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女性朋友养颜补血必备良方:四物汤-
女性朋友养颜补血必备良方:四物汤

女性朋友养颜补血必备良方:四物汤

导读:四物汤是补血的常用方,也是调经的基本方。被后世医家称为“妇科第一方”,“血证立法”;“调理一切血证是其所长”及“妇女之圣药”等。
女性朋友养颜补血必备良方:四物汤

【方歌】

四物归地芍与芎,营血虚滞此方宗。

妇女经病凭加减,临证之时可变通。

【组成】

当归(去芦,酒浸炒)10g 川芎8g 白芍12g 熟干地黄(酒洒蒸,熟地黄已有成品,干地黄,即生地黄晒干用)12g女性朋友养颜补血必备良方:四物汤

【用法】

上为粗末,每服三钱,水一盏半,煎至八分,去渣热服,空心食前。若妊娠胎动不安,下血不止者,加艾十叶,阿胶一片,同煎如前法。或血脏虚冷,崩漏,去血过多,亦加胶、艾煎。

现代用法:作汤剂,水煎服。一剂煎三次,早、午、晚空腹时服。

【功用】

补血调血。

【主治】

冲任虚损。月水不调,脐腹疼痛,崩中漏下。血瘕块硬,时发疼痛。妊娠胎动不安,血下不止,及产后恶露不下,结生瘕聚,少腹坚痛,时作寒热。

【方解】

本方是补血调经的主方,它是从《金匮要略•妇人妊娠篇》中的芎归胶艾汤去阿胶、艾叶、甘草而成。对诸种血虚证,均以本方为基础随证化裁。冲为血海,任主胞胎。若冲脉虚损,则妇女月经量少,色淡,经期推迟。再加下焦寒滞,则小腹作痛。若脾虚而不摄血,肾虚而冲任不固,则崩中漏下等证亦可相继发生。又或肝寒血滞,血行不畅而瘀停,可兼现癥块硬结,少腹、脐周作痛。本方以当归补血、活血;熟地补血为主;川芎入血分理血中之气;芍药敛阴养血。故全方尽属血分药。但组合得体,补血而不滞血,行血而不破血,补中有散,散中有收,构成治血要剂。

若血寒,经期腰腹疼痛,可酌加炮姜、桂枝、吴萸、枳壳、香附、桑寄生、续断温寒,理气,行血,止痛。若妊娠胎漏,可加阿胶、酒炒艾叶、炙甘草变为“芎归胶艾汤”。若血瘀不行,可加丹参、桃仁、红花而逐瘀行血。若血虚而有郁热,可加黄芩、丹皮;若气虚而不摄血,可加潞党参、黄芪、白术。总之,本方随证加减,可统治诸种血证。

【附方】(注:文中所涉及所有古籍均可在中医智库app查阅)

女性朋友养颜补血必备良方:四物汤

(1)圣愈汤(《医宗金鉴》) 熟地20g 白芍(酒拌)15g 川芎8g 人参七钱五分(一般用潞党参20g) 当归(酒洗)15g 黄芪(炙)18g 水煎服。功用:益气,补血,摄血。主治:月经先期而至,量多色淡,四肢乏力,体倦神衰之证。此证系气血虚弱,不能摄血所致,故以四物汤补血调血,加参、芪益气摄血。

(2)桃红四物汤(《医宗金鉴》) 熟地黄二钱(或用干地黄15g) 川芎8g 白芍(炒)10g 当归12g 桃仁6g 红花4g 水煎,日服三次,一天服完。功用:养血,活血,逐瘀。主治:妇女经期超前,量多,色紫质粘稠,或有块状,腹痛腹胀者。

方以四物养血活血,加桃、红并入血分而逐瘀行血。瘀血行则经水得以流通,而腹痛腹胀自消。惟行血逐瘀之剂,攻破力较强。得效即止,不能多服,因为破血逐瘀过服,每有血崩或经量过多之弊。

【文献摘录】

方论 张秉成:“夫人之所赖以生者,血与气耳。故一切补气诸方,皆从四君化出;一切补血诸方,又当从此四物而化也。补气者,当求之脾肺;补血者,当求之肝肾。地黄入肾,壮水补阴,白芍入肝,敛阴益血,二味为补血之正药。然血虚多滞,经脉隧道,不能滑利通畅,又恐地、芍纯阴之性,无温养流动之机,故必加以当归、川芎辛香温润,能养血而行血中之气者以流动之。总之,此方乃调理一切血证是其所长,若纯属阴虚血少,宜静不宜动者,则归、芎之走窜行散,又非所宜也。”

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