论“六经中风”的证治特点

Discussion of the Syndrome and Therapy with Exopathy in Six-meridians

[目的]探究六经中风的证治特点,厘清六经中风理法方药特点,并补充相应的治疗方药。[方法]以张仲景著作为基础,搜集六经中风的条文,并以对比研究的方法,分析六经中风的证候,以此阐明病机,补充主治方剂。[结果]风邪具有阳热属性,三阳中风易治,三阴中风有必要待其阳气来复,治疗六经中风的方药选择需要兼顾辛凉清热之法,具体可以参考张仲景、叶天士、吴鞠通的诸辛凉方。太阳中风主治方为桂枝汤,阳明中风主治方为麻黄杏仁甘草石膏汤,少阳中风的主治方为小柴胡汤,太阴中风的主治方为桂枝人参汤,少阴中风主治方为麻黄附子细辛汤,厥阴中风主治方为麻黄升麻汤。[结论]厘清六经中风证候和病机特点,补充相应方药,有助于加强对风邪属性和六经中风证治的认识。其中,治疗三阳中风的经方与后世温病学家的辛凉解表方的比较研究,是探讨寒温统一的切入点,为探讨寒温统一提供了初步基础。

[Objective] To study six-meridians＇ exopathy syndromes,to analyze the characteristics of six-meridians＇ exopathy,and to improve formulas concerned.[Method] Based on Zhang Zhong Jing＇s works,to collect clauses concerned and to improve formulas,which would be compared with each other for analyzing the pathogenesis of six-meridians syndromes. [Result] Wind pathogen is hot,so that clearing heat with pungent and cool-natured drugs should be used,while exopathy in Yang-meridians‘prognosis is better than Yin-meridians＇.The formulas should refer to Zhang Zhong Jing,Ye Tian Shi and Wu Ju Tong＇s works.Exopathy in Tai-yang meridian＇s formula is Gui Zhi decoction,exopathy in Yang-ming meridian＇s formula is Ma Huang Gancao Xing Ren decoction,exopathy in Shao-yang meridian＇s formula is Xiao Chai Hu decoction,while exopathy in Tai-yin meridian＇s formula is Gui Zhi Ren Shen decoction,exopathy in Shao-yin meridian＇s formula is Ma Huang Fu Zi Xi Xin decoction,exopathy in Jue-yin meridian＇s formula is Ma Huang Sheng Ma decoction. [Conclusion] Formulas were improved,which suite to the pathogenesis of six-meridians＇ exopathy. Classical formulas and pungent and cool-natured drugs should be compared with each other,which provided an initial foundation to the discussion of hot and cold diseases.