大柴胡汤治疗脚凉一例

大柴胡汤治疗脚凉阳明实证一例

老年女性,三伏天亦穿厚棉袜,双下肢冷甚。脉诊,人迎、寸口有力洪大,其中人迎脉望之可见蹦蹦而跳。此为阳明实证无疑,且左关如豆,随处大柴胡汤三剂,服后减轻,原方再进七剂,脉诊寸口已小很多,唯人迎亦可望见,现已脱去棉袜,恢复到常人。此例未用一例温药而脚凉用凉药而愈。因为此是阳明实证,阳气发散于上,故下凉,今用大柴胡下阳明少阳,阳气下行故脚凉愈。

《伤寒论》:大柴胡汤

【处方】 柴胡15克 枳实9克(炙)生姜15克(切)黄芩9克 芍药9克 半夏9克(洗)大枣12枚(擘)一方有大黄6克

【功能主治】 和解少阳，内泻热结。主少阳、阳明合病，往来寒热，胸胁苦满，呕不止，郁郁微烦，心下痞硬或满痛，大便秘结，或协热下利，舌苔黄，脉弦有力者。现用本方加减治疗急性胰腺炎、急性胆囊炎、胆石症等见有上述证候者。

【用法用量】 上七味，用水1.2升，煮取600毫升，去滓再煎，温服200毫升，日三服。 【备注】 方中柴胡、黄芩和解少阳;枳实、大黄内泻热结，芍药助柴胡、黄芩清肝胆之热，合枳实、大黄治腹中实痛;半夏和胃降浊以止呕逆，生姜、大枣既助半夏和胃止呕，又能调营卫而和诸药。诸药合用，共奏和解少阳、内泻结热之功。

【摘录】 《伤寒论》

rAt present, we have formed a 'three-three' Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the 'road company' Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities

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手热脚凉，上热下寒，似是柴胡桂枝汤所主。

阳明实证中的阳明腑实证，也就是三承气汤证，在综合研究仲景运用大柴胡汤原文的基础上，发现仲景不仅将大柴胡汤用于治疗少阳不和兼阳明腑实证，而且主要用于治疗少阳胆腑热实证，

阳明经脉是运行于体表的，体表可以直接感受外邪，所以阳明病的成因的第一点，是阳明经脉 ... 所以阳明经脉受邪以后，邪气可以迅速循经入里化热、成实，而形成阳明的热证和腑实证。

rAt present, we have formed a 'three-three' Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the 'road company' Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities

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rAt present, we have formed a 'three-three' Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the 'road company' Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities

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阳明腑证治法:阳明腑证是邪热已与大肠糟粕搏结成实热证。治疗的目的是排除燥实，清肃里热。由于病变有轻重缓急的不同，所以阳明腑证的治法有三个方子:调胃承气汤为泻下缓剂，是治疗腑实初起，结而未实，或津液受损以燥热为主的证候，小承气汤是治疗腑实以痞满实为主;大承气汤是治疗腑实以痞满燥实为主。

一穴治疗脚僵如冰

也不知道是在哪本书上看到的这个方法，前几天派上了用场。治疗了两个脚冰冷的病人，效果还可以，给大家分享一下。

先用毫针刺厉兑穴30秒后用麦粒灸厉兑穴灸一壮，一次见效。就这样简单。

厉兑穴，是足阳明胃经的井穴，在足第2趾末节外侧，距趾甲角0.1寸。

主治:鼻衄，齿痛，咽喉肿痛，腹胀，热病，多梦，癫狂

[定位] 第二趾外侧趾甲角旁约0.1寸。

[解剖] 有趾背动脉形成的动脉网;布有腓浅神经的足背支。

[主治] 鼻衄，齿痛，咽喉肿痛，腹胀，热病，多梦，癫狂。

[操作] 浅刺0.1寸。

[配伍] 配内关、神门治多梦。

[附注] 足阳明经所出为“井”。

厉兑穴放血疗法

rAt present, we have formed a 'three-three' Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the 'road company' Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities

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厉兑为足阳明胃经的井穴，阳明之“根”位、“本”位，且足阳明胃经多气多血，《灵枢?经脉》又谓“主血所生病”，因此可用于治疗胃经实热性疾病。如阳明头痛、痤疮，麦粒肿等，均属胃经有热，热邪循经上犯，侵犯额头，则见额头疼痛难忍，热犯下眼睑则见下眼睑红肿热痛(麦粒肿)，热犯下颌则见下颌部生长痤疮。所以取厉兑穴放血治疗最为合法，寓泻热于下，釜底抽薪之意，则阳明热邪可清，诸症自消。但要注意的一点，就是放血的量一般遵循“血变而止”的原则，放血后，血色由暗变红，说明热清邪去，则病可消除。但根据患者体质的差异，放血量可以稍加增减。笔者在临床上多应用本穴采用三棱针点刺放血的方法治疗多种相关疾病，每收捷效，收录在案，略作小结，供同道参考。

厉兑穴——破除多梦、恶梦的降魔穴

中医的穴位都有寓意的。厉兑穴的“厉”是噩梦的意思，“兑”是八卦中的一卦，代表沼泽，厉兑的意思就是掉进了噩梦的沼泽中。这个穴对多梦及爱做噩梦的人来说特别有意义，另外，对于有神经错乱症状的人来说，厉兑穴能够精心安神。

怎么揉厉兑穴才有好效果呢,有个简单的办法:每天晚上睡觉之前，攥一攥第二个脚趾，这么一攥，厉兑穴就攥住了，再扭扭这个脚趾肚，最后用指甲掐掐脚趾肚。同时，索性把10个脚趾都掐一掐，这对于安眠特别有好处，这样晚上就不爱做噩梦，就该做好梦了。

通脉当归四逆汤治疗手脚冰凉心得

入冬或遇冷后因手足冰凉求诊者不乏其人，西医认为肢端血液循环不好所致，天气转暖即好无需治疗.但患者痛苦万分。(不客气说西医也真没有什么好治疗方法)。而学生通过学习《伤寒论》悟出一方，临床实践甚效。现总结下来与同道分享。

《伤寒论?辨厥阴病脉证并治方》351条:“手足厥寒，脉细欲绝者，当归四逆汤主之。”当归三两，桂枝三两(去皮)，芍药三两，细辛三两，甘草二两(炙)，通草二两，大枣二十五枚(擘，一法，十二枚)。以水八升，煮取三升，去滓，温服一升，一日三次。其功效为温经散寒，养血通脉。

主治血虚寒厥证。手足厥寒，或腰、股、腿、足、肩臂疼痛，口不渴，舌淡苔白，脉沉细或细而欲绝。《金镜内台方议》卷7:“阴血内虚，则不能荣于脉;阳气外虚，则不能温于四末，故手足厥寒、脉细欲绝也。故用当归为君，以补血;rAt present, we have formed a 'three-three' Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the 'road company' Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities

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