少阳寒温证探析

Analysis of Cold and Warm Syndromes of Shaoyang

立足伤寒温病之经典,从概念论述少阳与三焦的生理结构与生理功能,强调少阳主枢机、三焦主道路的功能特性。明确少阳一证寒起少阳、热起三焦的病因。寒证邪陷少阳,气机不利致三焦失司、痰湿蕴阻;温证湿热阻滞则三焦不畅、遏阻少阳,二者互为因果,互相影响。着重分析柴胡桂枝干姜汤与蒿芩清胆汤两方组方思路及治法异同,指出寒重和解温化、温重分消疏透的治法,举名家医案分述少阳寒温证辨治差异,总结出少阳一证以疏胆郁、畅三焦为主的总治则。

Based on the classics of cold damage and warm disease,this paper discussed the physiological structure and function of Shaoyang and triple energizer from the concept,and emphasized the functional characteristics of Shaoyang as pivot and triple energizer as pathway.This paper clarified that the etiology of Shaoyang syndrome is cold from Shaoyang and heat from triple energizer.In terms of cold syndrome,pathogen invading Shaoyang and disturbance of qi movement caused dysfunction of triple energizer and phlegm-dampness accumulation.In terms of warm syndrome,dampness-heat obstruction caused unsmoothness of triple energizer and obstruction of Shaoyang.Both cause and affect each other.The similarities and differences in both prescription thinking and therapeutic methods of Chaihu Guizhi Ganjiang Decoction(柴胡桂枝干姜汤)and Haoqin Qingdan Decoction(蒿芩清胆汤)were specially analyzed and pointed out that harmonizing,warming and resolving methods used in cold syndrome,and respectively expelling and dispersing methods used in warm syndrome.The medical cases of famous doctors were stated to analyze the differences between the cold and warm syndromes of Shaoyang.Soothing gallbladder depression and smoothing triple energizer were summarized as the general therapeutic principles of Shaoyang syndrome.