论《伤寒论》太阳与阳明合病病位偏重于太阳

Treatise on pathogenic location of concurrent disease of Taiyang and Yangming at Taiyang channel in the Treatise on Febrile Disease

《伤寒论》中直接冠以太阳与阳明合病的三条条文叙证简略,后世注家对此多有争论。文章梳理了相关论述,发现各注家对太阳阳明合病的概念、病机、症状、治疗进行了进一步阐释。根据原文与各家注解,笔者认为,太阳与阳明合病的病位尚在太阳。其病机关键在风寒侵袭太阳,后者间接影响了阳明。患者可能出现太阳表证的一系列症状,以及呕吐、下利、喘、胸满和不大便。治疗上应主治太阳,太阳和则阳明自解。

The three clauses in the Treatise on Febrile Disease that are under the title of concurrent disease of Taiyang and Yangming channels are classified briefly and have witnessed a plenty of controversies.This paper summarizes the related treatises and finds that the annotators have further explained the concept,disease mechanism,symptom and treatment of concurrent disease of Taiyang and Yangming channels.According to the original text and various notes,the author believes that the disease location of concurrent disease of Taiyang and Yangming channels is still in the Taiyang.The Taiyang attacked by wind-cold is the key of disease mechanism,indirectly affecting Yangming.Patients may experience a range of symptoms of Taiyang superficies-syndrome,as well as vomiting,dysentery and diarrhea,dyspnea,fullness in the chest and constipation.In terms of treatment,the Taiyang should be mainly treated.When the Taiyang is cured,Yang ming will be cured naturally.