《伤寒论》桂枝去桂加茯苓白术汤证思路寻绎

About Cassia Twig Decoction minus Cassia Twig & plus Poria and Atractylodes in Treatise on Cold-Attack

本文认为桂枝去桂加茯苓白术汤证的前证是表兼里证,确定在表的关键症状是恶寒,经服桂枝汤后而成现证的表解里未和,由于是在原桂枝汤的基础上转方治疗,故仍用原桂枝汤的名称而行加减,由于表邪已去故去桂,由于水饮里邪未除,故加茯苓白术,故原文去桂毋庸置疑,去芍药当属误解。

The author holds it's a mistake that someone considers the peony root should be removed from this decoction. Because there is no manifestation of aversion to cold,which is a specific symptom of exterior syndrome. The conclusion is that peony root should still be remained while the cassia twig should be removed.