伤寒论评话 第6章 太阳中风在于营卫不谐,桂枝芍药并非敛汗敛阴——太阳中风证与桂枝汤  

Wind-attack Syndrome of Taiyang Indicating the Disharmony of Ying and Wei;Functions of Guizhi and Shaoyao Not Meaning the Astringening of Sweats and Yin——Relationship between Wind-attack Syndrome of Taiyang and Guizhi Decoction

作　　者：梁华龙[1] 

机构地区：[1]河南中医学院,河南郑州450008

出　　处：《中医学报》2012年第6期673-675,共3页Acta Chinese Medicine

基　　金：国家中医药管理局专项课题(编号:2009-0001);河南省科技厅资金项目(编号:496060303)

摘　　要：目的:探讨太阳中风证与桂枝汤之关系。方法:从分析《伤寒论》第12条入手进行分析探讨。结果:①太阳中风证不等同于桂枝汤证,两者大部分相同,但并不是同一证候;②营卫失调是营气对卫气的吸引力不足,卫气对营气的约束力失常;③"啬啬恶寒、淅淅恶风、翕翕发热"形象生动地表述了太阳中风证恶寒、发热的方式、部位、程度;④桂枝汤是一首无汗能发,有汗能止的具有双向调节作用的方剂,同时又是既能治疗外感热病、又能治疗内伤杂病的方剂,并非后世认为是止汗方剂;⑤芍药在桂枝汤中的作用是养营补阴,与桂枝的温阳补卫相呼应,并非后世所说敛汗敛阴。结论:太阳中风证与桂枝汤证两者大部分相同,但并不等同,不是同一证候,不能简单视之,应细细分辨。Objective ：To investigate the relationship of the windattack syndrome of Taiyang and Guizhi Tang. Methods：It was discussed and analyzed through making an assay of the 12th article of Shanghan Lun. Results ：Windattaek syndrome of Taiyang was not equiva lent to Guizhi Tang. Although the majority of them was the same,but thery were not the same syndrome;The disharmony between yin and wei occurred when ying was not sufficient to hold wei while wei could not normally restrict ying;Aversion to cold, aversion to wind and intermittent fever vividly expressed the way of aversion to cold and pyrexia as well as the location, extent of windattack syn drome of Taiyang;Guizhi Tang was a twoway adjustment prescription which can both induce sweating and arresting sweating. But it could also be used as a prescription for the treatment of both exogenous febrile diseases, as well as a prescription for the treatment of in ternal injuries and miscellaneous diseases, so it was not the prescription for arresting sweating as the later generation thought;The function of peony in Guizhi Tang was to nourish ying and supplement yin, which was complement to the function of Guizhi of wanning yang and reinforcing wei, which was not to astringe sweat and yin like the later generation said. Conclusion：The majority of windattack syndrome of Taiyang and the indications of Guizhi Tang are mostly the same, but they are not equivalent, because they are not the same syndrome. So they should not be simply treated but should be carefully distinguished.

关 键 词：伤寒杂病论 太阳中风 桂枝汤 营卫不谐 

分 类 号：R222.2[医药卫生—中医基础理论]