浅议黄芩汤

Discussion on Huangqin Decoction

黄芩汤是《伤寒论》中治疗太阳与少阳合病之方,然而历代医家对此方的理解见仁见智。文章结合古人对该方的理解,以及个人临证3个验案,探讨黄芩汤的六经归属、方证特点。笔者个人认为黄芩汤证患者多见:多平素脾虚虚弱,大便稀溏。可由外感诱发,以下利为主症,临床见症主要为腹痛、腹泻、口苦,且呕恶多见,可伴有发热恶寒。脉象多以细弦之少阳脉为主,可兼脉数。

Huangqin Decoction is used to treat disease in volving both taiyang and shaoyang in Treatise on Febrile Disease. Doctors in past dynasties had different views to this decoction. In this paper, Huangqin Decoction’s belongingness of the six channels, Syndrome characteristics are discussed based on ancient physicians’ opinion and three clinical cases. The authors thought the patients of Huangqin Decoction syndrome： were more spleen deficiency with loose stool; induced by external infection, and diarrhea as the main symptom, the main symptoms included abdominal pain, diarrhea, bitter taste, nausea, or aversion to cold with fever; the pulse manifestation was mainly fine string, or with fast pulse.