从《医学衷中参西录》试析张锡纯应用柴胡的特色

Zhang Xichun's Application of Bupleuri Radix Based on Records ofTraditional Chinese and Western Medicine in Combination

张锡纯认为柴胡为足少阳之主药,且兼治足厥阴,原本非发汗之药,而多用亦能出汗,能通大便,亦能通小便。张锡纯广泛应用柴胡治疗多种疾病,临证时尤其重视应用柴胡的升提功效,形成了独特的柴胡配伍经验,重视柴胡量效关系,明确了柴胡的使用禁忌和临证变通,创立了多首经典名方,详细记载应用柴胡验案,理论与临床实践相结合,为后世学者提供了重要参考和宝贵经验。

Zhang Xichun regarded Bupleuri Radix as the primary medicinal herb for the foot Shaoyang meridian and also effective in treating the foot Jueyin meridian.Though not originally intended to induce sweating,when used in larger doses,it can promote sweating,facilitate bowel movements,and increase urination.Zhang Xichun extensively applied Bupleuri Radix in treating various diseases,with a particular focus on its lifting effects in clinical practice.He developed unique experiences in Bupleuri Radix combinations,emphasized the dose-effect relationship,clarified its contraindications,and adapted its use according to clinical conditions.Zhang also created numerous classic formulas and recorded numerous successful case studies of Bupleuri Radix integrating theoretical knowledge with clinical practice,providing valuable references and insights for future scholars.