伤寒论评话 第15章 误下脉促或上冲 短气不与但坐同——表证误下的救治与发汗不彻的表现

Discussion of Shanghanlun Pulse Promoting or Qi Up Due to Error Purging and Shortness of Breath Not As Same as But Sit——Treatment of-Interior Syndrome Mistreated and Manifestations of Sweating Syndrome Mistakenly not Penetrating

目的:探讨"误下脉促或上冲"与"短气不与但坐同"的机理。方法:从《伤寒论》第34条、第48条入手对表证误用下法和表证汗出不够进行分析。结果:①表证误下之后的"脉促"与"气上冲"病理机制相同,只不过一个是表现在脉象上,一个是表现在症状上。②第48条原文中"其人短气但坐以汗出不彻故也",应在短气后断句,而不应该在但坐后断句,本句指出了短气一症的病因所在。结论:误下脉促或上冲与短气不与但坐同是表证误下的救治与发汗不彻的表现。

Objective：To explore the mechanism of ＂mistakenly pulse promoting or qi up＂ and ＂shortness of breath and not same as but sit＂. Methods：From the ＂Treatise on the＂ thirty-fourth, forty-eighth article to analysis interior syndrome misuse of purgation and interior syndrome sweating not penetrating. Results ： ①Interior syndrome error purging the ＂pulse fast＂ and ＂qi up＂ pathological mechanism was the same,only one is shown in the pulse condition, one is reflected in the symptoms. ②The forty-eighth original ＂the shortness of breath hut sit due to sweating is not thorough＂ ,should pause in shortness of breath,and should not be in but sit after the punctuation, points out the cause of a disease and shortness of breath. Conclusion：Mistakenly pulse promoting or qi up and shortness of breath and not but sit same is treatment of interior syndrome error purging and performance of sweating syndrome mistakenly not penetrating.