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《药性赋》学习笔记:005黄柏兜铃

  • 2026-05-04 10:12:15
《药性赋》学习笔记:005黄柏兜铃

是以黄柏疮用，兜铃嗽医。

黄柏

黄柏善于治疗各种湿热热毒性疮痈肿毒。
小孩头上长疮，热毒上攻，用黄柏捣烂，敷在局部可治之。—— 《本草纲目》
肺中热毒导致鼻内生疮肿痛，用黄柏、槟榔各等份打粉，用猪油调敷。 —— 《圣惠方》
口舌生疮，热痛难受，把黄柏捣烂含在疮部，就有效，取它苦寒降火之义。 —— 《千金方》
小孩眼睛红赤，黄柏以乳汁浸泡后，点眼即愈。 —— 《小品方》
小儿遍身脓疮不干，用黄柏打粉，加少量枯矾，涂抹疮部，有助于败毒收口。 —— 《简便单方》
男子阴部长疮，可以煮黄柏的汁洗，洗完后用白蜜涂。
如果是皮肤湿痒疮肿，用黄柏、苦参、地肤子、白鲜皮煎汤外洗。
如果是带下湿痒，妇人阴部湿疮，苍术、黄柏是最佳药对，再配合百部、蛇床子，就是非常好的外洗方。
黄连解毒汤，是公认的治疗各种疮疡火毒的内服特效方。由黄连、黄芩、黄柏、栀子四味药组成。黄芩泻上焦肺火，黄连泻上中焦心胃之火，黄柏泻下焦相火，栀子通降三焦之火。周身之火毒能够降本流末，就不会往外面爆疮了。这就是治疮要治心火的道理。
疮分为阳疮和阴疮。阴疮是陷下去的，阳疮是爆出来的。
阴疮大都病程日久，正气亏虚，疮毒托不出来，黄柏不适用。
黄柏性寒，治的是阳热疮毒。
治疮思路，一方面要火郁发之，一方面还要撤热下行。善治疮肿的人，必然善于用泻火药配上风药。因为风药能够透热于外，泻火药能够败毒于下。所以治疗湿疮毒热，经常用荆芥、防风配黄柏、苦参，一升一降，一边用风药散热，一边用下火药败疮毒下行，这样疮肿就会慢慢平复。
古方中治疗口疮有奇功的是细辛配黄柏。（本人口疮几十年，年年发，不仅自己发，家人也发，但书中并没有讲用法及用量，不知怎么用）。
中医治疮的秘法就是要开疮毒下行的通道。黄柏入肾、膀胱，能够使湿热从前阴小便出；大黄入大肠，能使疮毒从后阴大便出。古人把这两味药打粉配成散剂，用醋调和外抹，可以作为治疮肿的特效药。
有些牙龈肿痛的病人，是因为饮食过度肥甘厚腻，降不下去，沿着阳明胃经上攻牙龈所致。这时也可以把这种牙龈肿痛当成疮来治疗。一方面外用黄柏煎水漱口，另一方面叫病人服用黄连上清丸或三黄片这些苦寒降火之药，使阳明胃经得以通降，牙火就从大便撤走了。
古人不单用黄柏治疗疮肿，还用于治疗阴虚火旺。黄柏配知母是滋阴降火的药对。知柏地黄丸。
治痔疮，用乙字汤。由大黄、黄芩、甘草、当归尾、柴胡、升麻。前三味能够败肠毒于下，肃降五脏六腑灼热，就像从锅内撤走燃烧正旺的柴火一样。后两味为风药，能透热外出，流通气机，就像给滚热的锅揭开盖，让它散热一样。所以这简单的六味药就能让痔疮慢慢缩小，脏毒排泄。

马兜铃

针对肺热上亢、肺气上逆的肺热咳嗽，马兜铃有特效。马兜铃配甘草，比例按2：1打粉，每次服3克，专治肺热咳嗽。马兜铃有小毒，不可久服，要中病则止。
什么是肺热咳嗽？
  1. 右寸脉亢盛
  2. 呼吸都偏于粗重，吐出来的气都热
  3. 痰偏黄浊
  4. 小便炽热
马兜铃除了治疗肺热咳喘外，还可以清肠消痔，专门治疗痔疮肿痛和出血，甚至可以配合地榆、槐花煎汤外洗治痔疮。因为肺与大肠相表里，肺有热，身体就会自动地想通过肛门来排毒，使热下移大肠，从而产生痔疮。此时，顺应身体，用大黄、黄芩、马兜铃这些降肺肠热毒的药，就能使痔疮不出血、肛门不灼热。
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  1. CONNECT:[ UseTime:0.000719s ] mysql:host=127.0.0.1;port=3306;dbname=no_67808;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000820s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000345s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000293s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000489s ]
  6. SELECT * FROM `set` [ RunTime:0.000203s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001197s ]
  8. SELECT * FROM `article` WHERE `id` = 485951 LIMIT 1 [ RunTime:0.000877s ]
  9. UPDATE `article` SET `lasttime` = 1777865221 WHERE `id` = 485951 [ RunTime:0.010811s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.000449s ]
  11. SELECT * FROM `article` WHERE `id` < 485951 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000727s ]
  12. SELECT * FROM `article` WHERE `id` > 485951 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000649s ]
  13. SELECT * FROM `article` WHERE `id` < 485951 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.006457s ]
  14. SELECT * FROM `article` WHERE `id` < 485951 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.001580s ]
  15. SELECT * FROM `article` WHERE `id` < 485951 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.002561s ]
0.129630s