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Dr浅岡俊之の漢方 東洋医学の成り立ち・診察方法

Dr浅岡俊之の漢方 東洋医学の成り立ち・診察方法

「漢方」のことばの由来
 … オランダからきた「蘭方」とそれまでの中国から来た医学を「漢方」と区別した

漢方の工夫
 身の回りの天然物を少しずつ体で確かめた
 生薬 …修治による工夫
 ブレンドによる工夫  …全て経験則

生薬の分類
 上 生命を育む 〜生まれてからずっと口にしても副作用はない物 例: 人参
 中 時に副作用あり
 下 作用は強いが副作用あり

ブレンドの妙
・(麻黄湯)マオウ + ケイシ → 発汗
・(マキョウカンセキトウ)マオウ + 石膏 → 止汗
・マオウ + ケイシ + 石膏 → 大量に発汗

●ケイシトウ (風邪引いて頭が痛いとき 表寒証)
 と 桂枝加芍薬湯 (おなかが痛いとき 裏寒証)

なのに、入っている生薬はまったく同じ

●攻守
攻め  … 大柴胡湯 など
攻めと守り … 小柴胡湯 など
守り  … 補中益気湯 など

●診察
望 …体格、舌、皮膚、態度
聞 …咳漱、喘鳴、声
問 …経過、症状、便通、食欲
切 …腹診、脈診

●舌
・裏熱 苔が厚い
 → 柴胡剤

・地図状舌
 男性で、元気がないひとに多い
 脾臓の低下、気虚 →六君子湯
  はげているところが1ヶ月くらいでほどけてくる

・裂紋
 「攻めてはだめ!」 補う薬を…
 急激にがたがきたひとはよくなる
 補中益気湯とかつかうと埋まってくる

・燥、紅 「とても乾いている!」
脱水を潤す
白虎人参湯 はこれを急速に治してくれる

・風邪をひいても、白から紅までたくさんの舌がある

● 腹
腹直筋の緊張 →芍薬
胸脇苦満 → 柴胡
 … 両方あったら → 四逆散

http://www.asaoka.org/

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