再议《伤寒论》少阴病篇中白通汤证治  

Rediscussion on the indication and treatment of Baitong decoction in Shanghan Lun

作　　者：王国伟 刘华一[2] WANG Guowei;LIU Huayi

机构地区：[1]天津中医药大学,天津301617 [2]天津市中医药研究院附属医院,天津300120

出　　处：《中医临床研究》2024年第33期114-116,共3页Clinical Journal Of Chinese Medicine

摘　　要：《伤寒论》是中医经典著作之一,对白通汤的阐释虽简洁,却蕴含了深邃的医学智慧。历代医学大家对此方剂的理解不断演进,形成了多种解读。传统观点认为,白通汤主要用于治疗少阴虚寒下利、阴盛格阳于上之证候,也就是所谓的戴阳证。这一解释根源于《伤寒论》的直接理解,并与当时的医学实践密切相关。然而,随着医学理论的不断发展和医家对《伤寒论》的深入研究,后世医学家开始重新审视这部经典的内容。特别是白通汤的功效,一些医家提出了新的见解。他们认为,白通汤并非只用于治疗阴盛格阳的戴阳证,而是具有表里双解的作用。这一新的解释不仅开拓了白通汤的应用范围,也丰富了中医治疗的手段。从表里双解法的角度来看,白通汤能够同时调理人体内部和外部的病理状态。在表层面,它能够发散寒气,缓解寒邪入侵导致的各种症状。在里层面,白通汤则能够温暖脾胃,调和阴阳,从而达到治疗虚寒下利的目的。这种表里兼顾的治疗方式,既体现了中医的整体观念,也符合现代医学对于复杂疾病治疗的需求。综上所述,白通汤的证治研究是一个不断发展和深化的过程。通过对《伤寒论》的深入解读和历代医家的经验总结,我们得以更全面地认识和理解这一经典方剂的应用价值。这种传承与创新相结合的研究方法,对于推动中医学的现代化和国际化具有重要意义。Shanghan Lun(《伤寒论》)is one of the classics of TCM.The interpretation of Baitong decoction(白通汤),though concise,contains profound medical wisdom.The understanding of this prescription by medical practitioners in the past dynasties has evolved,and various interpretations have been formed.According to the traditional view,Baitong decoction is mainly used to treat the syndrome of Shaoyin(少阴)deficiency and cold discharges and the symptoms of Yin(阴)restricting Yang(阳),which are also known as Daiyang(戴阳)syndrome.This interpretation is rooted in the direct understanding of Shanghan Lun,and is closely related to the medical practice of the time.However,with the continuous development of medical theories and in-depth study of Shanghan Lun,later generations of medical practitioners began to re-examine the content of this classic.In particular,some medical practitioners put forward new insights regarding the efficacy of Baitong decoction.They believe that Baitong decoction is not only used for treating Daiyang syndrome,but also has the effect of relieving both the exterior and interior.This new interpretation not only opens up the scope of application of Baitong decoction,but also enriches treatment the means of TCM.From the perspective of relieving both the exterior and interior,Baitong decoction can regulate the internal and external pathological state of the human body at the same time.At the exterior level,it is able to disperse cold and relieve various symptoms caused by the invasion of cold.At the interior level,Baitong decoction is able to warm the spleen and stomach,harmonize Yin and Yang,and thus achieve the purpose of treating dysentery due to deficiency cold.This balanced treatment approach embodies the holistic concept of TCM and also meets the needs of modern medicine for the treatment of complex diseases.To sum up,the study of indication and treatment of Baitong decoction is a process of continuous development and deepening.Through the in-depth interpretation of Shanghan Lun and the su

关 键 词：《伤寒论》 少阴病 白通汤 

分 类 号：R222.2[医药卫生—中医基础理论]