浅析柴胡桂枝干姜汤证与乌梅丸证鉴别  

The comparative study on the indication between Chaihu Guizhi Ganjiang Decoction and Wumei Pill

作　　者：李天骄 周继朴[2] Li Tianjiao;Zhou Jipu(Capital Medical University,Beijing 100069,China;Beijing Traditional Chinese Medicine Hospital affiliated with Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学,北京100069 [2]首都医科大学附属北京中医医院,北京100010

出　　处：《首都食品与医药》2024年第4期153-156,共4页Capital Food Medicine

摘　　要：柴胡桂枝干姜汤证与乌梅丸证均有寒热错杂、上热下寒的病机特点,用药组成都是寒热并用,文章通过原文分析、六经归经、方药解析、各医家应用指征,分析并归纳总结柴胡桂枝干姜汤证与乌梅丸证异同,得出以下结论:柴胡桂枝干姜汤证与乌梅丸证均有口苦、咽干、心烦等上热之证与便溏、脘腹不适等下寒之证,但柴胡桂枝干姜汤证侧重于少阳病范畴,主要症状还可见往来寒热、但头汗出、"柴桂姜处"引痛等;乌梅丸证为厥阴病范畴,主要症状还可见四肢厥冷、症状在夜间加重、脉弦细按之减或沉细、筋脉拘急等.Chaihu Guizhi Ganjiang Decoction and Wu Mei Pill both have the disease mechanism of cold and heat complex,upper heat and lower cold,and the composition of the medicines used is both cold and heat.The article analyzes and summarizes the similarities and differences between Chaihu Guizhi Ganjiang Decoction and Wu Mei Pill through the analysis of the original text,the classification of the six-meridians,the analysis of the prescription,and the indications for the application of the medicine by each famous medical practitioner,draw the following conclusion,both Chaihu Guizhi Ganjiang Decoction and Wu Mei Pill Certificate have symptoms of upper heat such as bitter taste in the mouth,dry throat,and heartburn,and lower cold such as loose stools and discomfort in the epigastric region,but Chaihu Guizhi Ganjiang Decoction Certificate focuses on the category of Shao Yang Disease,and the main symptoms can be seen as coldness and heat,but sweating in the head,and pain induced by the"Chai Gui Jiang".The main symptoms include coldness of the limbs,aggravation of symptoms at night,thin pulse with fine strings and reduced or thin pulse,and constriction of the tendons and veins.

关 键 词：柴胡桂枝干姜汤 乌梅丸 方证鉴别 少阳病 厥阴病 

分 类 号：R28[医药卫生—中药学]