寒下方剂常以大黄、芒硝、枳实、厚朴等药为主,临床广泛用于高热、大渴、大便秘结、腹胀痞满等阳明腑实证。如能在此基础上根据病情兼夹、病情轻重、体质强弱,灵活选药组方,常能取得更佳疗效。一、与理气药物配伍里热积滞之证,系实热与积滞壅结于胃肠,致气滞不行而气机不畅,引起腹胀痞满,难以下泄。此时单攻积泻热则气滞难化,腹胀难消,积滞不得尽除;仅理气,积滞不去,里热难解,腹胀不能速消;唯清热泻下与理气除满并举,则既可泻下积滞,清解里热,又能化气行滞,消胀除满,于证始惬。因此,寒 Cold underneath agents are often based on rhubarb, Glauber’s salt, Gorgon fruit, and Magnolia officinalis, and are widely used clinically for the demonstration of fever, thirst, constipation, and bloating. If this can be based on the disease folder, severity, physical strength, flexible drug selection, often can achieve better results. First, with the qi drugs in the heat of stagnation of the card, the Department of heat and stagnation phlegm in the gastrointestinal tract, caused by qi stagnation and poor air, causing fullness bloating, it is difficult to vent. At this time, the single attack of diarrhea fever is difficult to stagnate, bloating is difficult to eliminate, stagnation can not be eliminated; only qi, stagnation does not go, where the heat is difficult to resolve, abdominal distension can not quickly eliminate; only clear heat diarrhea and qi and full lift , You can evaporate the stagnation, resolve the heat, but also can stagnation, eliminate inflation, in addition to the beginning of the card. Therefore, the cold