从《伤寒论》少阳病证治特点探讨少阳半表半里说  

Explore Theory of Shaoyang Semi-exterior and Semi-interior from Characteristics of Shaoyang Disease Syndrome and Treatment of Treatise on Febrile Diseases

作　　者：颜睿 鲁法庭[2] Yan Rui;Lu Fating(Clinical School of Medicine,Chengdu University of Chinese Medicine,Chengdu,611137,China;School of Basic Medicine,Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China)

机构地区：[1]成都中医药大学临床医学院,四川成都611137 [2]成都中医药大学基础医学院,四川成都611137

出　　处：《成都中医药大学学报》2024年第6期65-68,共4页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：全国中医临床优秀人才研修项目[(2022)239号]。

摘　　要：“半表半里”一词虽未见于《伤寒论》,但“半表半里”之说源自其148条“半在里半在外”。其首见于《注解伤寒论》,随着后世医家的不断阐释发扬,半表半里学说对后世医家产生了重大影响。本文通过《伤寒论》相关文献梳理剖析,结合后世代表注家对半表半里的阐释,提出少阳病半表半里说不应从病位立论而当从病机立论,其内涵有二:一是少阳病经腑同病的病机特点即半表半里;二是少阳易与太阳、阳明、太阴合病或三阳合病即半表半里。Although there is no“semi-exterior and semi-interior”term in Treatise on Febrile Diseases,the term“semi-exterior and semi-interior”is derived from chapter 148 of Treatise on Febrile Diseases“semi-interior and semi-outer.”It was first seen in Annotation of Treatise on Febrile Diseases.With the continuous interpretation and development of later generations of doctors,the theory of“semi-exterior and semi-interior”has had a significant impact on later generations of doctors.In this paper,through the analysis of the relevant literature of Treatise on Febrile Diseases,combined with the interpretation of semi-exterior and semi-interior by later representatives,it is proposed that the theory of semi-exterior and semi-interior of Shaoyang disease should not be based on the location of the disease,but on the pathogenesis.Its connotation has two aspects,one is the pathogenesis characteristics of Shaoyang disease which has the same disease of meridian and Zanfu organs,that is semi-exterior and semi-interior;the second is Shaoyang disease combined with Taiyang,Yangming and Taiyin disease or three Yang disease.

关 键 词：少阳病 半表半里 病机特点 经腑同病 合病 

分 类 号：R222.2[医药卫生—中医基础理论]