摘要
后世医家多认为小建中汤证为中焦虚寒证。综合《伤寒杂病论》中所论述的小建中汤条文主治症状和张仲景用药特点,认为小建中汤证中焦虚寒病机理论与原文所述症状、方药配伍不完全相符。结合张仲景"见肝之病,知肝传脾,当先实脾"的论治方法,围绕"肝阴虚损以致肝气疏泻太过而横逆克土,少阳相火失制而妄动"这一思路,重新解读小建中汤证的病机、症状和用药原则。认为小建中汤证之病机当为肝阴虚损,以致肝气疏泻太过而克脾土、少阳相火失制而妄动是文章的创新点。
Later generations of doctors believe that Xiaojianzhong Decoction syndrome is a syndrome of deficiency and cold of middle-jiao. This article synthesizes the characteristics of Xiaojianzhong Decoction’s main symptoms discussed in Treatise on Febrile Diseases and ZHANG Zhongjing’s medications. It is believed that the theory of deficiency and cold of middle-jiao in Xiaojianzhong Decoction syndrome are not completely consistent with the symptoms and prescriptions of the original text. Combined with ZHANG Zhongjing’s treatment method of "seeing the disease of the liver,knowing the spleen will be sicked,and first curing the spleen",it revolves around "the liver yin deficiency causes the liver qi run too much and cross and defeat the soil,and the Shaoyang phase fire is incapable and incited" to reinterpret the pathogenesis,symptoms and medication principles of Xiaojianzhong Decoction syndrome. It demonstrates that the pathogenesis of Xiaojianzhong Decoction syndrome is caused by liver yin deficiency,so that the liver qi runs too much and defeats the spleen soil,Shaoyang phase fire is incapable and incited.
作者
王新
冯诗瑶
王诗源
WANG Xin;FENG Shiyao;WANG Shiyuan(Shandong University of Traditional Chinese Medicine,Ji’nan 250355,China)
出处
《山东中医杂志》
2019年第8期725-728,共4页
Shandong Journal of Traditional Chinese Medicine
基金
山东省重点产业关键技术项目(编号：2016CYJS08A01-3,2016CYJS08A01-4)
关键词
小建中汤证
病机
肝阴虚损
中焦虚寒
Xiaojianzhong Decoction syndrome
pathogenesis
liver yin deficiency
