仲景表证从三焦论治初探  

Exterior syndromes treated based on triple energizer in ZHANG Zhongjing's doctrine

作　　者：孔祥亮[1] 何新慧[1] 

机构地区：[1]上海中医药大学基础医学院伤寒论教研室,上海201203

出　　处：《北京中医药大学学报》2009年第11期725-728,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：上海市教育委员会科研创新项目(No.09YS141)

摘　　要：通过对《伤寒杂病论》表里同病中表证辨治规律的梳理分析,发现在外感病发展过程中,病证的特征呈现出以肺、脾、肾三脏为主的阶段性变化规律。结合"卫出三焦"理论,提出"表证当从三焦论治"的观点。即肺为第一道防线,用药须味辛发散之麻黄类,以助卫之宣通;脾为第二道防线,用药须甘温益中之桂枝类,以滋卫之化源;肾为第三道防线,用药须辛热助阳之附子类,以固卫之根本。不仅可以更确切地指导临床,也更为符合中医的整体辨证观。The characteristics of syndromes are manifested as periodic changes of lung,spleen and kidney found in the development process of exopathic diseases through analysing on syndrome differentiation and treatment laws of exterior syndrome in dual disease of exterior and interior in Shanghanzabinglun. Combining with the theory of＂defense qi originating from triple energizer＂,the author puts forward the view of＂exterior syndrome treated based on triple energizer＂,i.e.the lung is the first defensive line, which should be assisted to diffuse defense qi by using the kind of Chinese herbal remedies（CHR） being pungent in flavor with the action of dispersing such as Mahuang（Herba Ephedrae）;the spleen is the second defensive line,which should be assisted to nourish the source of defense qi by using the kind of CHR being sweet in flavor and warm in nature with the action of tonifying and replenishing the middle qi such as Guizhi（Ramulus Cinnamomi）;and the kidney is the third defensive line,which should be assisted to secure the root of defense qi by using the kind of CHR being pungent in flavor and hot in nature with the action of assisting yang such as Fuzi（Radix Aconiti Lateralis Praeparata）.The view of＂exterior syndrome treated based on triple energizer＂not only guides clinical practice more exactly,but also meets the holism concept of Chinese medicine.

关 键 词：伤寒杂病论 卫出上焦 卫出中焦 卫出下焦 表证 

分 类 号：R222.19[医药卫生—中医基础理论]