传世本《伤寒论》白虎加人参汤证质疑

通过对<脉经>、<千金要方>、<千金翼方>、<太平圣惠方>、<医心方>、<金匮玉函经>诸书的考查,提出传世本<伤寒论>的"白虎加人参汤"很可能是"白虎汤"之误,如此似更接近仲景著作的原貌.从隋唐时期开始,医家们在实践中产生了新的经验,即在白虎汤中加入人参命名为白虎加人参汤而沿用至今;虽然白虎汤与白虎加人参汤在应用时无实质区别,但清代医家舒驰远"或加人参,或不加参,当视其元气如何"的论述仍有参考意义.近年来学者们所谓据<伤寒论>叫大症不是白虎汤主证而应为白虎加人参汤所上的观点,实不足为训.

Question on Baihu Jia Renshen decoction syndrome in Shanghan Lun

According to the texts of Baihu Jia Renshen Decoction in the books of Maijing,Qianjin Yaofang,Qianjin Yifang,Taiping Shenghui Fang,Hxin Fang,and Jingui Yuhan Jing,the author drew the following conclusions:Baihu Jia Renshen Decoction in the present Shanghan Lun was very likely the written error Of Baihu Decoction,which was more close to the original meaning of Zhang Zhong-jing.From the period of Sui and Tang Dynasty,doctors had gotten new experiences in their practices.They added Ginsen into Baihu Decoction and named the new decoction"BaihU Jia Renshen Decoction",which was still in use today.Although there was not intrinsically difierence between Baihu Decoction and Baihu Jia Renshen Decoction,while the saying of"adding Renshen or not,should be decided by patient's Yuanqi"by doctor Shu Chi-yuan in Qing Dynasty had a significant impact.The erroneous views by some recent scholars can't be complied with,who advocated that the four main symptoms of Baihu Decoction syndrome should belong to syndrome of Baihu Jia Renshen Decoction according to the original texts in Shanghan Lun.