论《伤寒论》第29条与第30条方证原意

Original Meanings of the 29^(th) and 30^(th) Prescription Syndromes in Treatise on Cold Damage Diseases

《伤寒论》第29与30条论述的是由于胃热炽盛阴伤却经误汗,使阳气更虚,导致阴阳两虚证。临床包括误用桂枝加附子汤发汗出现的阳虚证、阴虚证、胃热证以及重发汗及烧针后出现的内热重证,仲景分别予甘草干姜汤、芍药甘草汤、调胃承气汤及四逆汤治疗,以示范复杂病机治疗的先后缓急。

The 29th and 30th items in Treatise on Cold Damage Diseases discuss the deficiency syndromes of both yin and yang due to the more deficient yang-qi caused by the excessive stomach heat leading to yin deficiency and error perspiration.The yang deficiency syndrome,yin deficiency syndrome and stomach heat syndrome due to the misapplication of Guizhi Fuzi Decoction for perspiration in clinic,as well as the intensive syndrome of internal heat after extensive perspiration and puncturing with heated needle were respectively treated by Zhang Zhongjing with Gancao Ganjiang Decoction,Shaoyao Gancao Decoction,Tiaowei Chengqi Decoction and Sini Decoction to demonstrate the priorities in treating the complex pathogenesis.