国医大师张志远运用石膏的经验  

Experience of TCM master ZHANG Zhi-yuan in using gypsum

作　　者：王淞[1,2] 潘琳琳[2] 谢芳[2] 刘桂荣[3] WANG Song;PAN Lin-lin;XIE Fang;LIU Gui-rong(Shandong College of Traditional Chinese Medicine,Yantai 264100,China;Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药高等专科学校,烟台264100 [2]山东中医药大学,济南250355 [3]山东中医药大学中医学院各家学说教研室,济南250355

出　　处：《中华中医药杂志》2021年第3期1423-1425,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局2018年国医大师张志远传承工作室项目(No.国中医药办人教函[2018]119号);山东省2019-2020年度中医药科技发展计划项目(No.2019-0266)。

摘　　要：石膏是临床常用药物,其药性清凉微寒,有一定的涩性,有清热泻火、祛烦平喘之效。国医大师张志远将其列为伤寒十八罗汉之一,称之为“解肌退热罗汉”。石膏在临床上可以根据“发热、烦躁、哮喘”三大症状合理选用,常用“石膏-麻黄”“石膏-知母”“石膏-青蒿”“石膏-大黄”药对,并提出石膏用量宜大,常用剂量为20~100g,内服者为生品,不可研末吞服等注意事项。在外感发热、胃火牙痛、胃溃疡、肺热咳喘等疾病的治疗中运用石膏取得了良好的临床疗效。Gypsum is a commonly used clinical drug,it is slightly cold,and has a certain astringency.It has the effect of clearing heat and purging fire,dispelling annoyance and relieving asthma.ZHANG Zhi-yuan,the TCM master,listed it as one of the eighteen Luohan of typhoid fever,which is called‘antipyretic Luohan’.In clinic,gypsum can be reasonably selected according to the three major symptoms of‘fever,irritability and asthma’.He often combines‘gypsum-ephedra’,‘gypsum-common anemarrhena rhizome’,‘gypsum-artemisia annua’and*gypsum-rheum officinale’,and puts forward that the dosage of gypsum should be large,the commonly used dose is 20~100g,internal users are raw products,and should not be swallowed.The use of gypsum has achieved good clinical results in the treatment of exogenous fever,stomach fire and toothache,gastric ulcer,lung heat cough and asthma and other diseases.

关 键 词：国医大师 张志远 石膏 用药经验 剂量 注意事项 

分 类 号：R249[医药卫生—中医临床基础]