再论大柴胡汤证之归属

Re-discussion of the Ownership of Da Chaihu Decoction

大柴胡汤证不是少阳阳明合病,而是小柴胡汤证由气分向血分发展的必然阶段,病势有深浅之分,病位却不是由少阳及于阳明,而是由气郁发展为气滞热郁血瘀。“心下急”、“郁郁微烦”为其辨证眼目。

Da Chaihu Syndrome is not shaoyang syndrome complicated with yangming syndrome, but the inexorable stage of Xiao Chaihu Decoction syndrome at which qi system develops into blood system. The disease has different degrees of seriousness and it doesn's locate in shaoyang and then in yangming. It develops from stagnation of qi into blood stasis. Discomfort in the epigastrium and dysphoria due to stagnation of qi are the guideposts of differentiation of syndromes.