《伤寒论》中解表剂的运用时机

The Occasions ofUsing Superficies-resolving Formula in Treatise on Exogenous Febrile Disease

解表法为《伤寒论》中治疗外感病的主要手段之一,其运用时机对临床疗效有重要影响。出现表证则用解表剂外,其运用时机还要遵循以下规律:服后汗不出,可续用解表剂;汗后病不解,可续用解表剂;汗后病解,停用解表剂;汗后病去大半,可改用解表轻剂;汗后病解,而后复发,可复用解表剂;时发热自汗,先其时发汗;自衄后表证不解,可复发汗;特殊情况下可针药并用,等等。此外,对于阳气不足、津液不足、尺中不足、汗后疾病趋势改变及某些特殊情况下的病人,应慎用或禁用解表剂。

Resolving superficies method is the main way of treating exterior syndrome in Treatise on Exogenous Febrile Disease,and the occasion of using it is crucial for curative effect.When using superficies-resolving formula,some principles should be followed,such as treating based on syndrome differentiation,superficies-resolving formula be used again when the patient is not sweating,superficies-resolving formula not be used again when the symptoms are relieved,etc.And for patient who is deficient in yang qi or body fluid,superficies-resolving formula should be used with extra caution.