大柴胡汤临证思考  

Clinical Thought of Dachaihu Decoction

作　　者：陈姼姼[1] 陈晓蓉[1] CHEN Shishi;CHEN Xiaorong(Traditional Chinese Medicine department,Shanghai Public Health Clinical Center,Shanghai 201508,China)

机构地区：[1]上海市公共卫生临床中心中医科,上海201508

出　　处：《光明中医》2023年第24期4874-4877,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：上海市卫计委科学技术专项研究课题面上项目(No.2020LZ001)。

摘　　要：大柴胡汤出自东汉张仲景所著《伤寒杂病论》,目前大部分医家认为大柴胡汤外和少阳、内泄阳明,为治疗少阳阳明合病之主方,此文从“大柴胡汤所主之症状”“各家论治”“大黄的用量”3个方面对大柴胡汤的主治进行分析,并从现代药理研究及临床研究出发,认为大柴胡汤并非少阳阳明所主,而是治疗少阳胆腑实热之主方,病机为邪传少阳胆腑,与精汁相合化而为实热。同时提供临床治疗医案1则,为有效使用大柴胡汤提供了一定的思路。Dachaihu decoction comes from Zhang Zhongjing’s Treatise on Febrile and Miscellaneous Diseases in the Eastern Han Dynasty.At present,the mainstream view is that Dachaihu decoction is the main prescription for the treatment of Shaoyang and Yangming disease.This paper analyzed the main treatment of Dachaihu decoction from three aspects as symptoms,doctors discuss treatment and dosage of rhubarb.It is considered that Dachaihu decoction is the main prescription for the treatment of Shaoyang gallbladder⁃fu excessive heat and provides a case study,which provides a certain idea for the effective use of Dachaihu decoction in clinic.

关 键 词：少阳胆腑实热 大柴胡汤 经方 

分 类 号：R289.5[医药卫生—方剂学]