Expanded Applications and Applicable Population Characteristics of Huangqin Decoction
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摘要: 黄芩汤是治疗发热性疾病出现腹泻的经方,后来成为历代治疗热性腹泻的基本方。论文介绍了黄芩汤的拓展应用与适用人群特征。黄芩汤的应用除了《伤寒论》原文的记载外,在现代临床中还可用于发热性疾病、消化道疾病、妇产科疾病、自身免疫性疾病等;从适用人群看,黄芩汤多用于一种内热、伏热为特征的热性体质,女性多见,黏膜充血、烦热、肛肠证有特异性,由此构成黄芩汤方证。识别黄芩汤方证的临床思维,离不开适用疾病与适用人群这两个维度。Abstract: Huangqin decoction is a classic formula for treating diarrhea in febrile diseases, and later became the basic formula for treating damp-heat diarrhea in the successive generations. This study introduces the expanded applications and the characteristics of its applicable population. In addition to the original text of Treatise on Cold Damage, Huangqin decoction can also be used in modern clinical practice for febrile diseases, gastrointestinal diseases, obstetrical and gynecological diseases, as well as autoimmune diseases. From the viewpoint of the applicable population, Huangqin decoction is mostly applied for a yin-deficiency or damp-heat constitution caused by internal heat or latent heat, which is more common in female population. Besides, it has specificity to apply the formula based on some typical symptoms or syndromes, such as mucosal hyperemia, dysphoria with smothery sensation, and anorectal discomfort. Thus, the mentioned syndromes are also called the indications of Huangqin decoction. The clinical thinking of identifying the indications of Huangqin decoction is inseparable from its applicable disease and applicable population.
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Key words:
- Huangqin decoction /
- clinical application /
- applicable population /
- indications
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