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闫老师中药二考点最终版

1解表药

禁忌:A体虚多汗及热病后期津液亏耗者忌服。B久患疮痈C淋病D失血患者,当慎用。

一、辛温解表药

麻黄:                                        宣肺平喘B风寒表实无汗证。

紫苏:                                        宽中行气,安胎,解鱼蟹毒,       治气滞胎动证

生姜:                                        呕家圣药,温中止呕,温肺止咳。解鱼蟹,生半夏,天南星毒。

荆芥                                      散风解表(风寒风热表证X)炒炭→A一般止痒

防风:                                        1.风寒、风热表证   2.治风通用药破伤风,小儿惊风

羌活:                                        风寒湿痹,上半身风湿

细辛:                                        (通窍)鼻渊头痛少阴经)。温肺化饮止咳,,不超3g

白芷:                                        通窍止痛,燥湿止带,消肿排脓,发散风寒X 阳明头痛鼻渊头痛

香薷:                                        夏月之麻黄A 和中化湿,阳气被阴邪所遏之阴暑证。

藳本:                                        巅顶疼痛(厥阴经

苍耳子:                                      通鼻窍,止痒

辛夷:                                        通鼻窍,鼻渊头痛,包煎

二、辛凉解表药

薄荷                                         江苏,后下,疏肝,宣散风热,清利头目,利咽,透疹。

牛蒡子:                                       苦,寒,疏散风热,解毒,消肿

蝉蜕:                                         明目退翳,透疹止痒。

桑叶:                                         疏散风热,平肝明目,清肺润燥凉血止血A/B

菊花:                                         疏散风热,清肝明目,清热解毒B

葛根:                                         退热,透疹,升阳止泻,项背强痛,消渴证

柴胡:                                         退高热疏肝解郁,升举阳气少阳头痛。少阳寒热往来要药

升麻:                                         透疹,清热解毒,升举阳气。         痄腮,丹毒。

蔓荆子:                                       清利头目

浮萍:                                         透疹止痒B利水消肿

木贼:                                         疏散风热,明目退翳B止血。

2清热药

一、清热泻火药

栀子★★                                     泻火除烦,清热利尿,凉血解毒,消肿止痛

石膏:                                        生用清热泻火,除烦止渴。煅后收湿敛疮,生肌止血(外用)。

                                              气分高热,清肺胃之火要药A(身大热,汗大出,口大渴)

知母:                                         滋阴润燥B 阴虚劳嗽,阴虚火旺,潮热盗汗,消渴,阴虚肠燥便秘。

天花粉:                                      生津,清肺润燥,消肿排脓A/B    注射剂引产→孕妇忌服

夏枯草:                                      清肝明目,散结消肿A   肝火上升头目眩晕,瘰疬,瘿瘤。

芦根:                                        止呕,利尿

决明子:                                      清肝明目,  润肠通便A

迷蒙花:                                                  明目退翳B      

谷精草:                                                  明目退翳B    

青葙子:                                      清肝泻火B,明目退翳B

二、清热燥湿药

黄芩:                                      清热燥湿,泻火解毒,止血,安胎

黄连:                                      清热燥湿,泻火解毒

黄柏:                                      清热燥湿,泻火解毒,退虚热2013X

龙胆:                                        泻肝胆火B

苦参:                                        杀虫止痒,利尿。(一般外用)

三、清热凉血药

生地黄:                                      养阴生津,润肠。热病后期伤阴,阴虚发热,内热消渴。

玄参:                                        滋阴降火,解毒散结,润肠B          肾阴虚

牡丹皮:                                      活血散瘀。久病伤阴无汗骨蒸A

赤芍:                                        清肝火A/B

紫草:                                        解毒透疹,豆疹要药(红屁股)

水牛角:                                      清热解毒,凉血/定惊B

四、清热解毒药

金银花:                                      清热解毒,疏散风热B     热毒泻痢之要药A

连翘:                                       →利尿,消肿散结。     疮家圣药A

青黛:                                                    凉血消斑       定惊B

大青叶:                                     消肿利咽     凉血消斑B (和射干对比)

射干:                                       消痰利咽B

板蓝根:                                     凉血利咽B      丹毒,大头瘟疫。

牛黄:                死风景                 清热解毒/息风止痉,化痰开窍B    

熊胆:                                       清热解毒/息风止痉,清肝明目B

蒲公英:                                     消肿散结,清热解毒,利湿通淋。      乳痈B

败酱草:                                     消痈排脓,祛瘀止痛。  肠痈B 血滞胸痛腹痛,产后瘀阻腹痛。

鱼腥草:                                     消痈排脓,通淋。               为治肺痈之要药A

白头翁:                                     凉血止痢B热毒血痢之要药A

重楼:                                       清热解毒,消肿止痛,熄风定惊B

穿心莲:                                     燥湿B

白鲜皮:                                     清热解毒,祛风燥湿,止痒B

半边莲:                                     利水消肿B 毒蛇咬伤,蜂蝎螫伤

土茯苓:                                     通利关节B梅毒、汞中毒致肢体拘挛之要药A

马齿苋:                                     清热解毒,凉血止血,通淋。

大血藤:                                     活血止痛,祛风通络

白花蛇舌草:                                 癌症,蛇毒。

紫花地丁:                                   疔毒。       

鸦胆子:                                     赘疣。     

垂盆草:                                     清热解毒,利湿退黄。

秦皮                                     清热解毒,燥湿止带,清肝明目

木蝴蝶:                                     疏肝和胃B2012B                 

半枝莲:                                     散瘀止血,利水消肿B

五、清虚热药

青蒿★★                                    退虚热,凉血,解暑热,截疟B☆☆1.阴虚发热,骨蒸潮热,虚热兼表X

地骨皮:                                      清肺降火B凉血生津。有汗骨蒸要药A

牡丹皮!!!!!!:                                活血散瘀。久病伤阴无汗骨蒸A

白薇★★(考)                               清热解毒/退虚热/凉血疗疮/利尿通淋。

                                              骨蒸潮热,肺热咳嗽,热淋,血淋。痈肿疮毒,毒蛇咬伤X

胡黄连:                                      退虚热,除疳热B,清湿热,解热毒A

银柴胡:                                      退虚热,清疳热B

3泻下药

适用于1.大便秘结,2.胃肠积滞,3.实热内结,4.水肿停饮等里实证X

一、攻下药

大黄★★(考)                              泻下攻积,清热泻火,解毒止血,活血祛瘀

芒硝:                                       咸,软坚,回乳(外)实热积滞,大便燥结。

芦荟:                                       寒,泻下通便,清肝,杀虫X   

番泻叶(考)                                泄热通便,消积健胃,行水消胀B

二、润下药

火麻仁:                                     润肠通便。

郁李仁:                                     药性平B利水消肿B

三、峻下逐水药

甘遂:                                       泻水逐饮,消肿散结AB   ①醋制②风痰癫痫要药 ③入丸散

芫花:      花坛养元化可以杀虫               醋制,化痰止咳,外用杀虫疗疮。

巴豆:                                       热,泻下冷积12A   逐水退肿,祛痰利咽(京大戟,红大戟)

牵牛子:                                     去积,杀虫B水肿,鼓胀,痰饮喘满,大便秘结,食积停滞;B

千金子:                                     破血消癥B

4.祛风湿药

威灵仙★★                                 祛风湿,通经络,消痰水,治骨鲠A X

                                             风寒湿痹,瘫痪麻木,痰饮积聚,诸骨鲠喉。

独活★★                                   解表B 下肢痹痛,少阴头痛

防己:                                       寒,利水B 风湿热痹

秦艽★★                                   祛风湿,舒筋骨,清虚热,利湿退黄X 

徐长卿:                                     活血通络,止痒,解蛇毒要药A 跌打肿痛

木瓜:                                       化湿和中,生津开胃B湿阻中焦致吐泻转筋要药A

桑寄生:                                     祛风湿,补肝肾,强筋骨,安胎B 

五加皮:                                     祛风湿,补肝肾,强筋骨,利水B

蕲蛇:                                       祛风通络,定惊止痉B

乌梢蛇:                                     祛风通络,定惊止痉,止痒         

络石藤:                                     祛风通络,凉血消肿B      

桑枝:                                       利水B

川乌:                                       有大毒,散寒止痛  2012A 

雷公藤:                                     有大毒,祛风除湿,活血通络,消肿止痛,杀虫解毒疥癣

千年健:                                     强筋骨 B

豨莶草:                                     降血压B

臭梧桐:                                     降血压B           

伸筋草:                                     舒筋活络B

丝瓜络:                                     祛风通络,化痰解毒B 乳痈肿痛,疮肿。

鹿衔草:                                     调经止血,补肺止咳。

路路通:                                     痛经下乳,止痒B    

穿山龙:                                     化痰止咳B

5.芳香化湿药

苍术★★(考)                              燥湿健脾,祛风湿,发汗,明目X

厚朴★★                                   燥湿,行气,消积,平喘。食积或便秘胀满。

砂仁:(芳香)                                安胎。脾胃气滞证,虚寒吐泻。

白豆蔻:                                     化湿行气,温中止呕。

草豆蔻:                                     燥湿行气,温中止呕。

草果:                                       除痰截疟

6.利渗湿药

耗伤津液,阴亏津伤者慎用。

茯苓:                                       健脾,安神。

薏苡仁:                                     利水渗湿,健脾止泻,除痹,清热排脓。

泽泻:                                       泄(肾)热B

车前子★★                                 利水通淋,渗湿止泻,清肝明目,清肺化痰X

滑石★★                                   清热解毒,外用清热收湿

木通:                                       通经下乳B              

猪苓:                                       利水渗湿。          

通草:                                       产后乳汁A

金钱草:利尿通淋,除湿退黄(石淋)黄疸,肝胆结石热毒疮肿,毒蛇咬伤。

萆薢:                                       祛风湿止痛B

石韦:                                       利尿通淋,清肺止咳,凉血止血。崩漏,吐血     

瞿麦:                                       破血通经B瘀血经闭。      

萹蓄:                                       杀虫止痒B

地肤子:                                     祛风止痒B

灯心草:                                     清心除烦B

冬葵子:                                     下乳,润肠通便B                           

连钱草:                                     清热解毒,散淤消肿。

7.温里药

附子★★                                    散寒止痛,补火助阳(下补肾阳,中温脾阳,上助心阳)回阳救逆,X

肉桂★★                                    散寒止痛,补火助阳,引火归原(2013A),温通经脉

吴茱萸                                    散寒止痛,疏肝下气,燥湿助阳止泻

丁香                                      温肾助阳,温中降逆。1.中寒呃逆 2.肾阳虚之阳痿、宫冷

小茴香:                                      理气和胃B

8.理气药

陈皮:                                        与半夏配伍。理气调中,燥湿化痰。

枳实                                      破气消积,化痰除痞。胃扩张,胃下垂,脱肛,子宫脱垂。

木香:                                        行气调中止痛,健脾消食。下痢腹痛,里急后重☆☆

香附                                      疏肝解郁,调经止痛。              

沉香:                                        行气止痛,温中止呕,温肾纳气。

川楝子:                                      杀虫,疗癣B 泻肝热。             

甘松:                                        开郁醒脾B

青皮:                                        疏肝破气,消积散结化滞。食积腹腹痛。

枳壳:                                        理气宽中,行滞消胀。

9.消食药

麦芽                                      回乳,疏肝   米面之积妇女断乳时用。

神曲                                      消食和胃兼发表。米面食积

莱菔子:                                      降气化痰,消食除胀。          

鸡内金:                                      固精止遗,化坚消石。(肝胆结石症)

10.驱虫药

使君子:                                      杀虫消积A/B

苦楝皮:                                      杀虫,疗癣。(蛔虫,蛲虫,钩虫)头癣,疥疮。

槟榔★★:        消极杀虫接气水              杀虫消积、缓泻、行气、利水、截疟。食积气滞腹胀里急后重。

雷丸:                                        杀虫消积。         

榧子:                                        杀虫消积。润肠通便B,润肺止咳B

11.止血药

1、凉血止血:1.血热妄行出血证2.瘀血

大蓟:凉血止血(为主),散瘀消痈。            小蓟:凉血止血,利尿,散瘀消痈。尿血为主

地榆:                                        凉血止血。烫伤,湿疹,皮肤溃烂,疮疡肿毒A

白茅根:                                      凉血止血,清热生津,利尿通淋(和芦根对药)X

槐花:                                        清肝泻火B       

侧柏叶:                                      祛痰止咳B,生发乌发    A 血热脱发,须发早白

苎麻根:     猪妈尿两只死胎                   凉血止血,清热解毒,安胎,利尿X

                   2、化瘀止血药

三七:(止血不留瘀)                           活血化瘀,止血定痛。跌打损伤,瘀血肿痛,胸腹刺痛。

蒲黄:                                        活血化瘀,利尿通淋。

茜草:              两只金鱼                  凉血止血,祛瘀通经。

                   3、收敛止血药

白芨:                                        收敛止血,消肿生肌。外伤出血,治肺部出血A

仙鹤草:(脱力草)    须手指用力捏毒虫         收敛止血,止痢,解毒,截疟,杀虫止痒,补虚。

艾叶:                                        散寒止痛B宫冷不孕,脘腹冷痛。

12.活血祛瘀药

适用于血行不畅、瘀血阻滞所引起的多种疾病,如①瘀血内阻之经闭、痛经、月经不调、产后瘀阻腹痛、②癥瘕、③胸胁脘腹痛、④跌打损伤肿痛、瘀血肿痛、⑤关节痹痛、⑥痈肿疮疡、⑦瘀血阻滞经脉所致的出血等2014X

                 1、活血止痛:

川芎:                                        活血止痛,行气祛风。治头痛不离川芎

延胡索:                                      活血止痛,行气,

乳香:没药:                                  活血止痛,消肿生肌,

郁金:                                        活血止痛,行气解郁,凉血清心,利胆退黄。

姜黄:                                        破血行气,通经止痛。肩臂痛。

                 2、活血调经:

丹参:                                        活血祛瘀,通经止痛,清心除烦,凉血消痈。热病高热烦燥。

益母草:                                      活血祛瘀,利尿消肿,清热解毒2013X    死鱼总尿

桃仁:☆☆                                    活血祛瘀,润肠通便,止咳平喘

红花:                                        活血祛瘀,通经,消结止痛。

牛膝★★:                                    活血通经,利水通淋,引血下行A 补肝肾,强筋骨。

苏木:                                        消肿止痛B      

月季花:                                      疏肝解郁B      

鸡血藤:                                      活血补血,调经,舒筋活络。

五灵脂                                    活血通脉止痛,化瘀止血,解蛇虫毒。蛇虫咬伤2014A

                 3、活血疗伤:

莪术:                                        消积止痛B

三棱:                                        破血消结行气

土鳖虫:                                      续筋接骨B

水蛭:                                        破血逐瘀,通经。

血竭:                                        活血定痛,化瘀止血,生肌敛疮。

干漆:                                        破血祛瘀2012A

自然铜:                                      接骨疗伤B

虎杖:☆☆X1.湿热黄胆,淋浊,带下 2.水火烫伤,疮痈肿毒,毒蛇咬伤 3.经闭,痛经,癥瘕,跌打损伤,风湿痹痛 4.肺热咳嗽 5.热结便秘 6.肝胆及泌尿系统结石症

13.化痰止咳平喘药

                   1、化痰药

半夏:                                         燥湿化痰,降逆止呕,消痞散结,消肿4X 梅核气,痈疽肿毒A

天南星:                                       有毒。祛风止痉2012A,散结消肿止痛A 燥湿化痰

芥子:                                         寒痰咳喘,悬饮胁痛A☆☆

                      2、清化热痰

瓜蒌:                                         清肺润燥化痰,利气宽胸,消肿散结,润肠通便2013X

竹茹:                                         除烦止呕,安胎A

竹沥:                                         清热滑痰B

天竺黄:                                       清心定惊B

                       3、止咳平喘药    

百部:                                         润肺止咳,杀虫灭虱A 2014X             

桑白皮:                                       肺经。泻肺平喘,利水消肿。

马兜铃:                                       清肠疗痔B      

白果:                                         敛肺平喘B,止带缩尿A    

洋金花:                                       解痉,定痛B

14.安神药

1、重镇安神       虎食两猪

朱砂:            猪死心安                     镇心安神,清热解毒。不入煎剂。0.1-0.5g(考),忌火煅(雄黄)☆☆

磁石:            石阳干、气耳目               镇惊安神,平肝潜阳,聪耳明目,纳气平喘2013X

琥珀:            虎惊鱼鸟                     定惊安神,活血散瘀,利尿通淋。   

珍珠:                                         定惊安神,明目除翳,解毒敛疮,润肤祛斑

2、养心安神       仁远夜欢

酸枣仁:                                       养心安神,敛汗。         ---         

柏子仁:                                       养心安神,润肠通便,止汗。       

夜交藤:                                       养心安神,祛风通络B

远志:                                         益智安神,祛痰开窍,消散痈肿。  --

合欢皮:                                       解郁安神B,活血消肿B    和解

15.平肝息风药

1、平抑肝阳药

石决明:                                       寒。平肝潜阳,清肝明目B

珍珠母:                                       平肝潜阳,清肝明目安神定惊,收湿敛疮

2、息风止痉

羚羊角:                                       平肝息风,清肝明目,凉血解毒。0.3-0.6g

全蝎:、蜈蚣:                                  息风止痉,攻毒散结,通络止痛。

地龙:                                         清热息风,平喘,通络利尿。

16.开窍药

本类药A

冰片:                                         清热止痛B 用量0.15-0.3g  2014A 不入煎剂

石菖蒲  痰湿蒙蔽心窍之神昏,癫痫,耳聋,耳鸣。脘腹痞胀,噤口痢  X     开窍宁神,化湿和胃A/B 

苏合香:                                       开窍辟秽,温散止痛B             

安息香:                                       行气活血,祛瘀止痛B

麝香:                                         芳香四射。开窍醒神,活血通经,消肿止痛A

热病神昏,中风痰厥。胸痹心痛,心腹暴痛,癥瘕,痹痛麻木,跌打损伤,经闭经闭,难产死胎,疮肿瘰疬,咽喉肿痛X

17.补虚药★★

一、补气药

人参:                                          大补元气,补脾益肺,生津止渴,安神益智。

党参:                                          补中益气,生津养血B

甘草:                                          补中益气,祛痰止咳,解毒,缓急止痛,缓药X

大枣:                                          补中益气;养血安神。血虚萎黄,血虚肠燥B

刺五加:                                        益肾强腰,养心安神,活血通络。

黄芪★★                                      补气升阳,益卫固表,脱毒生肌,利尿消肿。

白术★★                                      补气健脾,燥湿利水,止汗安胎(白术汗一起抬水)山药:                                          益气养阴生津,补脾肺肾,固精止带。

西洋参:                                        补气生津,养阴清火B    

太子参:                                        补气生津。   

蜂蜜:                                          润肺止咳,滑肠通便。

二、补阳药

鹿茸:                                          补肾阳,益精血,强筋骨,调冲任,托疮毒。

肉苁蓉:                                        补肾阳,益精血。润肠通便。

淫羊藿:                              补肾阳,强筋骨,祛风除湿。巴戟天、仙茅(拔羊毛) 风是肾紧

续断:                                         续筋骨B  

骨碎补:                                       补肾,活血,止痛,续伤。  

冬虫夏草:                                     益肾补肺,止血化痰。

菟丝子:                                       明目止泻,安胎,生津止渴A/X               

沙苑子:                                       补肾固精,养肝明目。

核桃仁:                                       补肾温肺润肠13A

狗脊:                                         补肝肾,强筋骨,祛风湿A

紫河车:                                       温肾补精,养血益气。

三、补血药

当归:                                         补血调经,润肠通便。

何首乌:                                       补益精血,解毒,截疟,润肠通便2012X

阿胶:                                         补血止血,滋阴润肺。再生障碍性贫血。

麦冬★★                                肺,心,胃经。润肺养阴,益胃生津,清心除烦,润肠通便X(考)

枸杞子:                                       滋补肝肾,明目,润肺止咳。

龟甲:                                         滋阴潜阳,益肾健骨,养血补心,凉止血2014X A/B

鳖甲:                                         肚子无甲)软坚散结。癥瘕B

百合:                                         清心安神B    

墨旱莲:                                       滋阴益肾,凉血止血B    

女贞子:                                       滋肾补肝,明目乌发。

18.收涩药

味多酸涩,主入肺,脾,肾,大肠经。

五味子:                                      收敛固涩,益气生津,滋肾宁心 .表虚自汗,阴虚盗汗

乌梅:                                        敛肺,涩肠,生津,安蛔,止血B费血肠安静)

椿皮:                                        清热燥湿,涩肠止血,止带,杀虫X(大清早带血肠杀虫)

赤石脂:                                      涩肠止泻,止血,止带,外用收湿敛疮生肌A/X

桑螵蛸:                                      补肾助阳B肉豆蔻:温中行气A/B      

覆盆子:                                      益肾,固精,缩尿,明目。

五倍子:                                      敛肺降火,涩肠固精,敛汗止血,收湿敛疮。  

罂粟壳:                                      有毒。敛肺,涩肠,止痛。(非常痛)

19.涌吐药

常山:                                        涌吐痰饮,截疟             

藜芦:                                        杀虫疗癣

瓜蒂:                                        寒。内服涌吐热痰,宿食,

                                              外用研磨吹鼻,引去湿热。黄疸,湿热头痛。

20.杀虫燥湿止痒药

雄黄:                                        忌火煅。解毒,杀虫,燥湿祛痰,截疟定惊。

硫黄:                                        外用解毒,杀虫止痒,内服壮补火阳通便。

蛇床子:                                      燥湿散寒祛风,杀虫止痒,温肾壮阳2014X

21.拔毒消肿敛疮药

斑蝥:                                       大毒。攻毒蚀疮。内服入丸散,0.03-0.06g 

大蒜                                       温。解毒,消肿,杀虫,止痢。

蟾酥:                                        毒。解毒消肿,止痛,开窍醒神B 入丸散,0.015-0.03g

马钱子:                                     大毒。散结消肿,通络止痛。内服入丸散,0.3-0.6g

炉甘石:                                     明目去翳B 收湿生肌。

儿茶:                                       收湿敛疮,生肌止血,活血止痛,清肺化痰(考) 

                                            (收拾床,清肺痰,升学活童)

猫爪草:                                     化痰散结,解毒消肿B (花坛猫抓草中毒)

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