E5%8D%8A%E5%A4%8F%E5%8A%A0%E8%8C%AF%E8%8B%93%E6%B9%AF 2026-07-29T13:40:10Z 本 Wiki 上此頁面的修訂歷史 MediaWiki 1.31.16 https://cmedwiki.com/index.php?title=%E5%B0%8F%E5%8D%8A%E5%A4%8F%E5%8A%A0%E8%8C%AF%E8%8B%93%E6%B9%AF&diff=2625&oldid=prev 2020-05-28T15:19:04Z

<p>‎<span dir="auto"><span class="autocomment">醫案</span></span></p> <table class="diff diff-contentalign-left" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-HK"> <td colspan="2" style="background-color: #fff; color: #222; text-align: center;">←上個修訂</td> <td colspan="2" style="background-color: #fff; color: #222; text-align: center;">於 2020年5月28日 (四) 15:19 的修訂</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l19" >行 19：</td> <td colspan="2" class="diff-lineno">行 19：</td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==醫案==</div></td><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==醫案==</div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">1)常習性嘔吐頭眩：女，5歲，平素無特病，唯屢屢發作嘔吐、頭眩。發作時則號泣而不能食。如是凡數月間，休作有時。患兒嘔吐頗為激烈，兩眼緊閉頻數頭眩有如頭在旋轉。此外尿利稍減、不渴、大便正常。用[[五苓散]]，服完完全無稍差。重新考慮，從嘔吐之情形及不渴等點著眼，轉用[[小半夏加茯苓湯]]。連日不能鎮吐之病，竟然一服[[小半夏加茯苓湯]]一口即止。一劑盡後頭眩亦霍然痊癒，連服三劑，之後未曾再發。半夏與生薑配合，如[[小半夏湯]]、[[生薑半夏湯]]之類，雖為鎮吐之聖劑，與有其適應分劑，並非一切嘔吐皆通用此方。[[小半夏加茯苓湯]]出金匱痰飲，基本方雖為[[小半夏湯]]，但[[小半夏湯]]不加茯苓者臨床應用機會甚少。推其藥理，大概是以茯苓之導水作用，與半夏生薑協力，使痰飲(水毒)由小便排出而嘔吐自癒之法也。據龍野一雄氏之學說，[[小半夏加茯苓湯]]之嘔吐，是由於胃液分泌過剩，此說法我頗佩服。金匱原文：「卒嘔吐，心下痞，膈間有水眩悸者，[[小半夏加茯苓湯]]主之。」[[小半夏湯]]條文；「嘔家本渴，渴者為欲解，今反不渴，心下有支飲故也。」。[[小半夏湯]]與[[小半夏加茯苓湯]]，僅僅利水之茯苓之差。[[生薑半夏湯]](金匱嘔吐)，與[[小半夏湯]]同藥異名，此方異於[[小半夏湯]]者先煎半夏，以生薑汁合半夏之煎液再煎，如是生薑之辛溫作用自然強於小半夏湯，適應症之嘔吐也是較之[[小半夏湯]]為烈。這可見於生薑半夏湯之條文：「病人胸中似喘不喘，似嘔不嘔，似噦不噦。徹心中憒憒然無奈者」。《朱木通醫案》</ins></div></td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==誤治醫案==</div></td><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==誤治醫案==</div></td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>1)女，25歲，妊娠已八個月。體格頗弱。某日忽然全身倦怠，繼而嘔吐，乃就西醫診治。二日後嘔吐更劇，點滴不能容。嘔吐猛烈、頭痛眩暈。以為是普通妊娠惡阻，[[小半夏加茯苓湯]]與之。藥入口皆吐出，一點不能留。體格弱，顏面色不佳，手足逆冷，脈沉微。舌一片血紅、無苔，略見乾燥。 胃內停水著明，自云頭不甚痛唯眩暈之甚，起坐雖嘔吐稍減但眩暈難堪。小便清利，三四日不大便。心悸嘔吐時更甚，此外時時肢節疼痛。予[[吳茱萸湯]]，一劑霍然。翌日可進稀粥。仍口苦咽乾、大便難，轉用[[小柴胡湯]]兼服[[脾約丸]]。共服七劑，諸病盡除。與「陽明寒嘔」頗近。「食穀欲嘔，屬陽明也，[[吳茱萸湯]]主之。」 「內經云寒淫於內治以甘熱佐以苦辛。」「吳茱生薑苦辛溫胃，人參大棗甘以緩脾。」《朱木通醫案》</div></td><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>1)女，25歲，妊娠已八個月。體格頗弱。某日忽然全身倦怠，繼而嘔吐，乃就西醫診治。二日後嘔吐更劇，點滴不能容。嘔吐猛烈、頭痛眩暈。以為是普通妊娠惡阻，[[小半夏加茯苓湯]]與之。藥入口皆吐出，一點不能留。體格弱，顏面色不佳，手足逆冷，脈沉微。舌一片血紅、無苔，略見乾燥。 胃內停水著明，自云頭不甚痛唯眩暈之甚，起坐雖嘔吐稍減但眩暈難堪。小便清利，三四日不大便。心悸嘔吐時更甚，此外時時肢節疼痛。予[[吳茱萸湯]]，一劑霍然。翌日可進稀粥。仍口苦咽乾、大便難，轉用[[小柴胡湯]]兼服[[脾約丸]]。共服七劑，諸病盡除。與「陽明寒嘔」頗近。「食穀欲嘔，屬陽明也，[[吳茱萸湯]]主之。」 「內經云寒淫於內治以甘熱佐以苦辛。」「吳茱生薑苦辛溫胃，人參大棗甘以緩脾。」《朱木通醫案》</div></td></tr> </table>

GlucoseLEE https://cmedwiki.com/index.php?title=%E5%B0%8F%E5%8D%8A%E5%A4%8F%E5%8A%A0%E8%8C%AF%E8%8B%93%E6%B9%AF&diff=2193&oldid=prev 2019-12-09T11:59:05Z

<p>‎<span dir="auto"><span class="autocomment">主治</span></span></p> <table class="diff diff-contentalign-left" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-HK"> <td colspan="2" style="background-color: #fff; color: #222; text-align: center;">←上個修訂</td> <td colspan="2" style="background-color: #fff; color: #222; text-align: center;">於 2019年12月9日 (一) 11:59 的修訂</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l15" >行 15：</td> <td colspan="2" class="diff-lineno">行 15：</td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==主治==</div></td><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==主治==</div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"> 《方極》</ins></div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">治[[小半夏湯]]證而眩悸者。</ins></div></td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==醫案==</div></td><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==醫案==</div></td></tr> </table>

GlucoseLEE https://cmedwiki.com/index.php?title=%E5%B0%8F%E5%8D%8A%E5%A4%8F%E5%8A%A0%E8%8C%AF%E8%8B%93%E6%B9%AF&diff=1573&oldid=prev 2019-08-17T15:34:24Z

<p>‎<span dir="auto"><span class="autocomment">醫案</span></span></p> <table class="diff diff-contentalign-left" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-HK"> <td colspan="2" style="background-color: #fff; color: #222; text-align: center;">←上個修訂</td> <td colspan="2" style="background-color: #fff; color: #222; text-align: center;">於 2019年8月17日 (六) 15:34 的修訂</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l17" >行 17：</td> <td colspan="2" class="diff-lineno">行 17：</td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==醫案==</div></td><td class='diff-marker'>&#160;</td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==醫案==</div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">==誤治醫案==</ins></div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">1)女，25歲，妊娠已八個月。體格頗弱。某日忽然全身倦怠，繼而嘔吐，乃就西醫診治。二日後嘔吐更劇，點滴不能容。嘔吐猛烈、頭痛眩暈。以為是普通妊娠惡阻，[[小半夏加茯苓湯]]與之。藥入口皆吐出，一點不能留。體格弱，顏面色不佳，手足逆冷，脈沉微。舌一片血紅、無苔，略見乾燥。 胃內停水著明，自云頭不甚痛唯眩暈之甚，起坐雖嘔吐稍減但眩暈難堪。小便清利，三四日不大便。心悸嘔吐時更甚，此外時時肢節疼痛。予[[吳茱萸湯]]，一劑霍然。翌日可進稀粥。仍口苦咽乾、大便難，轉用[[小柴胡湯]]兼服[[脾約丸]]。共服七劑，諸病盡除。與「陽明寒嘔」頗近。「食穀欲嘔，屬陽明也，[[吳茱萸湯]]主之。」 「內經云寒淫於內治以甘熱佐以苦辛。」「吳茱生薑苦辛溫胃，人參大棗甘以緩脾。」《朱木通醫案》</ins></div></td></tr> </table>

GlucoseLEE https://cmedwiki.com/index.php?title=%E5%B0%8F%E5%8D%8A%E5%A4%8F%E5%8A%A0%E8%8C%AF%E8%8B%93%E6%B9%AF&diff=918&oldid=prev 2019-07-26T05:55:13Z

<p>已建立頁面，內容為 &quot;==出處== 《金匱要略》痰飲咳嗽病脈證並治第十二第30條：「卒嘔吐，心下痞，膈間有水，眩悸者，<a href="/index.php?title=%E5%B0%8F%E5%8D%8A%E5%A4%8F%E5%8A%A0%E8%8C%AF%E8%8B%93%E6%B9%AF" title="小半夏加茯苓湯">小半夏加茯苓湯</a>主之。…&quot;</p> <p><b>新頁面</b></p><div>==出處== <br /> 《金匱要略》痰飲咳嗽病脈證並治第十二第30條：「卒嘔吐，心下痞，膈間有水，眩悸者，[[小半夏加茯苓湯]]主之。」<br /> <br /> 《金匱要略》痰飲咳嗽病脈證並治第十二第41條：「先渴後嘔，為水停心下，此屬飲家，[[小半夏加茯苓湯]]主之。」<br /> <br /> ==組成==<br /> 半夏（一升）生薑（半斤）茯苓（三兩一法四兩）<br /> <br /> 上三味，以水七升，煮取一升五合，分溫再服。<br /> <br /> ===加減===<br /> 去茯苓，即[[小半夏湯]]。<br /> <br /> 加陳皮，甘草，烏梅，為[[二陳湯]]。<br /> <br /> ==主治==<br /> <br /> ==醫案==</div>

GlucoseLEE