浅议仲景桂枝附子汤去桂加白术的意义

Exploration on the Guizhi Fuzi decoction

本文通过文献理论分析仲景桂枝附子汤证及去桂加白术汤证,认为两者均治疗风湿兼表阳虚,非脾虚内湿。桂枝附子汤证为风湿犯表,卫阳不足;去桂加白术汤证强调湿邪闭郁,卫阳不足,肺失宣降,大肠传导失司。桂枝附子汤去桂枝的意义是桂枝解肌,不适用于营卫闭郁;加白术,是运用苍术祛风湿、宣畅营卫的功效,而非用白术健脾利湿。

The Guizhi Fuzi decoction and its Qugui Jiabaizhu were analyzed by the literature; patients with Fengshi Biaoyangxu without Pixu Neishi were treated with those decoctions. Then Fengshi Fanbiao Weiyang Buzu was treated with the Guizhi Fuzi decoction; Shixie Biyu, lung and large intestine disease was treated with the the Qugui Jiabaizhu decoction. Guizhi can Jieji, not be treated the Yingwei Biyu symptom, so be took away. Baizhu shows an efect as Cangzhu of Qufengshi and Xuanchang Yingwei.