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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