张锡纯“少阳为游部”理论探析  

An Analysis of Zhang Xichun′s Theory of "Lesser Yang Being the Travelling Part"

作　　者：祝英波 王德敬[1] 徐宝林 ZHU Yingbo;WANG Dejing;XU Baolin(Shandong College of Traditional Chinese Medicine,Yantai,Shandong,China,264199;Laiyang Central Hospital,Laiyang,Shandong,China,265200)

机构地区：[1]山东中医药高等专科学校,山东烟台264199 [2]莱阳市中心医院,山东莱阳265200

出　　处：《河南中医》2024年第7期1040-1043,共4页Henan Traditional Chinese Medicine

摘　　要：张锡纯推崇“少阳为游部”,以《黄帝内经》的少阳经原文和《伤寒论》少阳传经次序为基准,论证“少阳为游部”在生理上为三阳经之枢纽,在病理上承接经络脏腑间的联系。张锡纯认为,少阳本经分为手足二部而为一经,但其“部”不在一处,游行无定,且少阳位次介于太阳、阳明之间,但其传经次序为太阳、阳明及少阳。张锡纯在治疗三阳经病变时,多投以小柴胡汤及其类方,小柴胡汤虽为少阳经主方,但少阳介于太阳、阳明,又与厥阴肝胆相连,三阳经病变都有小柴胡证,用药兼顾三经,可为伤寒病、疟疾的治疗提供思路。Zhang Xichun advocates "lesser yang being the travelling part",Based on the original text of lesser yang meridians in Huangdi′s Internal Classic and the order of lesser yang transmission in Treatise on Cold Damage Damages,he argues that "lesser yang being the travelling part" is the hub of the three yang meridians in physiology and connects the meridians and organs in pathology.Zhang Xichun believes that the original lesser yang is divided into two parts:hands and feet,which are considered as one meridian.However,the "parts" are not located in the same place,and the procession is unpredictable.The position of lesser yang is between greater yang and yang brightness,but its transmission order is greater yang-yang brightness-lesser yang.When treating lesions in the three yang meridians,Zhang Xichun often uses Minor Bupleurum Decoction and its modified formulas.Although Minor Bupleurum Decoction is the main formula of lesser yang meridians,lesser yang is located between greater yang and yang brightness,and connected to the liver of the reverting yin and gallbladder.All lesions in the three yang meridians have syndrome of Minor Bupleurum Decoction,so medication should take into account the three meridians,providing ideas for the treatment of typhoid fever and malaria.

关 键 词：“少阳为游部” 少阳经 阳明经 太阳经 《医学衷中参西录》 张锡纯 

分 类 号：R223.1[医药卫生—中医基础理论]