Unverified90% confidenceDecision RuleTime unknown
阴虚（潮热盗汗、口干舌红）与阳虚（畏寒肢冷、夜尿多）需辨证选丸：阴虚选六味地黄丸/知柏地黄丸，阳虚选金匮肾气丸/桂附地黄丸，二者补法相反，错服会加重不适
1
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90%
Confidence
Long-term
Relevance
-
First Seen
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Unverified补益类丸药（如六味地黄丸、金匮肾气丸）需辨阴阳：舌红少苔、手足心热、盗汗属阴虚选六味地黄丸；畏寒肢冷、夜尿多、腰膝冷痛属阳虚选金匮肾气丸，两者用反会加重症状83% similarUnverified阴虚证（口干、潮热、盗汗）宜选熟地、麦冬、枸杞、玉竹等滋阴药，忌用附子、干姜等温燥之品；气虚证（乏力、气短、易汗）宜黄芪、党参、白术，血虚（面色苍白、心悸）宜当归、白芍、阿胶——证型不符反伤身83% similarUnverified气虚兼血虚（面色苍白、心悸、月经量少）宜选八珍类而非单纯四君子；气虚兼气滞胀满宜选香砂六君丸；气虚兼痰湿（咳嗽痰多）宜选六君子丸——四君子丸是这一系列方剂的基础方79% similarUnverified功效方向要匹配体质：山药、茯苓、莲子健脾适合脾虚；菊花、决明子清热适合上火体质但脾胃虚寒者慎用；黄芪补气适合气虚乏力但阴虚火旺者不宜76% similarUnverified归脾丸含黄芪、党参、白术、当归、龙眼肉等，是心脾两虚、气血不足的经典方；单纯脾虚无血虚表现（如仅腹胀便溏、无面色萎黄乏力）应选参苓白术散或香砂六君丸，用归脾丸反而过于滋腻碍胃76% similar
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