小柴胡汤证探析

小柴胡汤证病位在胁下膜原,病及肝胆脾胃,为少阳太阴所主,主要病邪为湿热及寒邪伤阳,相火内郁。无论寒邪伤阳,还是温邪内郁,均存在少阳三焦相火内郁,导致少阳三焦失司;太阴脾土失职,三焦不畅,气机不利,气化不行,脾气不运,湿聚饮停,水液代谢障碍。治宜调节阴阳之枢纽,既要领邪外出于阳分,又要防邪内入阴分。

Analysis of Xiao Chaihu Decoction Syndrome

Located in the pleurodiaphragmatic interspace under the costal region,Xiao Chaihu Decoction syndrome has the diseases of liver, gallbladder,spleen and stomache.Controlled by Shaoyang and Taiyin,it has the pathogenic factors: dampness and heat and cold impairing yang,fire stagnated in the interior.All the above pathogenic factors stagnated in the Shaoyang triple energizers,resulting in the dysfunction of Shaoyang triple energizers and spleen Taiyin,disorder of qi,disturbance in qi transformation and spleen qi,dampness stagnation and stop of body fluid,disturbance of water metabolism.The treatment for Xiao Chaihu Decoction syndrome should be based on the regulation of yinyang,that is,inducing pathogenic factors out of yang and preventing pathogenic factors from invading yin.