《伤寒论》肝胃不和相关证候辨证规律浅探

Brief Analysis of Syndrome Law of Liver- stomach Disorder Relevant Syndrome Differentiation in Treatise on Febrile Disease

《伤寒论》以六经辨证为指导,从气滞阳郁、肝胃不和,少阳邪郁、克脾犯胃,木郁化火、胃腑不通,厥阴肝寒、上逆犯胃,厥阴木郁、胃热脾寒5个方面阐述了肝胃不和证,论述了肝胃不和相关证候的因机证治规律。为后世医家辨治肝胃不和相关证候奠定了基础,对于继承和发扬脏腑相关理论,提高辨证论治的能力和临床疗效亦具有重要作用。

Zhang Zhongjing summarized the symptoms characteristics of liver- stomach disorder syndrome in Treatise on Febrile Diseases from five aspects（ qi stagnation and yang depression led to liver- stomach disorder,pathogenic factors of Shaoyang channel over- restraining the spleen and stomach,liver depression of the fire caused stomach obstruction,liver cold of Jueyin channel affected stomach qi adverse ascending,liver depression of Jueyin channel induced stomach heat and spleen cold）,guided by the six- meridian syndrome differentiation,which revealed the law of syndrome and treatment of liver- stomach disorder relevant syndrome. The application rules of liver- stomach disorder syndrome in Treatise on Febrile Diseases,which laid the theoretical foundation for doctors later who studied of this issue,and contributed to inherit the essence of correlationship between Zang and Fu theory,develop the abilities of syndrome differentiation and treatment as well as clinical effects.