《伤寒论》中五苓散所主小便不利发病机理及本症特征探析

Analysis on the Adverse Pathogenesis and Characteristics of Wuling Powder in Treatise on Febrile Diseases

《伤寒论》五苓散证主症之一为“小便不利”,但条文中“小便不利”的发病机理及本症特征历来颇具争议,影响后世学者对经方的学习与运用。条文中五苓散所主“小便不利”的发病机理为太阳风寒未罢且水湿内蓄膀胱,导致太阳经腑之气不相顺接,水湿不化,气化难行,故必用桂枝通阳散寒、化气布津;其本症特征为小便频急,量少难出,夜间明显,或有灼热感。

One of the main diseases of Wuling powder is"unfavorable urination",but the pathogenesis and characteristics of"unfavorable urination"in the article has always been quite controversial,which affects the study and application of the classical classics.According to the article,the pathogenesis of"adverse urine"is the solar cold and the bladder in the water,resulting in the incompatibility,water moisture,gasification is difficult to go,and characterized by using the cold,burning,and burning at night.