https://cmedwiki.com/index.php?action=history&feed=atom&title=%E5%B0%8F%E5%8D%8A%E5%A4%8F%E6%B9%AF 2026-07-30T05:54:32Z 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%E6%B9%AF&diff=2703&oldid=prev 2020-06-08T10:38:15Z

<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6月8日 (一) 10:38 的修訂</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l32" >行 32：</td> <td colspan="2" class="diff-lineno">行 32：</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)所謂腦貧血症與苓桂朮甘湯：患者無寒熱，但覺眩暈頭重，甚至外界迴轉，昇降感，同時併發惡心嘔吐，至於坐位或臥不敢轉換者，依照現代醫學診斷之，泰半以上所下的病名都為腦貧血症。當然腦貧血也有上述之複合症侯，但腦貧血是全身貧血的一症候，所以其眩暈並非突然發作者。而且患者由外觀可以望見其貧血外貌，斷非一朝一夕即發作此症。即從治療而言，也非短時日所能補其嚴重之貧血也。我對上述症狀─尤其以眩暈為主訴者，大都著眼於水毒，亦即痰飲 。以下二例為最近比較稱心之成績。年齡性別 女，43歲。平素無著病，唯偶爾感冒即發痰咳，或輕度浮腫，大抵二三劑[[小青龍湯]]便霍然。常時身體頗健。1962年8月20日中午，突然感覺頭重眩暈，於是放下工作就床斜臥，隨即外界迴轉，身體如昇降之感，兩眼不敢舒放，此時心胸中迫逼，欲吐不能吐。患者無寒熱，亦無特別病象，脈亦正常有力。用[[苓桂朮甘湯]]合[[小半夏湯]]，一帖即能起床工作，二帖痊癒。《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%E6%B9%AF&diff=2626&oldid=prev 2020-05-28T15:19:25Z

<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 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-l27" >行 27：</td> <td colspan="2" class="diff-lineno">行 27：</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>此方能治噦，然傷寒大熱，譫語煩躁，腹滿便閉諸證未退者，當治其主證，主證治，噦自止。若噦甚者，兼用亦好。</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>此方能治噦，然傷寒大熱，譫語煩躁，腹滿便閉諸證未退者，當治其主證，主證治，噦自止。若噦甚者，兼用亦好。</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;"> 《朱木通醫案》</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;">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」。</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%E6%B9%AF&diff=2192&oldid=prev 2019-12-09T11:58:32Z

<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) 11:58 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>==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;">治吐而不渴者。</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;"> 《類聚方廣義》</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;">諸病嘔吐甚，或病人惡湯藥，嘔吐惡心，不能服對證方者，皆宜兼用此方。</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;"></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;">此方嘔吐主藥也。若嘔吐而渴，飲而復嘔吐，嘔渴俱甚者，非此方之主治也。可兼用[[小半夏加茯苓湯]]，[[五苓散]]，[[茯苓澤瀉湯]]。</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;"></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;">此方能治噦，然傷寒大熱，譫語煩躁，腹滿便閉諸證未退者，當治其主證，主證治，噦自止。若噦甚者，兼用亦好。</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%E6%B9%AF&diff=1398&oldid=prev 2019-08-14T16:49:44Z

<p>‎<span dir="auto"><span class="autocomment">加減</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14日 (三) 16:49 的修訂</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l12" >行 12：</td> <td colspan="2" class="diff-lineno">行 12：</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>===加減===</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>===加減===</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;">以生薑汁代生薑，先煎半夏，即[[生薑半夏湯]]。</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;"></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;"><div>加茯苓，為[[小半夏加茯苓湯]]。</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>加茯苓，為[[小半夏加茯苓湯]]。</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> </table>

GlucoseLEE https://cmedwiki.com/index.php?title=%E5%B0%8F%E5%8D%8A%E5%A4%8F%E6%B9%AF&diff=919&oldid=prev 2019-07-26T05:58:18Z

<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28條：「嘔家本渴，渴者為欲解，今反不渴，心下有支飲故也，小半夏…&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28條：「嘔家本渴，渴者為欲解，今反不渴，心下有支飲故也，[[小半夏湯]]主之。」<br /> <br /> 《金匱要略》黃疸病脈證並治第十五第20條：「黃疸病，小便色不變，欲自利，腹滿而喘，不可除熱，熱除必噦。噦者，[[小半夏湯]]主之。」<br /> <br /> 《金匱要略》嘔吐噦下利病脈證治第十七第12條：「諸嘔吐，穀不得下者，[[小半夏湯]]主之。」<br /> <br /> ==組成==<br /> 半夏（一升）生薑（半斤）<br /> <br /> 上二味，以水七升，煮取一升半，分溫再服。<br /> <br /> ===加減===<br /> 加茯苓，為[[小半夏加茯苓湯]]。<br /> <br /> 去生薑，加人參，白蜜，為[[大半夏湯]]。<br /> <br /> ==主治==<br /> <br /> ==醫案==</div>

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