
Episode #1
咳得停不下来,根子在肺里的寒饮
在《金匮要略》的连环医案中,支饮病人用小青龙汤后出现冲气,用桂苓五味甘草汤平冲后,咳嗽胸闷反而加重。这背后的病机,正是肺中寒饮未除而肺气被敛。张仲景精准调整,去掉桂枝,加入干姜、细辛,化裁出苓甘五味姜辛汤。此方以干姜、细辛温肺化饮,五味子敛肺止咳,茯苓、甘草健脾,三管齐下,专门针对寒饮停肺的咳嗽。临床上,凡咳吐清稀白痰、遇冷加重的患者,多属此方适应症。同时,节目也提醒了细辛的用药安全,强调入汤剂煎煮的正确用法。

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【《听诊岐黄》——声波里的中医生命课】 聚焦当代亚健康困局,用耳朵解锁千年中医防御智慧。本专辑融合中医经典与现代临床思维,打造三大核心板块: ►「经典今用」拆解《黄帝内经》《伤寒论》中的养生密码,直击熬夜、焦虑等时代症候 ►「舌脉密码」沉浸式聆听真实诊疗案例,破译体质辨识与经络调理的逻辑闭环 ►「厨房药典」揭秘50种家常食材的归经配伍,让食疗成为可验证的养生方案 订阅即获伴随式学习场景:通勤可听的辨证思维训练、家务同步的经方解析、运动时适配的五行能量音疗。每期附赠可下载的「中医决策锦囊」——含节气穴位图谱、舌诊自测指南等实操工具。 在这里,中医文化不再是古籍里的符号,而是可听、可用、可验证的健康操作系统。点击订阅,让华夏千年生命智慧,成为你随身携带的健康护城河。 (标签:#健康 #中医 #中医文化 #中医经典 #播客) 节目主题: 适合谁听: 主播介绍:
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Signup to Generate a Pitch智慧中医 is a health podcast hosted by 声聊本草, with 780 episodes on record and a Required Pod Score of 80. PitchCentric scores this show on Booking Probability, Listen Score, and live audience signals refreshed every 24 hours.
声聊本草 hosts 智慧中医, a health show with 780 episodes published.
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Episode #1
在《金匮要略》的连环医案中,支饮病人用小青龙汤后出现冲气,用桂苓五味甘草汤平冲后,咳嗽胸闷反而加重。这背后的病机,正是肺中寒饮未除而肺气被敛。张仲景精准调整,去掉桂枝,加入干姜、细辛,化裁出苓甘五味姜辛汤。此方以干姜、细辛温肺化饮,五味子敛肺止咳,茯苓、甘草健脾,三管齐下,专门针对寒饮停肺的咳嗽。临床上,凡咳吐清稀白痰、遇冷加重的患者,多属此方适应症。同时,节目也提醒了细辛的用药安全,强调入汤剂煎煮的正确用法。

Episode #1
一个支饮病人,喝完小青龙汤后状况百出。张仲景先用桂苓五味甘草汤平冲,再用姜辛汤止咳,加半夏止呕。水饮刚去,病人却出现了水肿。按理该用麻黄发汗利水,但张仲景却因病人血虚,果断弃用麻黄,改用一味杏仁。杏仁降肺气、润肠通便,温和地为水湿找了两条出路。这则医案展现了中医“随证治之”的精妙,一味药的选择,背后是对病机和人体的深刻洞察。

Episode #1
脾胃虚寒,肚子胀、拉肚子、吐清水,怎么办?今天聊聊一张中医里的“祖方”——理中丸。它不用附子回阳,只用干姜、人参、白术、甘草四味药,稳稳地暖中焦,专治慢性虚损的脾胃病。张仲景用它治霍乱吐泻、大病后吐口水,甚至胸痹。方子加减法也特别讲究,根据症状调整药味和剂量。在现代,慢性胃炎、肠易激综合征等都能用它打底。但实热和阴虚火旺的人要慎用。这方子告诉我们,把脾胃暖起来,就是给身体重新点燃火种。

Episode #2
《金匮要略》里藏着一张最神秘方子,原方缺失,清代医家黄元御凭条文补出。仅两味药:猛药藜芦配甘草,专治“风痰”引起的怪病。患者手指手臂肿胀,全身肌肉不由自主地跳动,像帕金森或癫痫。病根在脾虚生痰,痰浊引动风邪。藜芦能涌吐风痰,甘草补脾缓急,一峻一缓,一吐一补。这方子展示了中医“吐法”的独特思路。现代虽因毒性少用原方,但其治风痰的理念,仍是治疗肌肉抽动类疾病的源头活水。

Episode #1
心脏不舒服,胸口像被针扎,甚至痛到后背,最要命的是躺不平,一躺下就喘不上气?这可不是小事!本期节目接着上回,聊聊张仲景的“瓜蒌薤白半夏汤”。它就是在经典方“瓜蒌薤白白酒汤”里加了一味半夏,力量却从“通”升级到了“攻”。这味药如何燥湿化痰,把堵在胸口的“顽痰”化开?又是怎么把上逆的气机降下去,让你能睡个安稳觉?从“胸背痛”到“心痛彻背”,病情加重,用药思路有何精妙变化?现代人的冠心病、心衰问题,又能从这张古方里得到什么启发?咱们一起把这张救命方子聊透。
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