保和丸

◎方  名：保和丸（消导之剂）

   总  结：伤食伤饮                                                               

   编  号：003                                                                    

   组  成：陈皮、连翘、茯苓、神曲、莱服子、山楂、半夏                             

   主  治：治食积饮停，腹痛泄泻，痞满吐酸，积滞恶食，食疟下痢。                   

   归  经：足太阴、阳明药。                                                       

   方  义：(1)1.陈皮─能降能升，调中而理气。                                      

           　2.积久必郁为热，连翘散结而清热。                                     

           3.伤食必兼乎湿，茯苓补脾而渗湿。                                       

           4.神曲─辛温蒸  之物，能消酒食陈腐之积。                               

           5.菔子─辛甘下气而制面。                                               

           6.山楂─酸温收缩之性，能消油腻腥膻之食。                               

           7.麦芽─咸温消谷而坚。                                               

           8.半夏─能温能燥，和胃而健脾。                                         

           (2)此内伤而气未病者，但当消导，不须补益。                              

   变化方：(1)大安丸加白朮，则消补兼施也。                                        

           (2)本方加白朮、白芍，去半夏、菔子、连翘，蒸饼糊丸，名「小保和丸」，    

           助脾进食。                                                             

           (3)本方加白朮二两，名「大安丸」，或加人参，治饮食不消，气虚邪微。      

           (4)本方加白朮、香附、黄芩、黄连、厚朴、枳实，治积聚痞块。              

           (5)本方合「越曲丸」，扶脾开郁。                                        

   煎服法：曲糊丸，麦芽汤下。或加麦芽入药亦可。