《伤寒论》第58条汗吐下内涵探析

Analysis on the Connotation of“Sweating”,“Vomiting”And“Purgative”in Article 58 of Treatise on Cold Pathogenic Diseases

《伤寒论》第58条“凡病,若发汗,若吐,若下,若亡血,亡津液,阴阳自和者,必自愈”,后世医家大多认为此为“汗、吐、下”三法误治导致亡血亡津液的情况,对于“阴阳自和”更是解说各异。经考证,“若”字皆作“或”义,“发汗、吐、下”与“亡血”是并列关系,“阴阳”指脉象言,条文乃是指发汗、呕吐、泻下、失血之后导致津液亡失的状态,脉象调和即可自愈,既符合文义也符合医理。

For the situation in article 58 of Treatise on Cold Pathogenic Diseases,Most of the later medical scholars believed that this was a case of“sweating,vomiting,and purgative”which led to the loss of blood and fluid,and that the interpretation of“yin and yang are in harmony”varied.It has been proven that the word“if”is used in the sense of“or”,and that“sweating,vomiting,and purgative”are juxtaposed with“loss of blood”.The word“yin and yang”refers to the pulse,and the article refers to the state of loss of fluid after sweating,vomiting,diarrhoea,or loss of blood,which can be cured by a harmonious pulse.