田合禄五运六气解读《伤寒论》之太阳病分三篇意义
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摘要
通过还原《伤寒论》写作大纲——六经病欲解时系统解读太阳病三篇,明晰张仲景太阳病分三篇的意义。太阳病上篇主要讲太阳阳虚和中风证,用小阳旦汤——桂枝汤补太阳阳气而卫外。太阳病中篇主要讲"病发于阳",包括太阳阳明合病(有伤寒麻黄汤证和温病葛根汤证等)、并病(邪陷表部之里胸部,有葛根黄芩黄连汤证等)、脾约(麻子仁丸证)三证,以及误治后的变证。太阳病下篇主要讲"病发于阳"和"病发于阴"误下导致结胸(大陷胸丸、小陷胸汤、大陷胸汤证等)、痞证(五泻心汤证)以及太阳少阳合病(黄芩汤证等)、并病(刺大椎、肺俞、肝俞或期门等)和温病白虎汤证等。由此可见,《伤寒论》太阳病分三篇论述其思想构架源于《伤寒论》写作大纲——六经病欲解时系统。
Systematic interpret three articles in Taiyang disease based on forthcoming solution of six-meridian diseases to clarify the significance of ZHANG Zhong-jing writes three articles in Taiyang disease though restoring Shanghan Lun writing outline. The upper part of the Taiyang disease mainly tells the syndrome of Taiyang yang deficiency and Taiyang stroke, which can be cured by Xiaoyangdan Decoction-Guizhi Decoction to tonify Taiyang yangqi for defending the outside.The middle part of Taiyang disease mainly tells the syndrome about ‘disease in the yang', including the diseases involving Taiyang and yangming(such as cold pathogenic syndrome of Mahuang Decoction, warm disease of Gegen Decoction and so on), disease of one channel involving another channel(table of evil trap inside the chest, Gegen Huangqin Huanglian Decoction, etc), spleen constipation(syndrome of Maziren Pill), and the changed disease after mistreatment. The final part mainly talks about the misdiagnosis of ‘disease arising from yang' and ‘disease arising from yin' mistakenly lead to thorax(Daxianxiong Pill, Xiaoxianxiong Decoction, syndrome of Daxianxiong Decoction, etc), the disease of abdominal distension(syndrome of Wuxiexin Decoction), diseases innvolving Taiyang and Shaoyang(syndrome of Huangqin Decoction), disease of one channel involving another channel [acupuncture Dazhui(GV14), Feishu(B13), Ganshu(B18) or Qimen(LR14), etc]and Baihu Decoction treating warm diseases. Therefore, the ideological framework of Taiyang disease being divided into three articles in Shanghan Lun is from the system of forthcoming solution of six-meridian diseases that is writing syllabus of Shanghan Lun.
Systematic interpret three articles in Taiyang disease based on forthcoming solution of six-meridian diseases to clarify the significance of ZHANG Zhong-jing writes three articles in Taiyang disease though restoring Shanghan Lun writing outline. The upper part of the Taiyang disease mainly tells the syndrome of Taiyang yang deficiency and Taiyang stroke, which can be cured by Xiaoyangdan Decoction-Guizhi Decoction to tonify Taiyang yangqi for defending the outside.The middle part of Taiyang disease mainly tells the syndrome about ‘disease in the yang', including the diseases involving Taiyang and yangming(such as cold pathogenic syndrome of Mahuang Decoction, warm disease of Gegen Decoction and so on), disease of one channel involving another channel(table of evil trap inside the chest, Gegen Huangqin Huanglian Decoction, etc), spleen constipation(syndrome of Maziren Pill), and the changed disease after mistreatment. The final part mainly talks about the misdiagnosis of ‘disease arising from yang' and ‘disease arising from yin' mistakenly lead to thorax(Daxianxiong Pill, Xiaoxianxiong Decoction, syndrome of Daxianxiong Decoction, etc), the disease of abdominal distension(syndrome of Wuxiexin Decoction), diseases innvolving Taiyang and Shaoyang(syndrome of Huangqin Decoction), disease of one channel involving another channel [acupuncture Dazhui(GV14), Feishu(B13), Ganshu(B18) or Qimen(LR14), etc]and Baihu Decoction treating warm diseases. Therefore, the ideological framework of Taiyang disease being divided into three articles in Shanghan Lun is from the system of forthcoming solution of six-meridian diseases that is writing syllabus of Shanghan Lun.
引文
[1]田合禄.五运六气解读伤寒论.北京:中国中医药出版社,2014:146-148
[2]田合禄.《伤寒论》两套三阴三阳体系探析.浙江中医药大学学报,2016,40(7):507-512
[2]田合禄.《伤寒论》两套三阴三阳体系探析.浙江中医药大学学报,2016,40(7):507-512