论太阳柴胡证与柴胡汤法

小柴胡汤被称为"少阳枢机之剂,和解表里之总方",在《伤寒论》太阳病篇的应用频次仅略少于"经方之首"桂枝汤。其对太阳病及其变证具有突出的治疗优势,堪称是用治太阳病及其变证的主方。孙思邈概括"太阳病用柴胡汤法",列为《伤寒论》太阳病七法之第四法。根据张仲景"伤寒中风,有柴胡证"等病证合参、以病统证的思维模式,提出"太阳病柴胡证"的概念,认为"小柴胡汤实为疏表清里之首方",而不应将其限于"和解少阳"的狭义范畴。此观点为解析小柴胡汤在太阳病篇的主治病证,以及阐释其在现代外感发热性疾病中的治疗优势,提供了更加充分的理论依据。

On Taiyang Chaihu Syndrome and Chaihu Decoction Method

Xiaochaihu decoction is called "the formula for shaoyang pivot,and the general one for harmoning the interion and the exterior",and its use is only secondary to the Guizhi decoction,"the leader of Jing formula" in the taiyang disease entries in Treaties on Cold Damage. It could be applied for the taiyang disease and its varied syndrome with obvious effect,and therefore known as the major formula for taiyang disease and its varied syndrome. SUN Simiao summarized Chaihu decoction for taiyang disease as the fourth method in the seven methods for taiyang disease in Treatise on Cold Damage. According to ZHANG Zhongjing's paradigm,"cold damage and wind strike could be treated with Chaihu decoction",combination of disease and syndrome,and disease governing syndromes,the concept of Taiyang Chaihu syndrome is proposed as follows:Xiaochaihu decoction is the leading formula for reliving the exterior and clearing the interior,rather than only "harmonizing shaoyang". This conclusion could provide a theoretical basis to explain using Xiaochaihu decoction for taiyang disease and its advantage for treating feverish disease due to external contraction.