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<span><strong><span>导言：</span></strong><span>清朝康熙三十三年有位叫汪昂的80岁老中医，整合古方编著了一本《汤头歌诀》影响颇为广泛。</span></span><span>本书选录名方320条分为20类，用七言诗体编成歌诀将每个汤剂的洺称、用药、适应证、随证加减等都写入歌中，内容简明扼要音韵工整，一时成为医界的美谈</span>
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<span>汪昂（），字讱庵初名恒，安徽休宁縣城西门人曾中秀才，因家庭贫寒遂弃举子业，立志学医他苦攻古代医著，结合临床实践经过30年的探索研究。编著有《素问灵枢類纂约注》《医方集解》《本草备要》《汤头歌决》等均为后世中医学者必修必读的经典。</span>
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<span>四君子汤中和义 参术茯苓甘草比</span>
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<span>益以夏陳名六君 祛痰补气阳虚饵</span>
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<span>除祛半夏名异功 或加香砂胃寒使</span>
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<span>升阳益胃参术芪 黄连半夏草陈皮</span>
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<span>苓泻防风羌独活 柴胡白芍姜枣隨</span>
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<span>黄芪鳖甲地骨皮 艽菀参苓柴半知</span>
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<span>地黄芍药天冬桂 甘桔桑皮劳热宜</span>
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<span>秦艽鳖甲治风劳 地骨柴胡及青蒿</span>
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<span>当归知母乌梅合 止嗽除蒸敛汗高</span>
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<span>秦艽扶羸鳖甲柴 地骨当归紫菀偕</span>
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<span>半夏人参兼炙草 肺劳蒸嗽服之谐</span>
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<span>紫菀汤中知贝母 参苓五味阿胶偶</span>
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<span>再加甘桔治肺伤 咳血吐痰劳热久</span>
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<span>百合固金二地黄 玄参贝母桔甘藏</span>
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<span>麦冬芍药当归配 喘咳痰血肺家伤</span>
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<span>补肺阿胶马兜铃 鼠粘甘草杏糯停</span>
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<span>肺虚火盛人当服 顺气生津嗽哽宁</span>
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<span>小建中汤芍药多 桂姜甘草大枣和</span>
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<span>更加饴糖补中脏 虚劳腹冷服之瘥</span>
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<span>增入黄芪名亦尔 表虚身痛效无過</span>
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<span>又有建中十四味 阴班劳损起沉疴</span>
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<span>十全大补加附子 麦夏苁蓉仔细哦</span>
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<span>益气聪明汤蔓荆 升葛参芪黄柏并</span>
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<span>再加芍药炙甘草 耳聋目障服之清</span>
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<span>独参功擅得嘉名 血脱脉微可返生</span>
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<span>一味人参浓取汁 应知专任力方宏</span>
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<span>龟鹿二仙最守真 补人三宝气精神</span>
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<span>人参枸杞和龟鹿 益寿延年实可珍</span>
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<span>保元补益总偏温 桂草参芪四味存</span>
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<span>男妇虚劳幼科痘 持纲三气妙难言</span>
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<span>还少温调脾肾寒 茱淮苓地杜牛餐</span>
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<span>苁蓉楮實茴巴枸 远志菖蒲味枣丸</span>
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<span>金匮肾气治肾虚 熟地淮药及山萸</span>
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<span>丹皮苓泽加附桂 引火归原热下趋</span>
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<span>济生加入车牛膝 二便通调肿胀除</span>
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<span>钱氏六味去附桂 专治阴虚火有余</span>
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<span>六味再加五味麦 八仙都气治相殊</span>
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<span>更有知柏与札菊 归芍参麦各分途</span>
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<span>右归饮治命门衰 附桂屾萸杜仲施</span>
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<span>地草淮山枸杞子 便溏阳痿服之宜</span>
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<span>左归饮主真阴弱 附桂当除易麦龟</span>
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<span>当归补血有奇功 归少芪多力最雄</span>
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<span>更有芪防同白术 别名止汗玉屏风</span>
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<span>七宝美髯何首乌 菟丝牛膝茯苓俱</span>
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<span>骨脂枸杞当归合 专益肾肝精血虚</span>
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<span>补心丹用柏枣仁 二冬生地与归身</span>
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<span>三参桔梗朱砂味 远志茯苓共养神</span>
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<span>或以菖蒲更五味 劳心思虑过耗真</span>
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<span>虎潜脚痿是神方 虎胫膝陈地锁阳</span>
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<span>龟版姜归知柏芍 再加羊肉捣丸嘗</span>
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<span>河车大造膝苁蓉 二地天冬杜柏从</span>
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<span>五味锁阳归杞子 真元虚弱此方宗</span>
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<span>斑龙丸用鹿胶霜 苓柏菟脂熟地黄</span>
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<span>等分为丸酒化服 玉龙關下补元阳</span>
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<span>麻黄汤中用桂枝 杏仁甘草四般施</span>
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<span>发热恶寒头项痛 伤寒服此汗淋漓</span>
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<span>桂枝汤治太阳风 芍药甘草姜枣同</span>
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<span>桂麻相合名各半 太阳如疟此为功</span>
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<span>大青龙汤桂麻黄 杏草石膏姜枣藏</span>
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<span>太阳无汗兼烦躁 风寒两解此为良</span>
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<span>小龙青汤治水气 喘咳呕哕渴利慰</span>
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<span>姜桂麻黃芍药甘 细辛半夏兼五味</span>
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<span>葛根汤内麻黄襄 二味加入桂枝汤</span>
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<span>轻可去实因无汗 有汗加葛无麻黄</span>
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<span>升麻葛根汤钱氏 再加芍药甘草昰</span>
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<span>阳明发热与头痛 无汗恶寒均堪倚</span>
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<span>亦治时疫与阳斑 疽疹已出慎勿使</span>
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<span>九味羌活用防风 细辛苍芷与川芎</span>
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<span>黄芩生地同甘草 三阳解表益姜葱</span>
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<span>阴虚气弱人禁用 加减临时在变通</span>
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<span>神术散用甘草苍 细辛藁本芎芷羌</span>
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<span>各走一经祛风湿 风寒泄泻总堪尝</span>
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<span>太无神术即平胃 加入菖蒲与藿香</span>
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<span>海藏神术苍防草 太阳无汗代麻黄</span>
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<span>若以白术易苍术 太阳有汗此为良</span>
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<span>麻黄附子细辛汤 发表温经两法彰</span>
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<span>若非表裏相兼治 少阴反热曷能康</span>
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<span>人参败毒茯苓草 枳桔柴前羌独芎</span>
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<span>薄荷少许姜三片 四时感冒有奇功</span>
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<span>去参名为败毒散 加入消风治亦哃</span>
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<span>再造散用参芪甘 桂附羌防芎芍参</span>
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<span>细辛加枣煨姜煎 阳虚无汗法当谙</span>
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<span>麻黄人参芍药汤 桂枝五味麦冬襄</span>
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<span>归芪甘草汗兼补 虚人外感服之康</span>
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<span>神白散用白芷甘 姜葱淡豉与相参</span>
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<span>肘后单煎葱白豉 两方均能散风寒</span>
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<span>十神汤里葛升麻 陈草芎苏白芷加</span>
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<span>麻黄赤芍兼香附 时邪感冒郊堪夸</span>
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<span>银翘散主上焦医 竹叶荆牛薄荷豉</span>
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<span>甘桔芦根凉解法 风温补感此方宜</span>
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<span>咳加杏贝渴花粉 热甚栀芩次第施</span>
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<span>桑菊饮Φ桔梗翘 杏仁甘草薄荷饶</span>
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<span>芦根为引轻清剂 热盛阳明入母膏</span>
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<span>防风解毒荆薄荷 大力石膏竹叶和</span>
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<span>甘桔连翘知木枳 风温痧疹肺经哆</span>
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<span>竹味柳蒂干葛知 蝉衣荆芥薄荷司</span>
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<span>石膏粳米参甘麦 初起风痧此可施</span>
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<span>华盖麻黄杏橘红 桑皮苓草紫苏供</span>
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<span>三拗只用麻甘杏 表散風寒力最雄</span>
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<span>大承气汤用芒硝 枳实厚朴大黄饶</span>
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<span>救阴泻热功偏擅 急下阳明有数条</span>
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<span>小承气汤朴实黄 谵狂痞硬上焦强</span>
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<span>益以羌活名三化 中风闭实可消详</span>
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<span>调胃承气硝黄草 甘缓微和将胃保</span>
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<span>不用朴实伤上焦 中焦燥实服之好</span>
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<span>木香槟榔青陈皮 枳柏茱连棱术随</span>
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<span>大黄黑醜兼香附 芒硝水丸量服之</span>
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<span>一切实积能推荡 泻痢食疟用咸宜</span>
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<span>枳实导滞首大黄 芩连曲术茯苓襄</span>
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<span>泽泻蒸饼糊丸服 湿热积滞力能攘</span>
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<span>若还后重兼气滞 木香导滞加槟榔</span>
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<span>温脾参附与干姜 甘草当归硝大黄</span>
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<span>寒热并行治寒积 脐腹绞结痛非常</span>
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<span>蜜煎导法通大便 或将獵胆灌肛中</span>
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<span>不欲苦寒伤胃腑 阳明无热勿轻攻</span>
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<span>芍药芩连与锦纹 桂甘槟木及归身</span>
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<span>别名导气除甘桂 枳壳加之效若神</span>
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<span>香连治痢习为常 初起宜通勿遽尝</span>
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<span>别有白头翁可恃 秦皮连柏苦寒方</span>
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<span>更衣利便治津干 芦荟朱砂滴酒丸</span>
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<span>脾约别行麻杏芍 大黄枳朴蜜和丸</span>
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<span>瓜蒂散Φ赤小豆 或入藜芦郁金凑</span>
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<span>此吐实热与风痰 虚者参芦一味勾</span>
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<span>若吐虚烦栀豉汤 剧痰乌附尖方透</span>
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<span>古人尚有烧盐方 一切积滞功能奏</span>
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<span>稀涎皂角白矾班 或益藜芦微吐间</span>
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<span>风中痰升人眩仆 当先服此通其关</span>
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<span>通关散用细辛皂 吹鼻得嚏保生还</span>
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<span>小柴胡汤和解供 半夏囚参甘草从</span>
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<span>更用黄芩加姜枣 少阳百病此为宗</span>
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<span>四逆散里用柴胡 芍药枳实甘草须</span>
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<span>此是阳邪成郁逆 敛阴泄热平剂扶</span>
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<span>黄连汤内用干姜 半夏人参甘草藏</span>
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<span>更用桂枝兼大枣 寒热平调呕痛忘</span>
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<span>黄芩汤用甘芍并 二阳合利枣加烹</span>
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<span>此方遂为治痢祖 后人加味或更名</span>
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<span>再加生薑与半夏 前症皆呕此能平</span>
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<span>单用芍药与甘草 散逆止痛能和营</span>
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<span>逍遥散用当归芍 柴苓术草加姜薄</span>
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<span>散郁除蒸功最奇 调经八味丹栀著</span>
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<span>藿香正气大腹苏 甘桔陈苓术朴俱</span>
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<span>夏曲白芷加姜枣 感伤岚瘴并能驱</span>
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<span>六和藿朴杏砂呈 半夏木瓜赤茯苓</span>
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<span>术参扁豆同甘草 姜枣煎之六气平</span>
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<span>或益香薷或苏叶 伤寒伤暑用须明</span>
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<span>清脾饮用青朴柴 苓夏甘芩白术偕</span>
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<span>更加草果姜煎服 热多阳疟此方佳</span>
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<span>痛泻要方陈皮芍 防风白术煎丸酌</span>
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<span>补演并用理肝脾 若作食伤医更错</span>
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<span>何人饮治久虚疟 参首归陈姜枣约</span>
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<span>追疟青陈柴半归 首乌甘草正未弱</span>
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<span>若名休瘧脾无虚 参甘归乌甘草酌</span>
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<span>四兽果梅入六君 补中兼收须量度</span>
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<span>更截实疟木贼煎 青朴夏榔苍术着</span>
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<span>奔豚汤治肾中邪 气上冲胸腹痛佳</span>
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<span>芩芍芎归甘草半 生姜干葛李根加</span>
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<span>达原厚朴与常山 草果槟榔共涤痰</span>
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<span>更用黄芩知母入 菖蒲青草不容删</span>
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<span>俞氏蒿芩清胆汤 陈皮半夏竹茹襄</span>
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<span>赤苓枳壳兼碧玉 湿热轻宣此法良</span>
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<span>大柴胡汤用大黄 枳实芩夏白芍将</span>
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<span>煎加姜枣表兼里 妙法内攻并外攘</span>
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<span>柴胡芒硝义亦尔 仍有桂枝大黄汤</span>
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<span>防风通圣大黄硝 荆芥麻黄栀芍翘</span>
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<span>甘桔芎归膏滑石 薄荷芩术力偏饶</span>
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<span>表里交攻阳热盛 外科疡毒总能消</span>
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<span>五积散治五般积 麻黄苍芷归芍芎</span>
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<span>枳桔桂姜甘茯朴 陈皮半夏加姜葱</span>
</section>
<section>
<span>除桂枳陈余略炒 熟料尤增温散功</span>
</section>
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<span>温中解表祛寒湿 散痞调经用各充</span>
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<span>三黄石膏芩柏连 栀子麻黄豆豉全</span>
</section>
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<span>姜枣细茶煎热服 表里三焦热盛宣</span>
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<span>葛根黄芩黄连汤 甘草四般治二阳</span>
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<span>解表清里兼和胃 喘汗洎利保平康</span>
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