从小柴胡汤探析张仲景辨证论治思路

Discussion on ZHANG Zhong-jing's approaches from xiaochaihu decoction

小柴胡汤主治少阳病 ,病机重在“郁火邪结”。郁火是内因 ,邪结从太阳转化 ,表现为“呕而发热”,治疗上用柴胡解半表、用黄芩清半里。少阳病的辨证立法准确反映了仲景辨证处方的基本思想 ,即从主症辨病机 ,从病机抓疾病的本质。柴胡汤类方治疗少阳病之兼证、变证 ,同时体现了仲景证变、法变、方药亦变的灵活思维方式。从小柴胡汤及其类方的证、药分析上可窥见仲景辨证思想之一斑 。

Xiaochaihu decoction is aimed at shaoyang disease,which is applied to treat stagnated fire and accumulation of pathogens Stagnated fire is internal factor,while accumulation of pathogens transformed from taiyang disease,which manifested as vomiting and fever Chaihu is applied for relieving the half exterior syndrome and huangqin for clearing half interior syndrome in treatment ZHANG Zhong jing's basic thinking of xiaochaihu decoction is seeking for the pathogenesis from main symptoms,and mastering the vital of diseases from the pathogenesis Similar prescription of chaihu decoction are indicated for compound and changed the syndrome of shaoyang disease which also accuounted for the flexibility of thinking way in clinical practice ZHANG Zhong jing's treating principles can be got by studying xiaochaihu decoction and the decoctions like xiaochaihu decoction