基于《伤寒论》真武汤煎服方法的诠释学研究

Hermeneutic study on decocting method of Zhenwu Decoction based on Shanghan Lun

《伤寒论》真武汤临床应用广泛,然而原方煎服方法,因药液剩余并未尽服,存在疑问。论文分2部分对真武汤进行诠释学研究:方证理论研究和文本研究。方证理论研究方面,以现代文献为基础,对类方的方药及煎服法,进行比较分析研究,得出茯苓四逆汤与真武汤的煎服法均应有剩余药液,这与毒性药物蓄积及急危证治疗的中病即止理论相关。另外,文本研究层面,运用诠释学循环方法对类方的煎服法原文进行研究,发现真武汤的煎服法在《伤寒论》文本中可能存在讹误,后世的诠释则当属过度诠释。

Zhenwu Decoction recorded in Shanghan Lun (Treatise on Cold Pathogenic Diseases) is widely used in clinical practice.However,doubt has been cast on the decocting method of the original prescription because the medicine may not be entirely taken due to residual liquid.This paper is divided into two parts to carry out hermeneutic research on Zhenwu Decoction:the theoretical research on prescriptions and syndromes and the research on relevant texts.In the aspect of the theoretical research on prescriptions and syndromes,based on modern literature,comparative analysis was made on those similar prescriptions and their decocting methods,and it was concluded that the decocting methods of Fuling Sini Decoction and Zhenwu Decoction should have residual medicine liquid,which is related to the theory of accumulation of toxic drugs and and the theory that the medicine should be stopped as the syndromes are improving in the treatment of acute and critical syndromes.In addition,in the aspect of text research,the hermeneutic circle method was adopted to study similar prescriptions’ original texts regarding various decocting methods,and it was found that there might be errors in the account of the decocting method of Zhenwu Decoction in the text of Shanghan Lun,and the interpretation of later generations should be viewed as over-interpretation.