“少阳病欲解时”析疑与临床运用要点

Analysis of Doubts and Key Points of Clinical Application of “The Relief Time of Shaoyang Disease”

"少阳病欲解时"为《伤寒论》"六经病欲解时"理论之一,被束之高阁已久,近来得以重光。但目前存在理论机理探究不明确、临床应用指征不清晰的问题,因此临床运用时存在一定难度。该文从"开阖枢""十二辟卦""时间节律"等多角度出发探讨"少阳病欲解时"理论,发现该理论实则是恢复少阳生理状态的时间处方。寅、卯、辰三时存在与它经病欲解时交叠的情况,因此对应的处方亦有不同。通过对"少阳病欲解时"理论的合理运用,往往能在较快的时间内厘清思路,在错综复杂的临床症状中抓住辨证眼目,从而做到灵活处方,取得良好的临床疗效。

The theory of“the relief time of Shaoyang disease”is one of the theory of“the time of six meridians diseases tending to be cured”coming from Treatise on Febrile Diseases,which has been put on the shelf for a long time,and has been highlighted recently.However,at present,there are some problems such as unclear theoretical mechanism and clinical indications,and so there are some difficulties in clinical application.This paper discussed the theory of“the relief time of Shaoyang disease”from the perspectives of“opening,closing and pivoting functions of channels”,“twelve divination”and“the temporal rhythm”.It is found that the theory is actually a time prescription for the recovery of physiological state of Shaoyang.Yin,Mao and Chen are overlapped when they are about to be cured,and so the corresponding prescriptions are different.Through the reasonable application of the theory of“the relief time of Shaoyang disease”,we can often clarify the thinking in a relatively fast time,grasp the syndrome differentiation key points in the complex clinical symptoms,so as to achieve a flexible prescription and achieve good clinical effect.