大青龙汤证剖析

Analysis of Syndrome of Daqinglong Decoction

大青龙汤证是外有寒内有热的“客寒包火”证,虽原文38、39两条均为大青龙汤证,但有着明显区别。38条大青龙汤证是寒在表,热在里,寒在表而头身疼痛,热在里而烦躁不安;39条大青龙汤证由于外寒渐次入里,里热渐次出表,两者交融,互有所减,故其表现相对较轻。

Daqinglong Decociton syndrome is the “guest cold coating fire” syndrome with the external cold symptoms and internal heat symptoms. Although both Item 38 and Item 39 in Treatise on Febrile Diseases are Daqinglong Decoction, there is a distinct difference. Item 38 Daqinglong Decoction syndrome is characterized by the cold in the exterior which may cause the ache of head and body and the heat in the interion which may cause restlessness. Item 39 Daqinglong Decoction syndrome is characterized by the external cold gradually invading the interior and the internal heat gradually invading the exterior. The external cold and internal heat mix togther. Therefore Item 39 Daqinglong Decoction has a less serious symptom.