小青龙汤加减法“若小便不利去麻黄”之辨析

Discussion on Modified Methods of Xiaoqinglong Decoction of“Removing Ephedrae Herba if Urination is Unfavorable”

小青龙汤是《伤寒论》经典名方,后世广为运用。但后世医家对方后的诸多加减法看法不一。本文结合历代医家观点及临床实践,对《伤寒论》小青龙汤加减法“若小便不利去麻黄”进行分析,并结合《伤寒论》相关条文及临床实证进行辨析,认为对于表寒里饮证出现小便不利时,在邪甚正实情况下可使用麻黄;若里饮较重或正气不足,则不宜使用麻黄发散。

Xiaoqinglong Decoction is a classic famous formula in Shang Han Lun,and widely used by later generations.However,later generations of doctors have different views on the post-prescription modifications.Based on the views of doctors of all ages and clinical practice,this article analyzed the modified methods of“removing Ephedrae Herba if urination is unfavorable”in the Xiaoqinglong Decoction of Shang Han Lun,and differentiated them in combination with relevant passages of Shang Han Lun and clinical evidence.It is believed that when there is no diuresis in the syndrome of superficial cold and internal drinking,Ephedrae Herba can be used when the disease is severe and the body is strong.However,if the internal drinking is heavy or the vital energy is insufficient,it is not advisable to use Ephedrae Herba for dispersion.