《伤寒论》少阳病篇评述(2)

On Chapter of Shaoyang Disease in Treatise on Febrile Disease (2)

对于大柴胡汤 ,其组成当以有大黄为是 ,而其作用重在清泄少阳之邪热 ,非重在通腑 ,所以其主治证并不要强调“便秘” ,其所治之下利证并不是热结旁流 ;对于柴胡桂枝干姜汤 ,刘渡舟补出少阳邪热兼有太阴虚寒 ,对于拓宽其临床运用范围和如何应用仲景方都很有启迪 ;对于柴胡加龙骨牡蛎汤 ,临床运用抓住“胸满烦惊” ,其在治疗神经精神系统方面的疾病大有进一步研究的前景 ;对于少阳病传变的条文 ,不能囿于少阳病 ,重在领会其以脉证为凭的唯物辩证的思想 。

Major bupleurum Decoction has Radix et Rhizoma Rhei as it main ingredient and has the function of clearing away heat from the Shaoyang Channel, not of purgation. Its main indication, therefore, is not constipation and the diarrhea it treats is not due to heat with watery discharge. As for Bupleurum, Cinnamon Twig, and Ginger Decoction, LIU Du-zhou believed that heat in the Shaoyang Channel was accompanied by cold of deficiency type in the Taiyin Channel, and this view has enlarged the clinical application of the prescription. As for Bupleurum plus Dragon Bone and Oyster Shell Decoction, studies should be made into its application in the treatment of diseases of the neuropsychological system. In understanding the transformation of Shaoyang diseases, attention should not be limited only to diseases of the Shaoyang Channel, but to its dialectical thinking and the importance significance of the thought of considering stomach qi in the prevention of disease progress.