真武汤所治发热探析

Analysis of Fever Treated by Zhenwu Decoction

真武汤出自于张仲景所著的《伤寒杂病论》。作为温阳利水的代表方剂,真武汤主要用于治疗阳虚水泛、水气内停之证,被广泛地应用于临床多种疾病中。世人只知真武汤证可有发热症状表现,然而此方所治疗的发热症状是由于外感或是内伤而发一直存在争议,无确切定论。该文对其发热症状进行再研究,通过对其因机、部位以及治发热之遣方用药的探析,发现此发热是由于内伤少阴、肾阳大耗而发的虚热症状,并可于患者面部体现其热象,遵循"温潜治之"的治疗原则,温中与利水同用。如此,对真武汤所治疗发热症状的再探析与再发现,不仅扩充了其适应证的范围,同时也为更好地理解和应用真武汤提供了依据。

Zhenwu Decoction,originated from Treatise on Febrile Diseases. As the main prescription of warming yang and promote dieresis,Zhenwu Decoction is used to treat edema syndrome which is due to yang deficiency. The fever symptom treated by Zhenwu Decoction is due to exogenous or endogenous injury remains controversial. This paper rediscovers the fever symptom. Through the exploration of etiology,pathogenesis,position and pharmacy,it is found that the fever is due to the injury of Shaoyin meridian and the excessive consumption of kidney yang,also arises on face and follows the principle of＂Wenqian method＂. This not only enlarges the indications of Zhenwu Decoction,but also provides the basis for better understanding and application of it.