桂枝汤原方临床运用分析

Analysis of the Guizhi Tang in Clinical Application

[目的]探究桂枝汤临床运用规律,以期加深对桂枝汤证的理解,提高临床疗效。[方法]查阅不同医家使用桂枝汤治疗多种疾病的医案,结合桂枝汤所含药物的功效,从六经辨证、脏腑辨证的角度,分析归纳桂枝汤在临床运用中的特点或规律。[结果]桂枝汤临床上治疗荨麻疹、冠心病、脑疽、高热、汗出偏沮、下利皆有疗效,其中荨麻疹、下利、脑疽医案皆是伴有太阳表证的症状;高热医案则是营卫不和所致;汗出偏沮医案为阴阳不和所致;冠心病医案反映桂枝汤调和脾胃的作用。[结论]运用桂枝汤治疗的医案涉及内外妇儿各科,如荨麻疹、冠心病等。选用桂枝汤时可借助六经辨证或脏腑辨证,六经辨证时注意太阳病与其余五经病的鉴别,脏腑辨证时应着眼于调和阴阳、脾胃、营卫的特点。

[Objective]To study the discipline of Guizhi Tang in clinical application, understand further indication of Guizhi Tang to improve clinical efficacy.[Method]After consulting medical cases about Guizhi Tang that are from different medical practitioners, analysis on the discipline of Guizhi Tang in clinical application with the help of six meridian syndrome differentiation, zang-fu differentiation and drug efficacy of Guizhi Tang. [Result]Guizhi Tang can be used to cure urticaria, coronary heart disease, nape carbuncle, high fever, half sweating and diarrhea. The cases of urticaria, diarrhea and nape carbuncle all contain symptoms of tai yang disease.The case of high fever is due to discord of ying-wei. The case of half sweating is due to discord of yin-yang. The case of coronary heart disease reflects Guizhi Tang can regulate spleen-stomach. [Conclusion] The medical cases about Guizhi Tang involve the departments of internal medicine, surgery, gynaecology and pediatrics,such as urticaria, coronary heart disease and so on. Using Guizhi Tang should get help from six meridian syndrome differentiation or zang-fu differentiation. When using six meridian syndrome differentiation, doctors should pay attention to difference of tai yang disease and other five meridian diseases. When using zang-fu differentiation, doctors should attach importance to the feature of Guizhi Tang that involves regulating yin-yang, spleen-stomach and ying-wei.