1.山东中医药大学,山东省济南市历下区经十路16369号,250014
2.山东省日照市五莲县皮肤病医院
3.山东中医药大学附属医院
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收稿:2022-05-22,
修回:2022-10-24,
纸质出版:2023-06-17
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田径,杨明洪,曲夷等.张志远临证运用黄芩经验[J].中医杂志,2023,64(12):1197-1199.
TIAN Jing,YANG Minghong,QU Yi,et al.ZHANG Zhiyuan's Experience in Using Huangqin (Radix Scutellariae) in Clinical Practice[J].Journal of Traditional Chinese Medicine,2023,64(12):1197-1199.
田径,杨明洪,曲夷等.张志远临证运用黄芩经验[J].中医杂志,2023,64(12):1197-1199. DOI: 10.13288/j.11-2166/r.2023.12.003.
TIAN Jing,YANG Minghong,QU Yi,et al.ZHANG Zhiyuan's Experience in Using Huangqin (Radix Scutellariae) in Clinical Practice[J].Journal of Traditional Chinese Medicine,2023,64(12):1197-1199. DOI: 10.13288/j.11-2166/r.2023.12.003.
总结张志远教授临证运用黄芩的经验。认为枯芩主泻肺火,解肌退热,消痰利气;子芩主泻大肠火,清热利湿,止痢除血。枯芩中空之形,能入肺并由脾下通三焦,达于膀胱,使热有出路,尤适于各种外感高热,常配伍麻杏石甘汤,或配柴胡应用;还可配伍葛根以清三焦之热,用以治疗眩晕、头痛。子芩降火除痰,燥湿止泻,凉血止血,临证常于经方葛根芩连汤、姜芩连参汤中应用,治疗胃肠炎腹泻、呕吐;于黄土汤、黄连阿胶汤等经方中加大用量治疗出血;于自拟育儿汤中治疗血热阴虚之先兆流产。
This paper summarized the experience of ZHANG Zhiyuan in clinical application of Huangqin (
Radix Scutellariae
). It is believed that perennial root of Huangqin mainly drains lung-fire, expelling pathogenic factors from muscles for clearing heat, disperses phlegm and invigorates
qi
, while juvenile root mainly drains large intestine fire, clears heat and dampness, relieves dysentery and removes blood. The perennial root of Huangqin has a hollow shape and can enter the lungs, pass through
sanjiao
(三焦) from the spleen, and reach the bladder, making way for the heat. Therefore, it is especially suitable for high fever caused by external contraction, usually together with
Maxing Shigan Decoction
(麻杏石甘汤) or Chaihu (
Radix Bupleuri
). It can also be used with Gegen (
Radix Puerariae Lobatae
) to clear
sanjiao
heat and treat dizziness and headache. The juvenile root of Huangqin can reduce fire and eliminate phlegm, dry dampness and relieve diarrhea, cool the blood and stanch bleeding, which is often used in classical formulas
Gegen Qinlian Decoction
(葛根芩连汤) and
Jiangqin Lianshen Decoction
(姜芩连参汤) to treat gastroenteritis related diarrhea and vomiting. In
Huangtu Decoction
(黄土汤),
Huanglian Ejiao Decoction
(黄连阿胶汤) and other classical formulas, large amount of Huangqin is used to stanch bleeding. Self-made
Yuer Decoction
(育儿汤) having juvenile root of Huangqin is prescribed to treat threatened abortion due to blood heat and
yin
deficiency.
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