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药物应用当否,是临床医疗质量高低的一个十分重要的因素.笔者结合临床,仅就《伤寒论》的药物用法,谈谈影响药物疗效的因素.一、注重炮制药物的加工炮制,是为了消除或降低药物的毒副作用和增强疗效.仲景用药十分注重加工炮制,论中85种药物交叉应用于各方中,先后出现536品次.“脚注”注明炮制方法的药物315品次,占58.8%.仲景根据药材的生性及治疗的需要,采用修治、水制、火制、水火共制等多种炮制方法,如桂枝、猪苓去皮;麻黄去节;麦冬去心;生姜切片;半夏、吴茱萸洗;葶苈子、水蛭、芫花、牡蛎熬;虻虫去翅足,熬;枳实水浸,炙令黄;蜀椒出汗(焙)等.
Whether or not the use of drugs is a very important factor in the quality of clinical care. The author combines clinical, only on the drug usage of “Treatise on Febrile Diseases,” talk about the factors that affect the efficacy of drugs. First, pay attention to the processing of concocted drugs is to eliminate Or reduce the toxic side effects of drugs and enhance efficacy. Zhongjing medication pays great attention to processing and processing. On the application of 85 kinds of drugs across all parties, there have been 536 products. “Footnotes” indicate the processing methods of drugs 315 times, accounting for 58.8%. Based on the medicinal properties and treatment needs, Zhongjing uses a variety of methods such as repair, water, fire, water, and fire, such as cassia twigs and pigskin peeling; ephedra to festivals; Ophiopogon japonicus to the heart; Ginger slices; Pinellia, Wu Xi wash; gardenia, leeches, flowers, oysters; maggots to wing feet, wolfberry; ramming water immersion, simmering yellow; simmering pepper sweating (baking) and so on.