《伤寒论》少阴病猪苓汤证下利的探析  

A Probe into Dysentery and Diarrhea of Polyporus Decoction Symptom of Shaoyin Diseases in Treatise on Cold-Damaged Diseases

作　　者：刘胜楠[1] 张黎明[1] 

机构地区：[1]天津中医药大学,天津300193

出　　处：《河南中医》2015年第11期2583-2584,共2页Henan Traditional Chinese Medicine

摘　　要：《伤寒论》第319条中所述的少阴热化证,其实是由少阴寒化证转化而来,虽然少阴病猪苓汤证以阴虚内热表现为主,但是仍然不可忽视阳虚水泛的基础,而下利一证就是水气为患的典型表现。猪苓汤证虽为少阴热化证,阴虚内热,但是本质上为阴阳俱虚,其阳虚主要体现在水湿泛滥所导致的下利上,所以在清热育阴的基础之上,又要渗利水湿,故选取猪苓汤。Shaoyin pyretic generation syndrome in No. 319 item of Treatise on Cold-Damaged Diseases is actually changed from Shaoyin cold transformation syndrome. Though Polyporus Decoction syndrome of Shaoyin Diseases is mainly manifested as yin as- thenia generating intrinsic heat, the fact that hydroretention with asthenic yang is its base should not be ignored, and syndrome of dysentery and diarrhea is the classic type of body fluid disorder. Polyporus Decoction syndrome belongs to Shaoyin pyretic genera- tion syndrome due to yin asthenia generating intrinsic heat, but its essence is due to deficiency of both yin and yang; Its yang as- thenia is mainly manifested as dysentery and diarrhea resuhing from excessive body fluid, q＇hel^fore, this kind of disease should be excreting dampness based on clearing away heat to supplement yin. That is just the reason why Polyporus Decoction is chosen in clinieat practice.

关 键 词：《伤寒论》 少阴病 猪苓汤 下利 张仲景 

分 类 号：R222.2[医药卫生—中医基础理论]