少阴三急下证浅析

Discussion of Three Emergent Purgative Syndromes of Shaoyin

张仲景《伤寒论》创六经辨证完整体系,后世林亿等人为之作序,认为"以为百病之急,无急于伤寒",历代医家对伤寒论之阐释论述,著作之多,如充栋汗牛不胜枚举,然《伤寒论》言简意深,脉证字简、辨证明晰却意蕴深长,历代医家多见解各异。论其急证,当为承气汤证,急下承气一证,总有六条,阳明、少阴各三急下,多认为阳明属实,急下实邪,少阴为虚,急下存阴。少阴三急下,其意义尤为深远,内含理法奥妙,仍待后世发掘。

Treatise on Exogenous Febrile Disease,one of the most classic works in traditional Chinese medicine,was written by ZHANG Zhongjing,who created six-channel syndrome differentiation. In the Song Dynasty,LIN Yi and some other famous doctors worte a preface to it,and he thought there existed no disease so serious as exogenous febrile disease. When it comes to serious diseases,it should be the type of Chengqi Decoction. There are six articles about urgent purgative syndrome that consist of three emergent purgative syndromes of Yangming and three of Shaoyin. It is presumed that emergent purgative syndromes Yangming belongs to excess syndrome,Shaoyin belongs to deficiency syndrome,and Dachengqi Decoction can be used to preserve Yin. This paper preliminary analyzes the three emergent purgative syndromes of Shaoyin.