小柴胡汤证治初探

Syndromes and Treatment of Xiaochaihu Tang

小柴胡汤证的形成多系外感邪气 ,侵袭人体 ,多日不解 ,或失治、误治而转入少阳 ;主症为往来寒热 ,胸胁苦满 ,嘿嘿不欲饮食 ,心烦喜呕 ;病机为“正邪分争”于半表半里部位 ;用法可以遵“有柴胡证 ,但见一证便是 ,不必悉具”之旨。小柴胡汤主要治少阳病 ,但在太阳病、阳明病、三阳合病、厥阴病等疾病中 ,只要具备“正邪分争” ,有和解可能的病证 ,均可用小柴胡汤治之。小柴胡汤证应与疑似证鉴别。小柴胡汤证治宜和解 ,汗、吐、下、温针等都应当禁用。临床多种病证只要具有“正邪分争”病机 ,有柴胡证“一证”表现 ,无论内、外、五官、妇产等科均可应用。

The syndrome of Xiaochaihu Tang is caused by the attack of the pathogenic factor to human body. It is characterized by alternating episodes of chills and fever, feeling of fullness and oppression in the chest and hypochondria, loss of appetite, dysphoria and nausea. The syndrome shows the pathological changes of the exogenous affection between the exterior and interior parts of the body. According to the principle: “ Only one of Chaihu Tang syndromes is evident for the disease.” Xiaochaihu Tang is mainly used to treat Shaoyin disease, but it may also be used in the treatment of Taiyang、Yang Ming 、Jue Yang diseases and disease involving all these Yang channels, and many clinical syndromes such as those of department of internal, surgical, five sense, obstetrics and genecology may also be treated by Xiaochaihu Tang. If the syndrome has the struggle between the vital energy and the pathogenic factor, and the probability of mediation. Xiaochaihu Tang syndrome should be different from other possible diseases. Xiaochaihu Tang syndrome mainly focus on mediation, therefore, diaphoretic emetic and purgative therapy should be banned.