《伤寒论》生附子应用规律探析

Analysis of the application law of unprocessed Radix Aconiti Lateralis Preparata in Shanghan Lun

研究《伤寒论》生附子应用条文和相关文献,对其进行归纳、分析、总结,探析其用量、方剂、脉证规律。《伤寒论》涉及应用生附子条文共20条,方剂8首。张仲景应用生附子用量谨慎,配伍严谨,脉为阴脉,证为阴证,阳虚阴盛为其应用的主要病机。生附子主要应用于太阳病误治后真阳不足证,少阴病、厥阴病阳虚阴寒内盛证,厥阴病真阳欲脱证或阴阳格拒证,霍乱病阴阳两伤上竭下脱证。探析《伤寒论》生附子应用特点、规律,对研究张仲景辨证论治学术思想有重要意义,对中医治疗急危重症有一定启发意义。

To study the application clauses of Shanghan Lun unprocessed Radix Aconiti Lateralis Preparata and related documents,to summarize,analyze and summarize them,and to explore its dosage,prescriptions,and pulse rules.Shanghan Lun involves a total of 20 articles and 8 prescriptions concerning the application of unprocessed Radix Aconiti Lateralis Preparata.ZHANG Zhong-jing should be cautious in the dosage of raw aconite,with strict compatibility,the pulse is yin,the syndrome is yin,and yang deficiency and yin are the main pathogenesis of its application.Unprocessed Radix Aconiti Lateralis Preparata is mainly used for syndrome of deficiency of true yang after mistreatment of taiyang disease,syndrome of yang deficiency and yin-cold insufficiency in shaoyin disease and jueyin disease;syndrome of yin and yang rejection in jueyin disease.Exhausted from the top and the bottom out.The analysis of the characteristics and rules of the application of unprocessed Radix Aconiti Lateralis Preparata in Shanghan Lun is of great significance to the study of ZHANG Zhong-jing’s academic thoughts on syndrome differentiation and treatment,and has certain enlightening significance to the treatment of acute and critical illnesses by TCM.