伤寒论评话 第45章 厥逆虽同因各异,寒热本类待分清——厥逆的辨证论治(二)

Discussion of Shanghan Lun: Through the Same Reason of Jueni,Cold-heat Originally the Same to Distinguish——Syndrome Differentiation and Treatment of Jueni( 2)

①麻黄升麻汤证为寒热错杂的典型证候,既有厥热胜负的基础,又有喉痹吐利的见症,完整反映了厥阴病的整体病机,与厥阴病篇首条的提纲证,相映成趣,前后照应,可以作为厥阴病的主证、主方。②痰厥和水厥属于厥阴类证,痰厥是痰涎所致,而水厥则是水饮所致,痰涎与水饮病邪性质相似,清稀者为水饮,浓稠者为痰涎,清稀者易化易利,浓稠者难化难消。故痰涎在胃,需涌吐方可去除,方用瓜蒂散吐之使痰从上出;水饮在胃,仅利化即可去邪,方用茯苓甘草汤化气利水使饮从下泄。

①Mahuang Shengma Tang for cold heat jumble of typical syndromes,both heat syncope outcome basis,and pharyngitis Tuli disease,a complete reflection of Jueyin disease pathogenesis,and Jueyin disease first chapter outline of cards,as Jue yin disease main symptom and main decoction. ② Phlegm Jue and water Jue belong to the Jue Yin type syndrome,which is separately caused by phlegm and water. Phlegm and water disease evil nature is similar,clear and thin for water,thick phlegm,so phlegm in the stomach treated with guatisan;water in the stomach,Fuling Gancao Tang discharge.