从小柴胡汤“寒热往来”谈蒿芩清胆汤

Discussion of Haoqin Qingdan decoction based on alternating attack of chill and fever of Bupleuri decoction

寒热往来为少阳病主症之一,蒿芩清胆汤与小柴胡汤均可治疗"寒热往来"之少阳病,两者有相似之处,但是蒿芩清胆汤治温病的三焦气分湿热证,小柴胡汤治伤寒中足少阳胆经病。伤寒少阳病的病位主要在足少阳胆经,温病少阳病的病位主要在手少阳三焦经,两者病变部位不同;小柴胡汤以和解表里为主,而蒿芩清胆汤分消三焦湿热,并兼有和解表里的功能。

The alternating attack of chill and fever was one of the main symptoms in shaoyang disease. Both Haoqin Qingdan Decoction and Bupleuri Decoction can be the treating prescription of shaoyang disease. The Haoqin Qingdan Decoction may treat damp-beat syn- drome in triple warmer Qi system and Bupleuri Decoction may treat the disease of the gall bladder channel of Foot-Shaoyang. The disease position of shaoyang disease was located at the gall bladder channel of Foot-Shaoyang in typhoid fever and that of shaoyang disease was triple-warmer channel of hand shaoyang in warming disease.