Unverified80% confidenceDecision RuleTime unknown
气血两虚体质（面色萎黄、乏力、经期量少、心悸）优选含阿胶+当归+龙眼肉的膏方；单纯阴虚火旺（口干、盗汗、舌红）应避开滋腻温补配方，选龟甲胶+麦冬+生地路线
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80%
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Long-term
Relevance
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Unverified气血两虚需辨主次：以乏力气短、面色萎黄、舌淡为主偏气虚，选偏补气配方（含人参、黄芪比重大）；以头晕心悸、失眠健忘、经少色淡为主偏血虚，选偏养血配方（当归、熟地、阿胶为主，如归脾丸偏心脾气血）82% similarUnverified加减成分选择：气血双补型多加党参、黄芪（如八珍益母、当归补血类），适合乏力气短者；单纯四物偏补血活血，血虚兼瘀（如经色暗有块）更对症；不要盲目选加人参的成分，实热或阴虚火旺体质易上火79% similarUnverified根据体质对症选配方：气虚（易疲劳）选黄芪党参，血虚（面色苍白）选当归红枣，气血双补选四物/八珍配方，湿气重（舌苔厚腻）选薏米茯苓祛湿方，选错方向进补无效甚至加重不适79% similarUnverified血虚兼气虚（既面白头晕又气短乏力、动则汗出）应选气血双补方（当归补血汤思路：黄芪配当归，如当归补血口服液、八珍类），单纯补血药不足以改善气虚症状77% similarUnverified明目地黄丸在杞菊地黄丸基础上加当归、白芍、蒺藜、石决明，滋补力更强且兼养血平肝，适合阴虚兼血虚（面色萎黄、眼干伴视力减退）；单纯眼干偏热象用杞菊地黄丸即可，无需选补力更强的明目地黄丸77% similar
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