对桂枝甘草汤作用的认识

The action of Guizhi Gancao decoction

从《伤寒论》条文及对方中的药物桂枝、甘草的认识入手,对前人的研究进行深入的探讨,在质疑的基础上,对桂枝甘草汤证心气不足之病机,及甘草补益中焦的作用进行分析。认为桂枝甘草汤证病机为肝胆气郁、欲化风而尚未化,同时伴心脾两虚,其作用关键在于先机发散、敛降心脾之气合用,从而起到条达肝胆、平冲降逆、补益心脾的效果。

This article makes a deep probe into the ancestors＇ understanding of Guizhi （Cassia twig） and Gancao （Radix glycyrrhizae） according to the prescriptions in the Treatise on Febrile Diseases （Shanghan Lun） , puts forward some queries and analyzes the pathogenesis of the syndrome of Guizhi Gancao decoction and the actions of Gancao and Guizhi. The pathogenesis of Guizhi Gancao decoction syndrome is the depression of hepatobiliary qi, the development tendency of feng syndrome, and the qi and blood deficiency of both heart and spleen. The key action of the decoction is to disperse hepatobiliary qi ahead of feng syndrome development and to converge and nourish the qi and blood of both heart and spleen. In conclusion, the decoction plays a role of moving the hepatobiliary qi, calming down the abnormal rising qi and nourishing the heart and spleen.