防己黄耆汤

◎方  名：防己黄耆汤（利湿之剂）

   总  结：风水诸湿                                                               

   编  号：007                                                                    

   组  成：防己、黄耆、白朮、甘草、生姜、大枣                                     

   主  治：1.治风水，汗出恶风，脉浮身重。                                         

           2.及诸风诸湿，麻木身痛。                                               

   加  减：(1)腹痛加芍药。                                                        

           (2)喘加麻黄。                                                          

           (3)有寒加细辛。                                                        

           (4)气上冲加桂枝。                                                      

           (5)热肿加黄芩。                                                        

           (6)寒多掣痛加姜、桂。                                                  

           (7)湿盛加茯苓、苍朮。                                                  

           (8)气满坚痛加陈皮、枳壳、苏叶。                                        

   归  经：足太阳太阴药也                                                         

   方  义：(1)防己大辛苦寒，通行十二经，开窍泻湿，为治风肿水肿之主药。            

           (2)黄耆生用达表，治风注肤痛，温分肉，实腠理。                          

           (3)白朮健脾燥湿，与黄耆并能止汗为臣。                                  

           (4)防己性险而捷，故用甘草甘平以缓之，又能补土制水为佐。                

           (5)姜、枣辛甘发散，调和荣卫为使也。                                    

   变化方：(1)本方去白朮、姜、枣，加茯苓、桂枝，名防己茯苓汤，治水在皮肤四肢， 聂聂而动，皮水为病，四肢肿，水气在皮肤中，聂聂而动者，名皮水。      

           (2)本方加人参、生姜、防己、白朮各增三倍，名防己汤，治风温脉浮， 多汗身重。           

   煎服法：每服五钱，加姜、枣煎。                                                 

   来  源：金匮