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柴胡疏肝散源于张景岳的《景岳全书》,为治疗肝气郁结的代表方。药物组成有:柴胡、枳壳、白芍、香附、川芎、陈皮、甘草。笔者在临床中,应用此方治疗肝郁气滞引起的各种病证收到较好的效果。1 慢性胆囊炎 张××,女,39岁,近2年来,经常感右胁肋部疼痛,纳呆,口苦,性情急躁,大便干燥,曾以“慢性胆囊炎”治疗,服用抗生素及“消炎利胆片”,效不佳。查体:一般情况可,心肺(一),右上腹部压痛,无反跳痛,舌质红、苔黄腻,脉弦数。治以柴胡疏肝散加减:
Chaihu Shugan San originated from Zhang Jingyue’s Jingyue Quanshu and is a representative of the treatment of liver qi stagnation. Drug composition: Bupleurum, Citrus aurantium, Angelica, Cyperus rotundus, Rhizoma Chuanxiong, Citrus, licorice. The author in the clinical, the application of this side to treat various syndromes caused by liver qi stagnation received good results. 1 Chronic cholecystitis Zhang × ×, female, 39 years old, in the past 2 years, often feels pain in the right flank ribs, poor appetite, bitter mouth, impatience, dry stool, once treated with “chronic cholecystitis”, taking antibiotics and “ Anti-inflammatory and gallbladder tablets”, ineffective. Physical examination: In general, heart and lungs (1), right upper abdominal tenderness, no rebound tenderness, red tongue, greasy yellow fur, and pulsed strings. Treatment with Bupleurum Shugan San addition and subtraction: