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《药性赋》学习笔记:006地骨皮薄荷叶

  • 2026-05-17 19:23:03
《药性赋》学习笔记:006地骨皮薄荷叶

地骨皮有退热除蒸之效，薄荷叶宜消风清肿之施。

地骨皮

地骨皮是枸杞树的根皮。地骨皮甘淡，偏凉。甘淡能够养阴、退热；偏凉能降火。是治疗各种阴虚发热、骨蒸劳热的特效药。
地骨皮能滋阴降火，是同时向锅里加水，并将锅底的火撤走。阴虚火热的现象：肺热咳嗽、咳啖带血、五脏内热、口中干喝。地骨皮配合桑白皮之类的药物，用于清肺降火，润肺止咳，滋阴止渴。
人体虚劳，劳的是精血。大病、重病的一般路径都是：真阴亏耗、阴损及阳、阴阳两虚。所以要在病人出现阴虚潮热、骨蒸盗汗时，赶紧加以治疗。现在很多人长期熬夜，熬伤了阴血，就发低热，这都是地骨皮的适应证。阴虚火旺最集中的表现，就是舌尖红，少苔。身体骨蒸发热，能感觉到热从骨头里面蒸出来。
所以说地骨皮退骨蒸劳热，是退一时的劳热。养成劳作后休息、不熬夜、少看电视的习惯，才能从根源上退除永久的劳热。
妇女更年期前后容易烦躁、内热、消渴。《黄帝内经》认为，七七天癸绝，地道不通。这时精血不够了，流不出月经水来，五脏缺乏真阴滋润，容易出现脏躁，脏躁就像脏腑缺乏雨露滋润一样。这就是治疗阴虚劳热或脏躁，一定要润肺降肺，使金水相生的原因。肺为水之上源，肾主水。地骨皮、桑白皮两味药相配，最能降金生水，使金水相生，那么脏腑百脉得滋润，阴虚火旺躁扰之象就得到缓解。这就是更年期妇女的病理特征及常见用药思路，理解为何会阴虚火旺，如何去滋阴降火。
很多消耗性疾病、肿瘤癌症，到中晚期都会呈现虚热状态。针对这类疾病，除了表面上养阴退热，还要针对真正的病因进行治疗，而不是简单的滋阴降火就行。如果是纯粹的阴分不足，火势上亢，用地骨皮效果是好的。但如果有原发病肿瘤包块，那就要以治肿瘤包块原发病为主，不能陷入见病治病的局面中。

薄荷叶

薄荷叶是发散风热药的代表。薄荷的几大功用，一是清利头目咽喉，二是透除风热疹子
三是疏肝理气。
逍遥散中，以柴胡、薄荷用于解肝郁。人体郁结的肝气，就像关闭了门窗的房子一样，柴胡、薄荷的作用是的把肌表汗孔打开，打开房门，疏解肝郁。
荨麻疹，身上痒，一个原因是有毒热，另一个原因是毛孔闭塞。《伤寒论》说，以其不能得小汗出，身必痒，桂麻各半汤主之。如果得了瘙痒，不方便煎煮汤药。有个消风二药组，专门治疗肌表闭塞、风气瘙痒的，就薄荷、蝉蜕两味药，等量研成粉末，每次只需要用温酒送服一钱（3克），吃到微微出汗，肌表发热，再适当饮些热粥，小小地运动四肢，那么瘙痒就随着热汗而解了。
痤疮治疗法。用含有薄荷的香皂，把香皂打在热毛巾上，然后趁着温热敷脸，冷了再把它弄热敷。一天可以多敷几次。这样不单痤疮会渐消，连皮肤都会变得更好。原来温热的毛巾起到活血功效。血得温则行，遇寒则凝！再利用薄荷开毛窍的作用，使痤疮郁热透出来，它就瘪下去了。
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  1. CONNECT:[ UseTime:0.000648s ] mysql:host=127.0.0.1;port=3306;dbname=no_67808;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000846s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000359s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.002840s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000668s ]
  6. SELECT * FROM `set` [ RunTime:0.000260s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000706s ]
  8. SELECT * FROM `article` WHERE `id` = 489237 LIMIT 1 [ RunTime:0.000493s ]
  9. UPDATE `article` SET `lasttime` = 1779104852 WHERE `id` = 489237 [ RunTime:0.010473s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.000904s ]
  11. SELECT * FROM `article` WHERE `id` < 489237 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000473s ]
  12. SELECT * FROM `article` WHERE `id` > 489237 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.004816s ]
  13. SELECT * FROM `article` WHERE `id` < 489237 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.002475s ]
  14. SELECT * FROM `article` WHERE `id` < 489237 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.001394s ]
  15. SELECT * FROM `article` WHERE `id` < 489237 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.001352s ]
0.099972s