摘要
《伤寒论》第40条小青龙汤的方后注对于"若微利,去麻黄,加荛花"有"疑非仲景意"的疑问。历代注家对于此无非两种观点,其认为属仲景原意者多从荛花药物功效作解,未能说明其去麻黄加荛花的依据;持非仲景意观点者认为荛花治水过于峻猛,未有治利用荛花者。基于类比推理对《伤寒杂病论》中相关水液病的条文分析发现,此处出现的"微利"乃正气驱邪的表现,去麻黄的原因应为表邪已解,而加荛花与方中原有半夏、芍药配伍取甘遂半夏汤治疗留饮欲去之意。并进一步推测将小青龙原方中芍药解释为去水气更为贴切。
＂If slight diarrhoea, replacing Ephedra with Daphninae＂under the article 40 of Treatise on Febrile Diseasesis is controversial. There are two different opions in all physicians, one explaination it is in line with Zhang Zhongjing but without the evidence about＂replacing Ephedra with Daphninae＂; the other is that Daphninae is too strong to apply in diarrhoea. According to the analysis on Treatise on Febrile and Miscellaneous Diseases, the slight diarrhoea is the phenomenon of Vital qi exorcism. The reason why replacing Ephedra owing to exogenous evil disappearance, the construction of Daphninae Pinellia ternate and Paeony is to expell the water on the leaving way. And we draw a conclusion that the function of Paeony in Xiaoqinglong decoction is inclined to be expelling Water Qi.
作者
刘晓梅
刘宁
贾春华
Liu Xiaomei;Liuning;Jia Chunhua(Beijing Hongyitang Traditional Chinese Medicine Hospital,Beijing 100026,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2018年第4期564-568,共5页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
国家自然科学基金委员会面上项目(81373770):具身心智视域下的中医五行概念隐喻的认知心理语言逻辑研究
负责人:贾春华
关键词
伤寒论
小青龙汤
麻黄
荛花
Treatise on Febrile and Miscellaneous Diseases
Xiaoqinglong decoction
Ephedra
Daphninae
