从柯琴之六经观辨析大柴胡汤证的归属——兼考证《伤寒论》大柴胡汤的组成

Differentiating Dachaihu syndrome in KE Qin's view on six-meridian syndromes:Research of Dachaihu Decoction' s composition in Shanghan Lun

关于大柴胡汤证的归属,目前的主流观点是少阳阳明合病或少阳病合并里实证,但细究其详,笔者认为该观点的支持论据并不充分,其推理逻辑亦存可推敲之处。而通过对柯琴诸论述与《伤寒论》原文的对比考证,笔者从阳明经证的实质出发,推断大柴胡汤证不可归于阳明里实证,而应归于少阳气分实热证的范畴,并由此辅以其他论据推断大柴胡汤是否有大黄一药当存疑。

In the mainstream opinion,Dachaihu syndrome is a syndrome combination of Shaoyang and Yangming.In this paper,the author doubted rationality of this viewpoint by reading through relative content.Through the comparative research on discussion of Cold-Induced Disorders and KE Qin＇s annotation,the author concluded that Dachaihu syndrome is excessive-heat syndrome in Shaoyang Qi stage and rhubarb is not the original component of Dachaihu Decoction.