四君子汤是除湿热还是化寒湿？肝郁的人能够用吗？一次讲清楚
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大众</span>好，我是刘<span style="color: black;">大夫</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">刘<span style="color: black;">大夫</span>这段时间在评论区看到有粉丝<span style="color: black;">伴侣</span>留言，问<strong style="color: blue;"><span style="color: black;">四君子汤是除湿热还是化寒湿的</span></strong>，<strong style="color: blue;"><span style="color: black;">肝气郁滞的人能<span style="color: black;">不可</span>用</span></strong>，今天刘<span style="color: black;">大夫</span>就给<span style="color: black;">大众</span>讲清楚，并告诉你怎么<span style="color: black;">按照</span>辨证，来对方子用药进行加减，让它适合其他的证型。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p26-sign.toutiaoimg.com/tos-cn-i-qvj2lq49k0/0170c97e57b845cba83d0111881ad4c3~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1728619805&x-signature=3aHgL9t8OPV7WrrB9yCIVpTYDSk%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">咱们</span>先<span style="color: black;">来讲</span><span style="color: black;">第1</span>个问题，四君子汤<span style="color: black;">能够</span>除湿热还是寒湿？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其实从严格<span style="color: black;">道理</span>上讲，<strong style="color: blue;"><span style="color: black;">四君子汤是一个益气健脾方子</span></strong>，用到的四味药<strong style="color: blue;"><span style="color: black;">人参，甘草，白术和茯苓</span></strong>，都属于健脾的药材，<strong style="color: blue;"><span style="color: black;"><span style="color: black;">重点</span>适用于脾气虚弱</span></strong><span style="color: black;">引起</span>的<span style="color: black;">状况</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">例如</span>少气懒言，容易疲惫，<span style="color: black;">无</span>力气，吃饭没胃口，大便溏稀不成形，舌头颜色淡，舌苔发白的这种<span style="color: black;">状况</span>，<span style="color: black;">便是</span>脾气虚的表现，<span style="color: black;">咱们</span><span style="color: black;">能够</span>参考四君子汤。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-qvj2lq49k0/cbfac9ad936940fda3b5b14f5ad80a24~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1728619805&x-signature=0iOZ4KAeJN2AbZG1x%2Br4fo86PwQ%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">倘若</span>你的寒湿，是<span style="color: black;">由于</span>脾气运化水液无力<span style="color: black;">引起</span>的</span></strong>，舌头胖大，齿痕<span style="color: black;">显著</span>，舌苔湿润，脸上头上容易出油，感觉嗓子里有痰，<span style="color: black;">同期</span>吃不下饭，大便溏稀不成形，那<span style="color: black;">咱们</span><span style="color: black;">能够</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">调节</span>四君子汤用药的剂量</span></strong>，<span style="color: black;">例如</span>适当的<span style="color: black;">增多</span>白术和茯苓的<span style="color: black;">运用</span>，<span style="color: black;">加强</span>方子化湿的能力，<span style="color: black;">亦</span><span style="color: black;">能够</span><span style="color: black;">加强</span>人参的用量，<span style="color: black;">加强</span>方子温补的力量，当然<span style="color: black;">亦</span><span style="color: black;">能够</span><strong style="color: blue;"><span style="color: black;">配伍其他的<span style="color: black;">药品</span></span></strong>，<span style="color: black;">例如</span>温阳补气的黄芪，温通散寒的肉桂，行气燥湿的陈皮等等，<strong style="color: blue;"><span style="color: black;">让方子更适应寒湿的体质</span></strong>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-qvj2lq49k0/cb52bca611b344db8fc95702f0bea1c5~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1728619805&x-signature=UMovCgwOQmvQFh2bq1m9ydzrGw8%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">湿热能用吗？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">倘若</span>是湿热的<span style="color: black;">状况</span></span></strong>，舌头红，舌苔黄又厚，容易口渴，烦躁，只<span style="color: black;">运用</span>四君子汤的这四味药，就不太合适了，<span style="color: black;">由于</span>这四味药的药性比较温燥，可能会助长<span style="color: black;">咱们</span>身上的热气。<span style="color: black;">不外</span><span style="color: black;">咱们</span><span style="color: black;">亦</span><span style="color: black;">能够</span><span style="color: black;">经过</span>配伍其他的药材，来让<span style="color: black;">全部</span>方子达到清化湿热的<span style="color: black;">功效</span>，<span style="color: black;">例如</span><strong style="color: blue;"><span style="color: black;">加入清热燥湿的黄芩，黄柏</span></strong>等等，<strong style="color: blue;"><span style="color: black;">把温热的人参</span></strong>，<strong style="color: blue;"><span style="color: black;">换成药性比较平和</span></strong>，<strong style="color: blue;"><span style="color: black;">但还是<span style="color: black;">能够</span>健脾补气的党参</span></strong>，等等。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-qvj2lq49k0/073ca06e04f04bc482e31c86b12bbccf~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1728619805&x-signature=t7Bz%2F1I11SXZM2ojFquSI109AKE%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">咱们</span>再<span style="color: black;">来讲</span>第二个问题，肝郁的人<span style="color: black;">能够</span>用四君子汤吗？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">刘<span style="color: black;">大夫</span>的回答是，不适合。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肝郁，<span style="color: black;">便是</span>肝气郁滞，<span style="color: black;">重点</span>的问题是<strong style="color: blue;"><span style="color: black;">肝气的疏泄<span style="color: black;">功效</span>变差了，气机郁滞在了肝经</span></strong>，这个时候，病位是<span style="color: black;">重点</span>在肝的，<span style="color: black;">疾患</span>的性质<span style="color: black;">亦</span>是实证，而不是需要健脾补气的虚证，<span style="color: black;">因此</span>再<span style="color: black;">运用</span><strong style="color: blue;"><span style="color: black;">四君子汤这个健脾补气的<span style="color: black;">药品</span>，就不合适了</span></strong>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-qvj2lq49k0/e999cc3a217446f38079563cab2b83de~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1728619805&x-signature=LQXgOW7IiW9TLp1WPM8Z%2BF6Jauw%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>是肝气郁滞，<span style="color: black;">显现</span>了胁肋<span style="color: black;">病痛</span>，头疼脑胀的<span style="color: black;">状况</span>，爱生气，脾气<span style="color: black;">欠好</span>，肚子又胀又疼， 舌头颜色淡红，舌苔薄白的，<span style="color: black;">咱们</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">能够</span>参考柴胡疏肝散这个方子，来疏肝解郁，行气止痛</span></strong>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-qvj2lq49k0/1e4af2770ad44c76978884eff7a4ec04~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1728619805&x-signature=lZC53a9NLgQWJquTmS9bPSxW7Vs%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">那<span style="color: black;">倘若</span>是<span style="color: black;">显现</span>了肝气郁滞的<span style="color: black;">状况</span>，总是唉声叹气，有时候<span style="color: black;">头昏</span>眼花，脸色不红润，有时候发黄，有时候苍白，舌头颜色偏白，大便溏稀不成形的，<span style="color: black;">咱们</span><span style="color: black;">能够</span>参考<strong style="color: blue;"><span style="color: black;">逍遥散，在疏肝解郁的<span style="color: black;">同期</span>，<span style="color: black;">能够</span>健脾补血</span></strong>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-qvj2lq49k0/21877d08e30f40ce8149400173a18a4a~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1728619805&x-signature=QZYPB9pENElfUU0gM7Vsgnnl2II%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不<span style="color: black;">晓得</span>看到<span style="color: black;">这儿</span>，你有<span style="color: black;">无</span><span style="color: black;">晓得</span>这些问题的答案？今天<span style="color: black;">说到</span>的方子，<span style="color: black;">例如</span>四君子汤，柴胡疏肝散，逍遥散，<span style="color: black;">亦</span>有对应的中成药，<span style="color: black;">大众</span><span style="color: black;">能够</span><strong style="color: blue;"><span style="color: black;">在<span style="color: black;">大夫</span>的<span style="color: black;">指点</span>下参考<span style="color: black;">运用</span></span></strong>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>有不清楚的，<span style="color: black;">亦</span><span style="color: black;">能够</span>在评论区留言讨论，我有时间<span style="color: black;">亦</span>会回复<span style="color: black;">大众</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">我是刘<span style="color: black;">大夫</span>，<span style="color: black;">咱们</span>下次再见。</p>
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