伤寒论评话 第47章 此霍乱似彼霍乱,立霍乱以别伤寒——霍乱病的辨证论治

Discussion of Shanghan Lun: The Cholera for Cholera,Cholera Difference with Typhoid——the Syndrome Differentiation and Treatment of Cholera

1《伤寒论》不仅在六经病的相应证候下设立了类似证,用以鉴别,又在六经病后设立霍乱一篇,与"伤寒"进行鉴别,可视为总论的鉴别,既有大的"疾病"鉴别,又有中的"证候"鉴别,还有小的"症状"鉴别,使伤寒的鉴别诊断,从病到证,再到症自成体系,开辟了疾病鉴别诊断的先河。2少阴病的四逆症以及厥阴病的厥逆证,多是因阳不相顺接所致,真正阳虚的四肢厥逆,无论在理论上或是实践中都难以支持,阳虚病证多是恶寒,尤以四肢怕冷明显,但不一定手足温度降低,阳虚导致四肢逆冷的情况极少,寒盛、热极、气郁、邪阻等使阴阳气不相顺接才是四肢厥逆的主要原因。

（1）＂ treatise on febrile diseases＂ ,which under the corresponding syndrome of six-channel diseases has set up a similar card,is used to identify,it is in the theory of differential. And setting up a cholera after six-channel diseases,identification with the ＂typhoid fever＂ ,it can be regarded as general identification,both the ＂disease＂ to identify,and the ＂syndrome differentiation＂ ,there is little ＂symp- toms＂, making the differential diagnosis of typhoid fever, from the disease to the card, and then to sui generis,it has opened up the differ- ential diagnosis of disease. （2）Four inverse of shaoyin disease and syndrome of jue inverse jue Yin disease is caused by a Yang phase and not more, real manhood limbs jue inverse, no matter in theory or in practice it is difficult to support, Yang deficiency disease is cold, espe- cially in the arms and legs fearing to the cold, but not necessarily brothers temperature decrease, Yang deficiency leads to inverse cold limbs rarely,cold dish,hot,qi depression and evil resistance and gas phase and is the limbs jue the main reason for the inverse.