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表裏之劑-大柴胡湯

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表裏之劑

大柴胡湯《張仲景方》發表、攻裏。

原文

大柴胡湯用大黃,枳實芩夏白芍將,煎加薑棗表兼裏,

妙法內攻併外攘。柴胡芒硝義亦爾,仍有桂枝大黃湯。

註釋

柴胡八兩、大黃二兩、枳實四枚、半夏半升、黃芩、芍藥各三兩、生薑五兩、大 棗十二枚。治陽邪入裏,表證未除,裏證又急者。○柴胡解表,大棗、枳實攻裏 黃芩清熱,芍藥斂陰,半夏和胃止嘔,薑、棗調和營衛。按本方、次方治少陽陽 明,後方治太陽陽明為不同。加柴胡加芒硝湯。小柴胡湯加芒硝六兩,張仲景方 張仲景方,桂枝湯內加大黃一兩,芍藥三兩,名桂枝加大黃湯。治太陽誤下,轉 屬太陰,大實痛者。

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