生姜泻心汤加减方在宠物临床的应用  

Clinical application of Shengjiang Xiexin Tang in pets

作　　者：赵雁伟 闫永平[2] 韩若婵[2] 翟文栋[2] 董虹[3] 田丽芳 ZHAO Yanwei;YAN Yongping;HAN Ruochan;ZHAI Wendong;DONG Hong;TIAN Lifang(Agriculture and Animal Husbandry Bureau of Harqin Banner,Chifeng City,Inner Mongolia,Chifeng Inner Mongolia 024000,China;Baoding Vocational and Technical College,Baoding Hebei 070051,China;Beijing Key Laboratory of Traditional Chinese Veterinary Medicine,Beijing University of Agriculture,Beijing 102206,China)

机构地区：[1]内蒙古赤峰市喀喇沁旗农牧局,内蒙古赤峰024000 [2]保定职业技术学院畜牧兽医系,河北保定070051 [3]北京农学院兽医学(中医药)北京市重点实验室,北京102206

出　　处：《中兽医医药杂志》2024年第1期78-81,共4页Journal of Traditional Chinese Veterinary Medicine

基　　金：2023年北京农学院省部级科研平台开放课题(BUAOP202311);保定职业技术学院课题(ZD202201)。

摘　　要：生姜泻心汤出自于汉代张仲景的《伤寒论》,包含生姜、干姜、半夏、黄芩、人参、黄连、炙甘草、大枣八味中药,全方寒热并用,辛开苦降,攻补兼施,阴阳并调,未用理气之药,却有理气之效。该方应用广泛,尤其在胃肠疾病方面常作为基本方。笔者临床收治1例近3个月内间断呕吐、大便不成形的病猫,且应用抗菌药、抑制呕吐等西兽药等难以奏效。经中兽医诊断病猫久病而脾胃虚弱,胃失和降,浊气归于上,且寒热错杂,辨证为水热互结的痞证兼脾阳虚。治则为和胃降逆,宣散水气,健脾益气。药用生姜泻心汤加炒白术、陈皮,散水消痞,和胃降逆兼健脾,其中炒白术偏重健脾和胃,陈皮偏重于理气,服药1 d后未见呕吐,大便基本成形,食欲、精神明显好转,服药3 d病猫基本痊愈。本病例可为宠物临床治疗长期呕吐病例提供新思路,为生姜泻心汤方证的科学研究及临床应用提供借鉴。Shengjiang Xiexin Tang is derived from ZHANG Zhongjing’s Treatise on Febrile Diseases in the Han Dynasty.It includes eight traditional Chinese medicines:Fresh Ginger(Zingiberis Rhizoma Recens),Ginger(Zingiberis Rhizoma),Rhizoma Pinelliae,Radix Scutellariae,Radix Ginseng,Rhizoma Coptidis,baked Radix Glycyrrhizae and common Jujube(Jujubae Fructus).The whole prescription is combined with cold and heat,pungent and bitter,attack and tonify,Yin and Yang are adjusted simultaneously,and the medicine of regulating Qi is not used,but it has the effect of Qi-regulating.It is widely used,especially in the treatment of gastrointestinal diseases.The author used the addition and subtraction of this prescription to treat a sick cat with intermittent vomiting and unformed stool in nearly three months,and the application of antibiotics,inhibition of vomiting and other western veterinary drugs was difficult to work.According to the diagnosis of Chinese veterinarian,the sick cat was diagnosed as a long-term disease with spleen and stomach weakness,stomach loss and descending,turbidity and Qi returning to the upper,and cold and heat mixed.The syndrome differentiation was water and heat mutual knot and spleen Yang deficiency.The therapeutic principle is to harmonize stomach and lower adverse Qi,disperse water and Qi,strengthen spleen and replenish Qi.Therefore,Shengjiang Xiexin Tang was adopted adding Rhizoma Atractylodis Macrocephalae and Pericarpium Citri Reticulatae,to disperse water and eliminate swelling,harmonize stomach and lower adverse Qi,and strengthen spleen.After taking Chinese medicine for the first day,no vomiting was observed,the stool was basically formed,the appetite and spirit were significantly improved,and the sick cats were basically cured after taking Chinese medicine for 3 days.This case can provide new ideas for the clinical treatment of long-term vomiting cases in pets,and provide reference for the scientific research and clinical application of Shengjiang Xiexin Tang in pets.

关 键 词：生姜泻心汤 呕吐 痞证 猫 脾虚 水热互结 散水消痞 和胃降逆 

分 类 号：S858.293[农业科学—临床兽医学]