附子汤:温阳祛寒的经典方 episode artwork

EPISODE · Jan 20, 2026 · 10 MIN

附子汤:温阳祛寒的经典方

from 智慧中医

附片 白术 茯苓 人参 炒白芍(各三钱) 治少阴病,手足寒、背恶寒、蜷卧、但欲寐、骨节痛、脉现微细。 此治少阴肾脏病之法也。伤寒病,分太阳阳明少阳,太阴少阴厥阴。阳腑病热,阴脏病寒。少阴肾脏,病则阴寒。水寒克火,火灭土亡,危险极矣。 四肢秉气于中土。中土阳亡,则手足寒冷。阳入于阴则寐,水寒无阳,则蜷卧欲寐,而不能寐。肾主骨,肾寒则背脊恶寒。水寒土湿,木郁风生,则骨节痛。此病致死极速。 此方用附子温补肾阳。人参、茯苓、白术,补土泄湿,芍药和木息风。附子温补肾阳,易动风木之气。附子与芍药并用,肾阳复而风木不动也。已现骨节疼痛,风已起矣。故既用附子以温水,又用芍药以息风也。火土复而木气安,阳与阴平,运动复圆,是以病愈。芍药性寒,最败肾阳。此方与附子同用,附子温补肾阳也。风乃木气,非风寒之风也。 此六气运动不圆,少阴寒水,一气独胜之病。病在荣卫,不速汗解。平日肾阳不足之人,病即由表入里,则成此病。或表证才现,里证即作,则成此病。病成之初,必神色黯淡,恶寒气微也。水寒土败,阳微气少,故脉微细。肾阳亡,故肾水寒。

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附子汤:温阳祛寒的经典方

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