[原创]小青龙汤方解

兰心

以下是我自己写的“小青龙汤”方解，欢迎同道中人指正

兰心

XIAO QING LONG TANG
组成：INGREDIENTS: Ma Huang 9g / Gui Zhi 9g / Bai Shao 9g / Xi Xin 6g / Gan Jiang  6g / Ban Xia 9g / Wu Wei Zi 6g / Prepared Gan Cao 6
治法：TRADITIONAL USAGES AND FUNCTIONS: Dispersing exterior evil, expelling coldness, warming lung and removing fluid-retention.

主治:    INDICATIONS: Patient has constitution with coldness and fluid retention, and been invaded by exterior wind-cold. Lung loses the function of dispersing and descending qi.
The symptoms include chills, fever, no sweat; cough, asthma with a lot thin white sputum; edema on head and face, body pain; chest fullness, short of breath; abnormal dispersing and descending qi, urination; retching; no thirsty or thirsty without desire to drink. The tongue coat is white and moist, and the pulse is floating and tight.
1, Chills, fever and no sweat: exterior wind-cold obstructs body surface and blocks the pores.
2, Cough and asthma with a lot thin white sputum: cold fluid retention affects the function of lung.
3, Edema on head and face, body pain: Lung loses the function of dispersing and descending qi. Meanwhile Spleen cannot transport and transform normally. So the water fluid remains on the skin of head and face.
4, Chest fullness and short of breath: If water fluid remains in chest, it will block chest qi circulation.
5, Abnormal urination: If water fluid remains in the lower Jiao, will affect the urination.
6, Retching: If water fluid remains in stomach, will affect the function of stomach.
7, Not thirsty: Jin (body fluid) has not been damaged yet.  
8, Thirsty but do not want to drink: Pathological cold-fluid remains in the body, qi cannot produce Jin (body fluid) to moist mouth, thus patient feels thirsty. But original Jin (body fluid) has not been damaged, so patient does not want to drink.
9, White moist tongue coat means cold fluid. Floating pulse means exterior evil; while tight means interior fluid retention.

方药分析INTERPRETATION
Ma Huang is pungent and warm. It can disperse exterior evil, induce sweat, regulate lung qi, stop cough and asthma, improve urination and remove fluid-retention.
It is king herb.
Gui Zhi is pungent and warm. It can induce sweat and expel wind-cold from muscle layer, so can help Ma Huang disperse exterior evil. Meanwhile, Gui Zhi can warm kidney Yang qi to remove fluid-retention. It is minister herb.
Gan Jiang warms the coldness in lung and spleen; Ban Xia descends stomach qi, relieves retching, transforms phlegm and removes fluid-retention. Xi Xin and Wu Wei Zi descend lung qi, stop cough and asthma. Bai Shao and Gan Cao can nourish Nutritive, astringe Yin and relieve asthma. These six herbs are assisting herbs.
This formula combines dispersing and astringing methods together. Bai Shao, Wu Wei Zi and Gan Cao are astringing herbs, can prevent dispersing herbs Ma Huang, Gui Zhi, Xi Xin and Sheng Jiang damage lung qi. Ma Huang and Gui Zhi can remove fluid-retention from upper Jiao lung; meanwhile Ban Xia and Sheng Jiang can remove fluid-retention from middle Jiao spleen. In another word, this formula treats upper and middle Jiao, lung and spleen together.

辩证要点 MAIN POINTS OF DIFFERENTIATION
1, Main symptoms are chills, fever, cough, asthma with a lot thin white sputum. The tongue coat is white and moist.
2, This formula is not only for treating exterior syndrome. It can treat many diseases as long as the diagnosis is the dispersing and descending functions of lung abnormal, while cold fluid-retention in lung and spleen.

现代应用   MODERN USAGES:
This formula can induce sweat, reduce fever, relieve dyspnoea and cough, remove phlegm, promote urination, relieve allergic reaction and promote blood circulation.
It can be modified to treat common cold, influenza, chronic bronchitis, bronchial asthma, etc.

使用注意：CAUTIONS:  Do not use it for patient with heat,  yin deficiency or bleeding

岐黄术

[这个贴子最后由岐黄术在 2003/04/12 10:27am 第 1 次编辑]

非常好，感谢兰心先生的文章。

桂枝汤

如此有才。中文，尤其是中医内容，能够这么流利用英语表达，不简单，真是人才啊，为我们网坛欢呼！

兰心

两位先生过奖,不敢当!
我现在正在写一本医方精释,大概有400多个常用方.上面的小青龙汤是其中一个,现在还只是初稿,以后有机会我还会陆续发一些其他方.但因为以后要出版,所以不可能全部发,请见谅!
下面我把我写的中文部分也贴出来,供大家对照.

兰心

小青龙汤
组成：: 麻黄9克 桂枝9克 芍药9克 细辛6克 干姜6克 炙甘草6克半夏9克 五味子6克
治法：解表散寒，温肺化饮。
主治：素有寒饮，外感风寒（肺失宣降，寒饮内停）。恶寒发热，无汗；咳喘，痰多清稀；头面浮肿，身体疼痛，胸痞，短气，小便不利，干呕；口不渴或渴不多饮。脉浮紧，舌苔白滑。
1，恶寒发热，无汗：因风寒束表，皮毛闭塞。
2，咳喘，痰多清稀：内有水饮，水寒射肺。
3，头面浮肿，身体疼痛：肺失宣降，脾不运化，水湿留注于头面肌肤。
4，胸痞，短气：水湿停于胸中
5，小便不利：水湿停于下焦
6，干呕：水湿停于胃
7，口不渴或渴不多饮：寒饮内停，气不化津故渴；津液未伤，故不欲饮。
8，脉浮是在表，紧是内饮。舌苔白滑为寒饮。
方药分析：麻黄辛温，发汗解表，宣肺平喘，利尿行水，作用全面为君药。
         桂枝辛温，即解肌发汗，助麻黄解表；且温肾阳化气，以行水逐饮。臣药。
         干姜温脾肺之寒；半夏降逆和胃，祛痰化饮。细辛五味降逆下气止喘。芍药甘草敛阴和营，缓解支气管痉挛以止咳喘。共为佐药。
甘草调和诸药亦为使。
方中散中有敛，芍药五味甘草性收涩，以防麻桂姜辛辛散耗肺气。麻桂逐上焦肺水饮，夏姜逐中焦脾水饮，上中二焦，脾肺二脏同治。
辩证要点：
1，主症：恶寒发热；咳喘，痰多清稀；舌苔白滑。
2，此方用途广泛，凡辩证为肺失宣降，脾肺寒饮内停均可用，不一定非为表症。

现代应用：该方能发汗，降烧，止咳喘，祛痰，利尿，缓解过敏反应，促进血液循环。经加减可治疗老年肺气肿；感冒，流感；慢性支气管炎；支气管哮喘等疾病。
使用注意：阴虚，热症，出血者慎。

Lung loses the function of dispersing and descending qi——肺失宣降，我觉得文字上翻译没有问题。但如果不是学中医的，读那句英文，老让人觉得肺有降气的功能。不知我有没有理解错误，请您指教。

兰心

[这个贴子最后由兰心在 2003/04/14 07:05am 第 1 次编辑]

玉屏风君：
“老让人觉得肺有降气的功能”，我理解的肺之肃降功能包含降气的功能，尤其是此处就是指肺气不能肃降。不知道你的意思是：肺没有降气功能呢？还是说我应该把肺的其他功能也表述出来？

水舞绿妖

Minor blue drogen decoction
呵呵

水舞绿妖

Applide syndrome
extior cold syndrome with internal fluid-rentention
Actions
relieveing the exterior by expelling cold,warming the lung and resloving fluid-retention
这样是不是简单一些啊：p
不过意思概括的可能不是很准确，希望老师指导一下
谢谢：）