谓胃承气汤

◎方  名：谓胃承气汤（攻里之剂）

   总  结：胃实缓攻                                                               

   编  号：003                                                                    

   组  成：大黄﹑芒硝﹑甘草                                                       

   主  治：1.治伤寒阳明证，不恶寒，反恶热，口渴便闭，谵语腹满，中焦燥实。         

           2.及伤寒吐后腹胀满者。                                                 

           3.阳明病不吐不下而心烦者。                                             

           4.亦治渴证，中消善食而溲。                                             

   归  经：此足太阳阳明药也。                                                     

   方  义：(1)大黄苦寒，除热荡实。芒硝咸寒，润燥软坚。 二物下行甚速，故用甘草甘平以缓之，不致伤胃，故谓调胃承气。          

           (2)去枳﹑朴者，不欲其犯上焦气分也。                                    

   变化方：(1)本方加当归﹑姜﹑枣煎，名当归承气汤，治里热火郁，或皮肤枯燥，或咽     燥鼻干，或便溺秘结，或瘀血发狂。                                            

           (2)方本方除芒硝，名大黄甘草汤，金匮用治食已即吐，外台用治吐水。        

           (3)本方用大黄二两半，芒硝﹑甘草名二两，又名破棺丹，治多汗﹑大渴﹑便 秘﹑谵语妳 阳结之证及诸疮肿热。                                                

   炮  制：大黄酒浸，甘草炙。                                                     

   煎服法：少少温服。                                                             

   来  源：仲景