从《伤寒论》三阴三阳位序看六经实质及经方发展史

《伤寒论》所创立的三阴三阳辨证,后世也广泛称之为六经辨证,一直是历代医家争论的焦点。笔者通过对经方、六经理论的阐释,以及对《伤寒论》中"太阳-阳明-少阳-太阴-少阴-厥阴"位序的理解,认识到古人总结经方的过程即:先认识到表、里,后认识到半表半里,三阳证先认识到表阳证太阳和里阳证阳明,后认识到半表半里阳证少阳,故三阳的排序是太阳→阳明→少阳;三阴证先认识到里阴证太阴和表阴证少阴,后认识到半表半里阴证厥阴,感到疑问最多的是厥阴,故三阴的排序是太阴→少阴→厥阴。《伤寒论》中三阳三阴排序不是简单的编写问题,更与经络相传无关,而正是标明了经方发展史。

Essence and developmental history of classic formula: indications from the order of Three yin and Three yang in Shanghan Lun

The syndrome differentiation system,which is six channels differentiation system and developed in Shanghan Lun,is of vast controversy through history.In this article,the author explained the classic formulas and the theory of six channels.They first recognized the Yang syndrome,that is biao yang-Taiyang,and li yang-Yangming,then ban biao ban li syndrome—Shaoyang,so the orders of the three yang syndromes are: Taiyang,Yangming and Shaoyang.And they ordered the three Yin syndromes by the same cognotive way,that is Taiyin,Shaoyin and Jueyin.The orders of the Three yang and Three yin syndromes in the Shanhan Lun is not a simple editorial problem,and is not related with meridians,actually,it is an indication of the essence and developmental history of classic formula.