《伤寒论》太阴病中权变治法探析  

The analysis of expedient treatment for Taiyin disease in Treatise on Febrile Diseases

作　　者：曾子芸[1] 陈明[1] 

机构地区：[1]北京中医药大学基础医学院,北京100029

出　　处：《长春中医药大学学报》2014年第1期162-163,172,共3页Journal of Changchun University of Chinese Medicine

摘　　要：《伤寒论》太阴病中,太阴脾阳虚衰、虚寒之证,本应禁汗、禁下,但确有第276条太阴桂枝汤证之可汗,第279条桂枝加芍药证、桂枝加大黄证之调和脾胃气血阴阳及可下的权变治法。根据太阴病脉证并治篇中桂枝汤证、桂枝加芍药汤证、桂枝加大黄汤证三证疾病发展过程、机理及方药组成可以看出《伤寒论》太阴病中常法中的变法,即权变治法。亦在说明"辨证论治"的精髓所在。This paper mainly discusses the expedient treatment for Taiyin disease in Treatise on Febrile Diseases. Spleen yang deficiency of Taiyin has cold syndrome. So perspiration and diarrhoea should not be induced. However, perspiration can be induced with Ramuli Cinnamomi Decoction according to No. 276 principle in Treatise on Febrile Diseases. Moreover, diar- rhoea can be induced with Cassia twig and Paeoniflorin Decoction, Cassia twig and Rheum officinale Decoction to regulate spleen and stomach Yin and Yang Qi according to No. 279 principle in Treatise on Febrile Diseases. They are expedient treat- ments. Therefore, this paper explores the expedient treatment and disease process, mechanism, prescription of Taiyin disease through Ramuli Cinnamomi Decoction, Cassia twig and Paeoniflorin Decoction, Cassia twig and Rheum officinale Decoction in detailed way. These examples can best illustrate the supreme spirit of traditional Chinese medicine： treatment based on syn- drome differentiation.

关 键 词：伤寒论 太阴病 权变治法 桂枝汤 桂枝加芍药汤 桂枝加大黄汤 

分 类 号：R222.2[医药卫生—中医基础理论]