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考拉的树窝

【金匮】疟病脉证并治第四 鳖甲煎丸

30 Sep 2018

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师曰:疟脉自弦,弦数者多热,弦迟者多寒。弦小紧者下之差。弦迟者可温之,弦紧者可发汗针灸也,浮大者可吐之。弦数者风发也,以饮食消息止之。病疟,结为癥瘕,如其不差,当云何?师曰:此为疟母,急治之。以月一日发,当十五日愈。设不差,当月尽解。宜鳖甲煎丸。鳖甲煎丸方鳖甲十二分(炙) 乌扇三分(烧,即射干) 黄芩三分 柴胡六分 鼠妇三分(熬) 干姜、大黄、桂枝、石韦(去毛)、厚朴、紫葳(即凌霄)、半夏、阿胶各三分 芍药、牡丹(去心)、䗪虫、葶苈、人参各一分 瞿麦二分 蜂巢四分(炙) 赤硝十二分 蜣螂六分(熬) 桃仁二分(去皮尖,研)上二十三味为末,取煅灶下灰一斗,清酒一斛五升浸灰,俟酒尽一半,着鳖甲于中,煮令泛滥如胶漆,绞取汁,内诸药煎为丸。如梧子大,空心服七丸,日三服。《千金方》用鳖甲十二片,又有海藻三分,大戟一分,无鼠妇、赤硝二味。

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