“有柴胡证,但见一证便是”浅析

An analysis of“You Chaihu Zheng,Danjian Yizheng Bianshi”

自《伤寒论》问世自今,对“伤寒中风,有柴胡证,但见一证便是,不必悉具”的理解,可以说众说不一,笔者在深入探讨少阳证柴胡证病因病机的基础上,在排除其他经病的前提下,从口苦、咽干、目眩、往来寒热、胸胁苦满,嘿嘿不欲饮食,心烦喜呕,脉弦。八个主要症素中,只要见到一个或数个主要症素,即可确定为柴胡证。为小柴胡汤的使用提供了比较易行的使用经验。

Since the publication of Shanghan Lun(《伤寒论》),there are different perceptions about“Shanghan Zhongfeng(伤寒中风),You Chaihu Zheng(有柴胡证),Danjian Yizheng Bianshi(但见一证便是),Bubi Xiju(不必悉具)”.On the basis of probing into the etiology and pathogenesis of the Shaoyang syndrome(少阳证)Chaihu syndrome,and excluding other diseases,from the mouth bitter,pharynx dry,dizziness,Wanglai Hanre(往来寒热),Xiongxie Kuman(胸胁苦满),Momo Buyu Yinshi(默默不欲饮食),upset,vomiting,Maixian(脉弦)of these eight main disease element,as long as one or more main symptoms are found,it can be identified as the Chaihu syndrome.It provides a relatively useful experience for the use of the Xiaochaihu decoction(小柴胡汤).