论柴胡桂枝干姜汤证

The Discussion About Syndrome of Decoction of Bupleurum and Ramuli Cinnamomi and Zingiberis

柴胡桂枝干姜汤是一首既能解决当下问题又能阻断未来病情发展的经方。它所治疗的疾病有向太阴病发展的趋势(下利),有痰瘀相互结聚于胁下的趋势(如早期肝硬变、脾大、肝性腹胀),最终有水液代谢失常(如腹水)的趋势。把握"胆热脾寒""痰瘀互结""阴虚水停"这3个"机转",即掌握了本方的要点与使用时机,从这个角度去理解本方证,是一种全新的尝试,有待进一步研究。

Decocfion of Bupleurum and Ramuli Cinnamomi and Zingiberis is a classical prescription which not only deals with present problems but also prevents diseases from developing in the future. The diseases it deals with have either the tendency towards taiyin disease （ dysentery, and diarrhea）, or the tendency towards syndrome of intermingled phlegm and blood stasis in the flank （ such as early cirrhosis, splenomegaly, liver and abdominal distension） , and the final trend of water metabolism disorders （such as ascitcs）. Grasping ＂hot bile and cold spleen＂, ＂ syndrome of intermingled phlegm and blood stasis＂ and ＂ yin deficiency and water retention＂ means understanding the main points and the proper using time of the prescription, which is a new challenge and worth further studying.