从津液辨识《伤寒论》太阳病  

Identifying Taiyang Disease in Shanghan Lun from Body Fluid

作　　者：李瑞花[1] 孟卓 王俊阁[1] LI Ruihua;MENG Zhuo;WANG Junge(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]北京中医药大学研究生院,北京100029

出　　处：《辽宁中医杂志》2024年第12期36-38,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(82174448);国家自然科学基金青年项目(82205203);北京市自然科学基金面上项目(7222269)。

摘　　要：《伤寒论》在表里三分法基础上,以津液输布离合的状态阐释六病,文章从津液论述太阳病提纲证、分类证治及方药,明确津液是营卫功能体现的载体,卫强是津液聚集于肤表,是汗法运用的基本条件。当寒邪困束,卫阳津液绝对有余而充实,寒性凝涩,腠理闭塞而无汗,需要麻黄汤苦泄津液而解表;当风邪疏泄,卫阳津液相对亏虚,津液外泄而“汗出”,需要桂枝汤解肌补益津液而解表。准确把握津液在太阳病分类证治中转化规律,对理解太阳病条文所隐含的病机,提高临床辨证论治水平,如理如法应用经方,具有重要的意义。On the basis of the external and internal trichotomy,Shanghan Lun explains the six diseases in terms of the distribution and separation of body fluid.This article discusses the outline,classification,treatment and prescription of Taiyang Disease from the perspective of body fluid,clarifying that body fluid is the carrier of the function of Ying and Wei phases,and that strong Wei phase is the aggregation of body fluid on the surface of the skin,which is the fundamental condition for the application of sweat method.When the cold evil is trapped in the bundle,the body fluid of Wei Yang is absolutely surplus and abundant,the cold nature is astringent,and the pore is blocked without sweat.It is necessary to use Mahuang Decoction(麻黄汤)to relieve the body fluid and relieve the external symptoms.When the wind evil is dissipated,the body fluid of Wei Yang is relatively deficient,and the body fluid leaks out and“sweats out”,Guizhi Decoction(桂枝汤)is needed to relieve muscles,tonify body fluid and relieve external symptoms.Accurately grasping the transformation law of body fluid in the classification and treatment of Taiyang Disease is of great significance for understanding the underlying pathogenesis of Taiyang Disease,improving the level of clinical syndrome differentiation and treatment,and applying classic formulae according to principles and methods.

关 键 词：津液 营卫 太阳病 麻黄汤 桂枝汤 

分 类 号：R222.2[医药卫生—中医基础理论]