仲景表证从三焦论治探析

An Analytical Study of Treating Exterior Syndrome in Treatise on Exogenous Febrile and Miscellaneous Diseases by Triple Energizer

通过对《伤寒杂病论》表里同病中表证辨治规律的梳理分析,发现在外感病发展过程中,病证的特征呈现出以肺、脾、肾三脏为主的阶段性变化规律。结合"卫出三焦"的理论,提出"表证当从三焦论治"的观点。即肺为第一道防线,用药须味辛发散之麻黄类,以助卫之宣通;脾为第二道防线,用药须甘温益中之桂枝类,以滋卫之化源;肾为第三道防线,用药须辛热助阳之附子类,以固卫之根本。不仅可以更确切的指导临床,也更为符合中医的整体辨证观。

The characteristic of syndrome is manifested as the periodic changing law focused on the lung, spleen and kidney in developing process of exopathic disease through the analysis of syndrome differentiation and treatment law of exterior syndrome in syndrome of both exterior - interior aspects disease on Treatise on Exogenous Febrile and Miscellaneous Diseases. Combing with the theory of ＂defense qi originating from triple energizer＂ , the author puts forward the view of ＂method of treating exterior syndrome by triple energizer＂, i.e. the lung is the first defensive line, which is using the kind of Mahuang （ Herba Ephedrae） that are pungent in flavor with the action of dispersing, to assist the diffusion of defense qi ; the spleen is the second defensive line, which is using the kind of Guizhi （ Ramulus Cinnamomi） that is sweet in flavor and warm in nature with the action of tonifying and replenishing the middle qi, to nourish the source of defense qi ; the kidney is the third defensive line, which is using the kind of Fuzi （ Radix Aconiti Lateralis Praeparata） that are pungent in flavor and hot in nature with the action of assisting yang, to secure the root of defense qi. Method of treating exterior syndrome by triple energizer not only guides clinical diagnosis and treatment exactly, but also meets the concept of holism in Traditional Chinese Medicine.