《伤寒论》白通汤证相关条文浅析

Analyzing the Relevant Provisions of Bai Tong Soup from Shang Hanlun

[目的]分析《伤寒论》白通汤证相关条文,探讨其证病理机理。[方法]基于《伤寒论》315条的论述,分析其病理机理。[结果]白通汤证非教材所说的阴盛戴阳证,而是为预防虚阳上浮;白通加猪胆汁汤证亦非注家所言阴盛格阳,而是阴阳俱虚,服热药后一过性的阳气太盛而阴虚甚不可受纳大辛大热之品产生格拒。[结论]白通汤为预防虚阳上浮证而设,而白通加猪胆汁汤证是由于少阴病阴阳俱虚所致,加入猪胆汁一是引阳入阴,二是补益阴液,进而使机体达到"阴阳自和"。白通加猪胆汁汤为治疗虚阳上越而设,两证呈递进关系,疾病处于动态变化中,临床辨治用药必须做到分析病机,辨证求因,综合分析,审因论治。

[Objective]Analyzing the relevant provisions of Bai Tong Soup,probe deeply into the onset and process.[Methods]Base on the discussion of No.315 from Shang Hanlun,analyzing the onset and process. [Result]The writer believes Bai Tong Soup is not to treat syndrome of excessive Yin causing floating of Yang,but to prevent the upfloating of asthenia Yang;Bai Tong Soup with pig＇s bile is not to treat excessive Yin rejecting Yang,but to treat Yin Yang both deficiency and the deficient Yin can not accept the Yang herbs. [Conclusion]Bai Tong Soup is to prevent the upfloating of asthenia Yang;Bai Tong Soup with pig＇s bile is to treat Yin Yang both deficiency; These two syndromes have progressive relations.Disease in dynamic change,clinical syndrome differentiation must be analysis and pathogenesis.