白虎加人參湯(95.血弱氣盡，腠理開，邪氣因入，與正氣相搏，結(jié)于脅下)

白虎加人參湯

【別名】化斑湯

【處方】知母（三錢）　石膏（五錢）　人參（二錢）　甘草（一錢半）

【功能與主治】治傷寒發(fā)斑，口燥煩渴。

【用法與用量】上作一服，水二鐘，粳米一百粒，煎至一鐘，不拘時服。

【摘錄】明·方賢著《奇效良方》

95.血弱氣盡，腠理開，邪氣因入，與正氣相搏，結(jié)于脅下

95.血弱氣盡，腠理開，邪氣因入，與正氣相搏，結(jié)于脅下，正邪分爭，往來寒熱，休作有時，默默不欲飲食。藏府相連，其痛必下，邪高痛下，故使嘔也。小柴胡湯主之。服柴胡湯已，渴者，屬陽明也，以法治之。

劉渡舟 

正邪紛爭，所以就會出現(xiàn)交替性的寒熱，有點類似瘧疾。肝膽氣機不利，就會影響脾胃，導(dǎo)致脾胃不和，所以會出現(xiàn)喜嘔的癥狀。少陽邪氣如果不解，可能會傳到陽明，表現(xiàn)就是出現(xiàn)渴。

胡希恕

這一節(jié)非常好，血弱氣盡，就是說太陽病表證時，大量的津液向體表集中，津液來源于胃。但是仍然沒有解除疾病，這樣一來里就虛弱了，要支撐里，表的氣血就弱了。表弱，腠理疏松，邪氣就進來了。但是正氣在里還是有防線，集中在脅下，胸腹腔中間，就是募原這個地方，正邪相爭。就會出現(xiàn)邪進則寒，正強則熱的寒熱往來情況。這個就要用小柴胡湯治療。

如果出現(xiàn)渴，那就變成陽明病了，要用白虎湯。如果柴胡證不罷，就要小柴胡加石膏就可以了。

劉志杰

這條是解釋少陽中風病機的，氣血不足，腠理不固，外邪直接進入少陽，所以叫少陽中風。這時里氣還不是特別衰弱，所以在少陽。少陽是半表里，在這里紛爭，就會有規(guī)律的寒熱往來，也可能沒有規(guī)律。這時腸道和胃也不會舒服，總感覺餓，卻不想吃。如果口渴，可以用白虎加人參湯，如果還有胃氣不和，可以考慮調(diào)胃承氣湯加人參。

下列關(guān)于白虎加人參湯的藥物組成，哪項是錯誤的：

下列關(guān)于白虎加人參湯的藥物組成，哪項是錯誤的：

A.知母六兩

B.人參二兩

C.石膏半斤

D.甘草二兩

E.粳米六合

正確答案：C

氓聫隴盲祿攏莽聳聼莽聳戮忙聵爐盲祿聙盲鹿聢莽聴聟

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