关于一个中药方子的不解，请可老师帮助

pang18 · 发表于 2011-8-17 13:05:40

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>以下是我在论坛上看到可老师关于肾传支的药方，<

><SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">我在治疗这个病时以五苓散与四君子汤为基础方，再根据鸡群的状况及其他并发症综合考虑。<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">
<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">基础方：猪苓<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">30<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">泽泻<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">45<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">白术<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">30<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">桂枝<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">25<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">党参<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">60<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">茯苓<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">60<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">甘草<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">30<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">陈皮<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">45<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">，以此为基础方进行加减。<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">
<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">加减：如果基本没有呼吸道症状，改桂枝为肉桂；呼吸道严重时加半夏、升麻、射干；伴发大杆时加大黄，湿热重时加茵陈；寒重时加附子、干姜。<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">
<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">用法：粉碎后日采食量的<SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-fareast-font-family: 宋体">1%<SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">拌料，或相同用量煎水后每天早晚分两次饮水。需要注意的是，计算药量的采食量不能按病鸡的实际采食量计算，而应按当前日龄正常情况下的采食量计算，因为发病后往往会出现减料，如果按实际采食量计算会导致用药量不足。<

><SPAN style="FONT-SIZE: 9pt; COLOR: #333333; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">有几个问题不懂：<

>1、以上每味中药后面的数字代表什么，是克、千克还是其它；<

>2、如果伴发呼吸道或大杆后几味中药应该如何用；<

>3、中药是粉剂拌料好还是煎服饮水好：<

>4、如果用煎服，以上中药在治疗肾传支时煎服的药材数量、用水量及煎好后每天饮用几次，每次饮多少；<

>谢谢！<

>

ndyzlwx · 发表于 2011-8-17 13:51:15

份例如按斤算的话是斤

大实话 · 发表于 2011-8-17 13:56:24

第二个问题我也关注

平头恋上黑墨镜 · 发表于 2011-8-17 15:08:07

一般情况都是以克为单位的

赵红光 · 发表于 2011-8-17 16:15:02

是以克为单位的。按说半夏等加20，大黄加30煎服吸收好。拌料适口性好，最好是一次性饮水。

完美相遇吧 · 发表于 2011-8-17 17:09:56

顶一下这么好的中药方子

可兽医 · 发表于 2011-8-17 21:08:48

1、方中的数字是没有单位的，只是各药的比例
2、加减用药的量根据相应的证表现轻重灵活掌握，一般情况下与其他药的配合比例在15到45
3、这个方子煎水效果更好一些
4、煎药时的用水量可以稍大一些，容器足够大的话可以多加一些水，至少得淹没药材；饮水时将药加到两到三个小时的水中，饮前控水一小时再饮药水，每天分早、晚两次饮鸡。

pang_gp · 发表于 2011-8-17 22:05:24

<

>谢谢，可老师的解答，我还有一个问题想问一下：<

>以上方子我每天煎多少药（原材料）呢，才能上午、下午各一次，是否有什么依据（比如鸡地日龄、重量、采食量等）的啊；<

>据我了解一般中药如果粉剂拌料是以采食量为参照的，而饮水每次（天）煎多少药我不懂，请指点；<

>

可兽医 · 发表于 2011-8-18 00:57:43

饮水和拌料的总用药量计算方法是一样的，量也一样

可兽医 · 发表于 2011-8-18 00:58:28

把全天用的中药集中煎取，煎后的药汁分两次饮就可以了

pang18 · 发表于 2011-8-18 08:29:06

<

>谢谢，可老师！

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