小陷胸汤证治规律的研究

A Research on the Differentiation Laws of Syndromes of Xiao Xianxiong Tang

《伤寒论》小陷胸汤由黄连、瓜蒌、半夏3味药物组成。文章对古今记录较完整的应用小陷胸汤的医案367例进行统计分析,认为本方证的病位主要在胃,其次为肝、肺;基本病机为痰热互结,气机升降失调;主要症状有脘腹痛、发热、便秘、食欲不振、脘腹痞满,参考症状有胸胁胀满疼痛、恶心呕吐、咳嗽短气、痰黄粘稠、口苦、口渴、头痛、失眠、烦躁、尿黄、便溏等;舌质红、苔黄腻,脉滑、弦、数、浮。为小陷胸汤证的规范化做了努力。

Xiao Xianxiong Tang, one of the prescriptions in Treatise on Febrile Diseases Caused by Cold, is composed of three drugs, i. e. Rhizoma Coptidis, Rhizoma Pinelliae and Fructus Trichosanthis. This paper has counted and analysed the 367 cases, comparatively well recorded, treated with Xiao Xianxiong Tang by ancient and modern physicians. The results are. that the main pathological position is in the stomach, next in the liver and the Iung; that the basic pathogenesis is the congelation of heat with phlegm which leads to disturbance in ascending and descending of the functional activities of qi; that the main symptoms are stomach and abdominal pain, fever, constipation, inappetence and feeling of fullness in stomach and abdomen; that the reference syndromes are distension and pain in the chest and hypochondrium, nausea, vomiting, cough, shorthess of breath, yellow and ropy sputum, bitter taste, thirsty, headache, insomnia, dysphoric, yellow urine, loose stool, red tongue with yellow and greasy fur, slippery or taut, rapid, floating pulse. It makes efforts for the standardization of the differentiation of syndromes of Xiao Xianxiong Tang.