桂枝汤:中医群方之冠 episode artwork

EPISODE · Jan 19, 2026 · 8 MIN

桂枝汤:中医群方之冠

from 智慧中医

芍药(三钱) 炙草(二钱) 大枣(六钱) 生姜(三钱) 桂枝(三钱) 水四杯,煎成二杯,温服一杯,饮热稀粥一杯。覆衣,取微汗。如不汗,再服一杯。如仍不汗,再煎一剂。服如前法。禁生冷粘滑油肉面酒酪五辛臭恶之物。 治荣卫外感于风,项强、头痛、身痛、发热、汗出、恶风、脉浮缓者。 此治荣卫表证,偏于疏泄之病之法也。风者,空气中疏泄之气。荣者,人身中疏泄之气。疏泄故发热恶风,疏泄故汗出。风性疏泄故脉缓。缓者,疏泄虚散之意。荣卫行身之表,荣卫病故脉浮。荣卫不和,故项强、头痛、身痛。卫气收敛,与风异性,故风不伤荣而伤卫。卫被风伤,病却在荣。风伤卫而荣病者,卫伤则卫的收敛作用减少,荣的疏泄作用加多。多则郁,郁则病也。 此方用芍药收敛荣气之疏泄,以交卫气为主。用桂枝者,桂枝实表阳,调荣卫也。荣气偏郁,运动不圆,中气必虚。故用炙草以补中气,生姜大枣助胃气,补胃液,以调荣卫也。芍药敛荣气之疏泄者,降胆经也。服此汤后,中气复而荣卫和,故汗出而病解。已经自汗伤津,饮热粥助津液,以作汗也。禁生冷诸物者,荣卫根于脾胃。荣卫郁则脾胃滞,生冷诸物增加脾胃之滞,荣卫更不能调和也。荣卫,详原理下篇。

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桂枝汤:中医群方之冠

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