伤寒论评话 第48章 阴阳易因房事变,清浆水即绿豆浆——阴阳易、差后劳复的辨证论治

Discussion of Shanghan Lun: Yin Yang Changes due to Sexual Intercourse,Clear Seriflux that is Bean Milk——Syndrome Differentiation and Treatment of Yin Yang Changes and Recurrence due to Overstrain

1"阴阳易"是伤寒病后期或者初愈阶段,体质尚未复原,气血尚虚,即行交媾,伤及阴精气血,从而使伤寒寒热的外感之病转化为气阴两虚的内伤病,既不是因房劳而复发成为原有的伤寒六经病;也不是男病传女,女病传男的互相染易;更不是男病传女男不病,女病传男女不病,而是原有患者证候的改变。虽然与由衣原体感染的非淋菌性尿道炎的一个合并症,即Reiter综合征具有尿道炎、关节炎和结膜炎三联征有些相似,但不能确定就是或者排除Reiter综合征的可能。"阴阳易"就是伤寒病中期及后期男女交媾所导致疾病性质改变的证候。2"清浆水"就是将用水泡过的绿豆加适量的水粉碎后,未经发酵的、经过澄清的、不带绿豆淀粉的浆水,以其煎药取其去火除烦,生津止渴的作用。

（1）＂ Yin Yang changes＂ is late stage of typhoid disease, or early recovery, the constitution not yet recovery, Qi-blood deficien- cy, then sexual intercourse, deficiency of Yin essence and Qi-blood, so that the diseases of typhoid fever disease turn into Qi-Yin defi- ciency, neither the recurrence of typhoid six-channel diseases due to sexual strain, nor cross infection of male disease infection female, female disease infection male;more than male disease recovery when the disease infection female, vice versa, but the change of original syndrome of patients. Although this disease has some similar with one complication of non-gonococcal urethritis infected by chlamydial, namely, Reiter＇ s syndrome, with triad syndrome of urethritis, arthritis and conjunctivitis, but uncertain or excluding the possibility of Re- iter＇s syndrome. ＂Yin Yang changes＂ is syndrome with disease character change due to sexual intercourse in the middle and late stage of typhoid disease. （2）＂ Clear serifiux＂ refers that mung bean soaked in water is smashed,then seriflux without fermentation,after clarifi- cation, without water of mung bean starch, decocting this can play the role of relieving fever and restlessness, promoting the production of body fluid to relieve thirst.