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chai hu gui
zhi tang
柴胡桂枝湯
translated
by Joe Hing Kwok Chu
按 此 看 中 文
Name of formula: chai
hu gui zhi tang
(Shang Han Lun)
Application: influenza,
pleurisy, stomach ache,
gastroxia (hyperacidity), stomach ulcer,
duodenum ulcer, hepatitis, jaundice, pain between the ribs, and
pain of sciatica.
Chai hu gui zhi tang is composed of
xiao chai hu
tang and
gui zhi tang, half the amount of
each. Its main usage is for chill and fever with pain in the
limbs and body due to the combined syndromes of tai yang sickness
and shao yang sickness.
Present usage includes ischemia in the brain
to prevent brain infarction.
Composition:
chai hu 5 qian,
huang qin 3 qian,
dang shen 3 qian, ban xia
3 qian,
zhi gan cao 2
qian,
sheng jiang
3 qian, da zao 4
pieces slit open,
gui zhi 4
qian, bai shao 4 qian.
Make into decoction.
柴胡桂枝湯
(傷寒論)
柴胡桂枝湯
是由小柴胡湯合桂枝湯各半量而組成，主要用于太陽少陽合病引起的發熱惡寒、肢體疼痛等症。
[主治]
寒疝腹中痛，痛連胸脅，寒熱往來，小柴胡湯證與桂枝湯症並見者。應用於感冒，流感，肋膜炎，胃痛，胃酸過多症，胃潰瘍，十二指腸潰瘍，肝炎，黃疸，肋間神經痛
, 神經過度緊張所引起之慢性胃痛，神經過敏而心悸亢進不眠，坐骨神經疼
,
對服過發散劑後仍未全癒之感冒屢有良效。
少陽病，見寒熱往來，胸脅苦滿，默默不欲飲食。心煩喜噁, 口苦, 咽乾, 目眩, 舌苔薄白,
脈弦者。
[組成]
柴胡 5 錢, 黃芩 3
錢, 黨參 3 錢,
半夏
3 錢,
炙甘草 2
錢,
生薑
3 錢, 大棗 4 枚劈開﹐
桂枝 4
錢, 白芍 4 錢.
柴胡桂枝湯
是由 小柴胡湯 合
桂枝湯 各半量而組成，主要用于太陽少陽合病引起的發熱惡寒、肢體疼痛等症。
New usage of chai hu gui zhi
tang
1.
Ulcer of
duodenum:
where
using H2 receptor blocker were ineffective, using chai hu gui
zhi tang decoction of one dose per day, for 10 days as a therapy
period, produced good result. It can inhibit the secretion of
stomach pepsin thus reduces the damage of stomach lining. It can
affect the secretion of gastrin and strengthen the protection of
the mucus of duodenum.
2.
Epilepsy:
There was a study
on treating 84 patients
with epilepsy by using chai hu gui zhi tang decoction, once a
day, with 10 days as a therapy period. Result: 25 healed. 41
obviously effective. 13 got better. 5 ineffective. Total
effectiveness: 94.05%.
3.
Recurring influenza
4.
Viral
infection with fever:
This formula possesses good effect of antipyretic, antiviral,
anti-infection. It is effective in treating fever caused by
certain viral infection, and is effective in epilepsy caused by
infection. There was a study on using this formula to treat 112
cases of fever caused by infection by adding sheng shi gao,
chuan xiong and cang zhu. Use one prescription a day or 2
prescriptions per day on more serious cases. In general
ineffectiveness showed after 5 days of treatment. Total
effectiveness is 87.5%.
5.
Neurasthenia:
neurasthenia is deemed
being caused by the imbalance of excitement and depression of
the cortex of the brain. The symptoms includes headache,
dizziness, anxiety, tiredness, unable to concentrate, insomnia,
forgetfulness, palpitation, short of breath, lack of appetite,
flatulence, even skin allergy, impotence, spermatorrhea. Studies
showed that this formula can balance the cortex of the brain in
adjusting the extremes of excitement and depression. There is a
study using this formula with adjustment in treating 60 patients
with these symptoms, using one dose per day, 14 days as one
therapy period, result were obtain within 1 to 2 periods.
(Editor note: this term is not being used today in science).
6.
Lack of
blood circulation in the brain:
the
recurring of transient ischemic attacks can cause temporary
symptoms of the brain.
About 25 to 40% developed
into total brain infarction (brain tissues become necrosis as a
result of obstruction of local blood supply). Study showed that
this formula can protect the neurons of the brain from damage
during lack of blood circulation and can promote circulation,
and can increase circulation to the brain.
柴胡桂枝湯老方新用
資料來源：張景岳中醫藥研究中心 所屬地區：中國大陸
柴胡桂枝湯是《傷寒論》中治療太陽和少陽並病的方劑，是由小柴胡湯合桂枝湯各半量而組成，主要用於太陽少陽合病引起的發熱惡寒、肢體疼痛等症。隨著其臨床運用和研究的深入，發現其有很多新的用途。
一、十二指腸潰瘍 柴胡桂枝湯對用H2受體拮抗劑治療無效的十二指腸潰瘍有良好效果，每日1劑，水煎服，10天為1療程。研究表明柴胡桂枝湯可抑制胃蛋白酶的分泌，從而減低胃液對黏膜的損害作用，同時柴胡桂枝湯能影響促胃泌素的分泌，加強十二指腸黏膜的防禦作用。
二、癲癇 研究認為癲癇放電現象是細胞內貯存的鈣在釋放過程中，鈣結合狀態的改變使與鈣相關的細胞內蛋白質、細胞膜離子通道也發生變化，出現了神經元突髮型病理放電。柴胡桂枝湯可使一些相關性改變的每個步驟都受到抑制，從而達到抗癲癇作用。有人用本方治療84例癲癇病人，每日1劑，10劑為1療程，結果治癒25例，顯效41例，好轉13例，無效5例，總有效率高達94.05%。
三、反覆感冒 反覆感冒多與人的機體免疫功能低下有關，有研究發現柴胡桂枝湯能增強機體的免疫功能。實驗表明柴胡桂枝湯可使造血幹細胞向淋巴細胞分化，並使正常幼鼠的免疫機能活化。據報道柴胡桂枝湯治療易感冒兒童急性上呼吸道炎症患者18例，結果顯效12例，有效
4例，無效2例，並且發現症狀改善最明顯的是發熱，其次是食欲、咳嗽、噴嚏、清涕。
四、病毒感染性發熱 柴胡桂枝湯有良好的解熱、抗病毒、抗感染的作用。用於治療某些病毒感染引起的發熱有良好的效果，並對感染引起的驚厥有效。據報導有人以本方加生石膏、川芎和蒼朮治療病毒感染性發熱112例，每日1劑，重者可1日2劑，一般服藥5劑有效，總有效率為87.5%。
五、神經衰弱 神經衰弱是大腦皮層興奮和抑制過程失去平衡所致，多見頭痛頭昏，焦慮煩燥，疲倦乏力，注意力不集中，失眠健忘，心悸氣短，胃納減退，脘腹痞滿，甚至皮膚過敏、陽痿、遺精等。研究表明柴胡桂枝湯對人體內分泌系統有一定的調節作用，尤對腦皮質的興奮和抑制有雙向調節作用，可調節和消除神經衰弱引起的一系列症狀。有人以柴胡桂枝湯加味治療神經衰弱60例，每日1劑，14天1療程，一般1～2療程即可獲效。
六、腦缺血 反覆發作的腦局部血流一過性減少，於相應供應區出現短暫神經症狀，約25～40%在5年內發展為完全型腦梗死。實驗表明柴胡桂枝湯對腦部神經元的缺血性損傷有保護作用，同時可促進血液循環，增加腦血流量，有良好的改善腦缺血的功能。
（牛忻群、牛國考／中國中醫藥報）
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脊柱受傷
原載：《中國中醫藥報》總2319期
由柴胡桂技湯治“肢節煩疼”體會“少陽主骨”
劉永臣 内蒙古開鲁縣中醫院
患者左××，女，58歲。2003年5月8日初診。患骨質疏鬆症10年，一直腰酸背痛。5月7日不慎騎自行車摔倒，當即腰部偏左侧劇痛，10多分鐘後始勉强爬起。回家後自服高鈣片、乙烯雌酚、骨折挫傷散不效，反增腹痛，大便秘結，肢體浮腫。今日来診拍x線片示第五腰椎壓縮性骨折，腰椎廣泛密度减低，腰椎彎向左侧，第三、四腰椎骨刺形成骨橋。方以骨質增生丸改湯加味，3劑罔效。轉方用複元活血湯，仍無寸功。因思《内經》有“少陽主骨”之論(《素问·熱論》)，且仲景傷寒論柴胡桂技湯有治“肢節煩疼”之功，乃用下方：柴胡20g，黄芩15g，黨参30g，半夏15g，甘草10g，生姜15g，大棗12
枚，桂枝15g，白芍20g，元胡20g，煅自然銅20g，鹿含草15g，杜仲炭30g，川断30g，骨碎補20g。药進1劑，腰腹痛均缓，肢腫盡消，大便亦轉至正常。遂以上方為主﹐連服18劑，連平素腰酸背痛亦告消失，随訪至今未 復發。 |
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