摘要
[目的]西汉年间,医圣张仲景著成《伤寒论》一书,该书集理、法、方、药于一身,奠定了辨证论治的基础,一直被奉为中医学经典之著。论中所列一百一十三方,历经临床验证多有良效,故自古至今研究伤寒方者不乏其人。按照类方的划分方法,伤寒方可以分为桂枝汤类、麻黄汤类、承气汤类、柴胡汤类、四逆汤类等十余种。古代医家尤其是近现代医家及学者对于论中桂枝汤类、柴胡汤类等有较详细的研究,对于其证治规律、临床实验、药理研究等多个方面有全方位报道。然而,对于四逆汤类方研究较少,见于学术期刊者主要集中在对四逆汤单方的药理学研究上,该类方的证治规律、临床研究、实验研究方面均未见报道。本文试以圆运动理论为切入点,从圆运动角度解析四逆汤类方的证治规律。
[方法]本论文采用理论研究的方法,以圆运动理论为切入点,用圆运动的思想来系统分析、总结四逆汤类方的证治规律。充分考虑到圆运动理论的发展史、病机,结合资料整理其萌芽、发展、完善直至成熟的过程,不同的发展阶段在中医学领域的应用情况,从而更深刻得理解圆运动理论；从五方的角度分析圆运动的病机,并以此做为分析四逆汤类方的基础。结合圆运动理论分析四逆汤类方的方义、条文、临床应用等,并总结现代医家从圆运动理论应用四逆汤类方的临床经验,分析典型医案,最终得出四逆汤类方的圆运动的证治规律。
[内容]本论文主要研究了以下几部分内容：
(一)分析整理相关文献、资料,探讨了圆运动学说的沿革。圆运动学说起源于河图洛书,萌芽于先后天八卦,发展于《黄帝内经》,完善于清代,成熟于《圆运动的古中医学》。
河图洛书的含义是非常丰富和深奥的,圆运动的思想也起源于此。河图为体,洛书为用；河图代表先天天地未分之前的浑然一气状态,洛书代表后天五行逆运,阴阳变化而成之一定规律。先后天八卦反映了先人对自然宇宙的认识由数字层面上升到图像层面,到这个阶段,圆运动思想开始萌芽。八卦为：乾、坤、坎、离、震、艮、兑、巽,其基本意义分别代表天、地、水、火、雷、山、泽、风八种自然界的物质,八卦还有更广泛的内涵,可以推演到人事、经济、人生等其他方面。通过先后天八卦图之卦象更直接更丰富地表达与传递了圆运动的思想。圆运动的思想在《黄帝内经》一书中有多处体现,圆运动思想初步与中医学相结合,得到了进一步的发展。至清代,圆运动学说进一步完善。著名医家黄元御和郑钦安将圆运动的思想应用到中医临床当中,并且在此基础上形成了自己的理论体系,他们用圆运动学说来解释人身的生理和病理,用圆运动的思想来指导临床用药。黄氏与郑氏理论中圆运动的立足点侧重各不相同,黄氏尤其重视中土脾胃,其理论立足于中焦脾胃之圆运动,郑氏则更重视心肾水火之圆运动,这在他们的代表作《四圣心源》和《医理真传》中有明显体现。清末民初医家彭子益精研中医经典古籍,从河图中中气升降参悟圆运动之理,集毕生精力著成了《圆运动的古中医学》一书。该书中“圆运动”作为中医学术语被正式提出,且用圆运动之原理解释了内经、难经、神农本草经、伤寒、温病,将整个中医学之理论与临床用圆运动之理贯穿了起来,使头绪纷繁复杂的中医学成为一个系统的有机整体。《圆运动的古中医学》一书的问世标志着圆运动学说的成熟。
(二)分析圆运动的病机学说。用圆运动的气机升降浮沉、轴轮配合、五行属性等基本理论来分析疾病的发生、发展、变化和结局的机理和基本规律称为圆运动的病机学说。立足五方从生理和病理两个方面来分析了圆运动的病机。北方之生理包括阴为阳之基和坎中一丝真阳乃人生立命之本两个方面,阴为阳之基又可以从阴敛藏阳气的作用和化生阳气的作用两点来理解,北方之病理包括水浅不养龙和水寒龙火飞两个方面。东方之生理为温暖和煦、万物萌动、一派生机之象。东方木气以疏泄为本其病态可表现为疏泄太过也可表现为疏泄不及。疏泄太过因金气不足,无克制木气者,任意妄为所致,分为风火相煽和反侮金气两种情况；疏泄不及因水中火气不足,生木之根气不足,可能存在两种情况,横逆中土和木气下陷。南方之生理为正常的宣通作用,南方之病理为气郁不得开。中央之生理体现于中土所属脏腑脾胃的气机运行有序,其燥湿属性适宜。中央之病理包括中气不运和中气下陷两个方面,中气不运有因寒湿而成者,有因燥热而成者,中气下陷乃中气不运进一步发展而成。西方之正常生理为收敛之力足,气机的有序敛降,其病理相应为敛降能力的失常,可以表现为收敛太过也可表现为收敛不及。
(三)从圆运动理论来分析四逆汤类方的证治规律。
四逆汤为四逆汤类方的核心方,余方均以四逆汤为基础,在药量与药味等方面或加或减。寒邪始伤北方,阳气不得升达于外,表现为阴寒之象,进一步发展则致“水寒龙火飞”,水中温气不足,真阳不得安居于下而外越。故四逆汤之外证有寒也有热。方中附子通行十二经脉,破北方之寒邪,疏通圆运动之轮；干姜、炙甘草同主中州,顾护中气,定圆运动之轴。
四逆加人参汤本有北方寒邪过重,复因过度下利导致津液损伤,津液、血、精均为阴性物质,可知亡阳液脱已伤五脏之精,乃圆运动北方病机之水寒龙火飞和水浅不养龙并存。四逆加人参汤由四逆汤原方加人参组成,人参可以“补五脏,安精神,定魂魄”,五脏藏精气而不泻,精神魂魄为五脏所藏,故人参可补五脏之精。方中用四逆汤破北方之阴寒,人参通过固护后天之本及收敛五脏之气来生津液,加强圆运动降的力量,阳降阴生,共同恢复机体之圆运动。
通脉四逆汤乃四逆汤加量,附子一枚选用大者,干姜增加至三到四两,炙甘草维持原量。附子力能破北方之寒邪,干姜入中土,亦能温化寒湿。从药量的使用来看,通脉四逆汤乃四逆汤类方中寒邪最重者,原文中“脉微欲绝”提示阴寒极盛,阳气几近寸步不得流通。其病机与四逆汤类似,均为阴寒内盛,逼阳外越,然该证在内之阴寒更盛于四逆汤证,且中土亦有寒湿之邪,故加重干姜、附子药量,且干姜为君,与附子一起温通经脉,与炙甘草一起固护中土。整个方作用在北方兼顾中央,共同起到破阴回阳、恢复全身之圆运动的作用。通脉四逆加猪胆汁汤乃通脉四逆汤之证病势加剧,亡阳之端倪已现。
干姜附子汤由干姜、生附子两味药组成,也即四逆汤原方去掉炙甘草。甘草经蜂蜜炼制以后,温行之中带有柔润,乃补中圣药。本证因太阳病误治导致的阳气骤虚,寒邪虽重而中气未伤,故无需使用炙甘草。干姜、附子皆辛热燥烈之品,可以攻破寒邪,乃阴寒内盛证之良药。寒邪得破,阳气得升,内外交通,症状乃除。本证寒邪重、症状急而中气亦足,故在临床上多用与急救。
白通汤乃四逆汤减炙甘草加葱白。方中无炙甘草可推知本方亦以阴寒内盛为主,中气尚足。葱白性温而味辛,可开寒闭,其气又俱轻清上行之性,故作用部位对应于人体之外部、上部。白通汤之主症为下利,下利乃木气郁滞、盗泄于下之外在表现。木气不得有序升发,不仅因北方水寒化生无源,更因南方寒闭不得宣通,木郁不能化火。方中干姜、附子破北方之寒邪,葱白开南方之寒闭,阴阳之气上下交通而愈疾。白通加猪胆汁汤乃白通汤加猪胆汁、人尿,加味药的应用与通脉四逆汤加猪胆汁相似,用于白通汤证现亡阳之端倪者。
当归四逆汤证之四肢厥逆,乃寒邪痹阻经脉,阳气不得温煦所致。与上文讨论之四逆汤类方相比较,当归四逆汤证除北方寒邪过盛之外,病深入血络,阴分亦伤,“脉细欲绝”即为明证。与通脉四逆汤之“脉微欲绝”相比,本方侧重血分之虚,同时寒凝与血虚形成恶性循环。用药上重点采用当归、白芍等入血分药,当归荣润、升达肝木,白芍破血分之瘀滞,并用木通、细辛等温化寒邪、疏通经脉。当归四逆加吴茱萸生姜汤于原方中加吴茱萸、生姜、清酒,用于内有久寒之当归四逆汤证,久寒者,血虚寒痹更甚,故加用通行温热之药物。
真武汤乃水土两虚,土不制水,水气上犯之证。中土水湿泛滥为主,北方水寒为次。水饮邪气得以上犯中土,因水寒木枯,木气不能有序升发,郁而疏泄过度,阴浊之气附之而上。方中重用生姜镇摄群阴,助阴浊之气下行,同时用茯苓淡渗利湿,使寒邪所化之水有路可去,辅以附子化北方之寒,镇水、利水与破寒并施,土有所生,水有所主。
[结论]从药物的组成来看,八方中含有附子,七方中含有干姜,七方中含有附子和干姜,四方中含有附子、干姜、炙甘草三味药。可知附、姜、草为四逆汤类方的主要组成药物,在组方中占有较大比重。
从病机来看,十方均有北方寒邪过盛的大前提,四逆加人参汤尚有五脏精气损伤并中气不足；通脉四逆汤与通脉四逆加猪胆汁汤北方寒水闭束最重,后者已显亡阳之势,圆运动即将解体；干姜附子汤相对来说中土之气最足；白通汤与白通加猪胆汁汤,
中气尚可,后者亡阳之势已显；当归四逆汤与当归四逆加吴茱萸生姜汤乃寒邪久稽,(?)伤,后者血虚寒凝之势更甚；真武汤乃北方与中央俱虚,北方之寒不甚,中央之水邪泛滥告急。
从症状来看,四逆汤、四逆加人参汤、通脉四逆汤、通脉四逆加猪胆汁汤、干姜附子汤、白通汤、白通加猪胆汁汤可表现为寒热互现之症,因北方寒邪过重,龙火已动,符合北方病机之“水寒龙火飞”,其中四逆加人参汤过利伤液,病机乃水寒龙火飞与水浅不养龙并存。上述七证发病急,病情重,生死只在顷刻之间；当归四逆汤、当归四逆加吴茱萸生姜黄酒汤、真武汤三方之症状以寒症为主,病机单纯为北方水寒,龙火未动,发病缓,病程长。
从临床应用来看,四逆汤类方多应用于心脏、肾脏及血管系统疾病。
Objective
Western Han Dynasty years, medical sage Zhang-Zhongjing accomplished the book of Treatise on Febrile Diseases, which was a classic of Chinese medicine. The book has collected principles, methods, formulas, and medicinals in a body and laid the basis for pattern identification as the basis for determining treatment. The decoction in this book have a good effect in clinical and are studied by TCM Physicians in Ancient and nowadays. Division method in accordance with decotion series, the decoction of Treatise on Febrile Diseases can be divided into more than ten kinds of soups, that are Cinnamon Twig Decoction and its series Ephedra Decoction and its series, Chengqi Decoction and its series, Bupleurum Decoction and its series, Counterflow Cold Decoction and its series etc. The ancient physicians, especially physicians and scholars of modern, give Cinnamon Twig Decoction and its series, Bupleurum Decoction and its series etc. a more detailed study, for the Diagnosis and Treatment of law, clinical experiment, pharmaeological have more than full coverage. However, few studies Counterflow Cold Decoction and its series.Mainly found in academic journals focused on the pharmacological of Single Herbs, such as law of diagnosis and treatment, clinical research, experimental studies have not been reported. This paper analysis diagnosis and treatment rules of Counterflow Cold Decoction and its series on the point of the theory of circular motion.
Methods
The paper uses the theory research method, take the circularmotion theory as the breakthrough point, comes the system analysis with the circularmotion thought that to summarize Counterflow Cold Decoction and its series to govern the rule. Full account of the history of the development of circular motion theory, pathogenesis, combined with documentation of their embryonic developmcnt, and improve the process until the maturity of the different stages of development in the application of the field of medicine, which have a more profound understanding of circular motion theory. From five positions angle analysis circularmotion's pathogenesis, and use this as a basis for analysis of Counterflow Cold Decoction and its series. Combined with circular movement theory analysis Counterflow Cold Decoction and its series explanation of the (?)ormula, original text and clinical application and summarizes its circular movement theory from modern applying Cold Decoction and its series clinical experience, analyzing typical medical cases, eventually got the Law of Diagnosis and Treatment of the decoctions.
Content
This thesis mainly study the following sections:
(1)Analyzing the relevant literature, material, this paper discusses the (?)ution of the circular motion theory. Circular motion theory originated (?)tu and luoshu, germinated from the congenital and acquired Bagua, and developed in The Yellow Emperor's Inner Canon, completed in Qing dynasty, (?)ured in the book of Circular motion of the ancient Chinese medicine.
Hetu and Luoshu's meaning is very rich and profound, the thought of circular motion also derived from this. For Hetu as the body, and Luoshu are the use of the body. Hetu represents the innate world is not totally at a stretch, while Luoshu contains the meaning that the certain rule changes from the movement of Yin and Yang and the five elements. The congenital and acquired Bagua reflects that the understanding of natural universe by our ancestors increased from the digital level to the image level. And at this stage, circular motion ideas began to sprout. Bagua:Qian, Kun, Kan, Li, Zhen, Gen, Dui, Xun, its basic meaning, all represent heaven, earth, water, fire, ray, mountain, ze, wind eight kinds of the material of the nature. There are also broader connotation in Bagua, you can deduce to the personnel, economic, and other aspects of life. Through the things by Bagua represents, a more direct and more abundant thought of circular motion is expressed and passed round. In The Yellow Emperor's Inner Canon,Circular motion of thought is expressed in many parts. Through the initial combination with Traditional Chinese Medicine, (?)lar motion ideas got a further developed. To the qing dynasty, the circular movement theory obtained the further consummation. Famous physician Huang Yuanyu and Zheng Qinan applied the circular motion ideas to traditional Chinese medicine clinical, and on this basis, formed his own theory system. They use theory of the circular motion to explain personal physiological and pathological, and to guide clinical treatment.Huang's and Zheng's theory focuses on different aspects of circular motion theory. Huang paid special attention to the Zhongjiao and spleen and stomach, his theory based on the circular movement of them.While Zheng gave more attention to the circular movement of heart and kidney, fire and water. All this had a obviously performance in their books Si Sheng Xin Yuan and Yi Li Zhen Chuan. The late Qing dynasty Physician Peng Ziyi studied TCM classic, pondered over rule of Circular Motion from qi of middle in Hetu upbearing and downbearing, set life energy to write the book Circular motion of the ancient Chinese medicine.In the book "circular movement" as TCM term was officially proposed. With the principle of Circular Motion, The Yellow Emperor's Inner Canon, Classic on 81 Medical Problems, Shennong's Classic of Materia Medica, Treatise on Cold Pathogenic Diseases and warm disease are explained. Using the theory of Circular Motion, the book will the whole traditional Chinese medicine theory and clinical, make intricate plot complex TCM become a system of organic whole. The book of Circular motion of the ancient Chinese medicine marks the advent of circular movement of the doctrine of mature.
(2) Analyzes the pathogenesis of circular movement theory.
The pathogenesis of Circular Motion doctrine are that, with the Upbearing, Downbearing, Movement of qi, wheel axle and the Five Elements theory to analyze the basic properties of the occurrence of disease, development, change and ending of the mechanism and the basic rule. Based on the five positions from both physiological and pathological aspects analyzes the pathogenesis of circular motion.The northern physiological includes two aspects:Yin is the foundation of Yang and the life energy comes from the true Yang in Kan.You can understand Similarly,'Yin is the foundation of Yang' also has two aspects of meaning:Yin covers the Yang and Yang is born from Yin. The northern pathological including water shallow without a dragon and water cold Long Huo fly two aspects. The eastern physiological is the sign that warm, sunny, all things like germinating, vigorous and so on. Eastern wood Qi's main function is catharsis, which can be expressed as catharsis rather thick or deficient.Because of the deficiency of golden Qi, wood Qi can'nt be restrained and excessive expresses itself, leading to two kinds of circumstances:the wind and fire promote each other, wood Qi tyrannizes gold Qi on the contrary. As for the water factor temper is insufficient, the root of Qi that born wood Qi is not enough, there may be two kinds of circumstances, HengNi middle earth and wood Qi caved in. The normal physiological role of south is perfusion, and the pathological role of south is Qi depression that can not be opened. The normal physiological role of center is the Qi of the zang-fu organs belongs to the middle runs in order, and the relation between dampness and dryness are appropriate. The two aspects of the pathological role of center is the Qi not work and center Qi fall. The cold-damp and the dryness-heat both can lead to the center Qi not work. The center Qi fall is a further development of the center Qi not work. The normal physiological role of western is abundant power of convergence and the Qi can lower in order. In accordance, The pathological role of western is convergence of function (?)rders, which can be expressed as excessive or deficient.
(3) From circular motion theory to analyze the Law of Diagnosis and Treatment of Counterflow Cold Decoction and its series.
Counterflow Cold Decoction is the core of Sini series, on the basis of it,other decoctions plus or minus the types of herbs and dosage. Cold evil beginning injury the north, as the Yang can not arrive at outside, presents with the cold sign. A further development of that leads to water shallow without a dragon. The worm energy in north water shortage, really Yang shall not dwell securely in the water and go outside. So the symptoms of Counterflow Cold Decoction can be cold or hot. In this decoction, aconite dredges twelve meridians and the wheel of circular motion, break the northern cold evil. Dried ginger and mix-fried licorice charge middle earth, protect the middle Qi, settle the axes of circular motion.
Counterflow Cold Decoction Plus Ginseng, at the base of north cold evil, and because diarrhea excessive damages the body fluid. Fluid, blood, essence are Yin material so that damagement of the body fluid has injured the essence of the five Zang organs. The pathogenesis of the soup are water shallow without a dragon and water cold Long Huo fly.Adding Ginseng in Counterflow Cold Decoction is the soup. Ginseng has the efficacy of filling the essence of five zang organs, tranquilizing spirit, settling souls. Five zang-organs, where is possession of the spirit and soul hide the essence without diarrhea, In light of this, ginseng can build up the essence of five zang- organs. In Counterflow Cold Decoction Plus Ginseng, the Counterflow Cold Decoction breaks the cold evil of the north, Ginseng engenders the fluids by way of solid protecting origin of postnatal and constricting the Qi of five zang- organs. Yang lowering and Yin lifting so that the body's Circular Motion can recover.
Vessel-Freeing Counterflow Cold Decoction is the increase dosage of Counterflow Cold Decoction, choosing the bigger one of aconite, increasing the amount of dry ginger to 3 to 4 liang, maintaining roasted liquorice the original amount. Aconite can brerk the cold evil of north, channel entry dry ginger enter midlands and also can warm dissolve cold-damp. Judging from the dosage of the herb, Vessel-Freeing Counterflow Cold Decoction had a most cold evil in the series. Text'faint pulse verging on expiry'points out that cold evil is very serious and the immobilized Yang can not be circulation. The pathogenesis of this soup that yin exuberance forces Yang fly outside is similar to Counterflow Cold Decoction's. However, its Yin cold evil is more serious than Counterflow Cold Decoction pattern and mid-earth has cold-damp evil too. Aggravating the dosage of dry ginger, mix-fried licorice, and for dry ginger the sovereign, it can warm dredge meridians along with aconite, and solid protect middle-earth along with mix-fried licorice.The whole soup palys role both in the north and the center. By breaking Yin evil and lowering Yang evil, restores the body back to the role of a circle. Vessel-Freeing Counterflow Cold Decoction plus pig's bile pattern is the soup pattern's depravation, Yang collapse clue has revealed.
Ginger Aconite Decoction is make up of dry ginger and aconite,that is Counterflow Cold Decoction without mix-fried licorice. After refining by the honey, licorice, warm deoppilation with a soft line being, is the holy herb of filling middle-earth. Because of the mistreatment of greater yang disease, yang qi has a sudden vacuity and cold pathogen are heavy, fortunately, center qi is not hurt, so there is no need to use mix-fried licorice. Both dry ginger and aconite have dry harsh qi that can break cole evil, therefore, they are good choose of chill filled pattern. Breaking cold evil and raising yang qi, trafficing both inside and outside, the symptoms are improved.
Scallion Yang-Freeing Decoction is Counterflow Cold Decoction adding scallion white and minus mix-fried licorice. From the absence of mix-fried licorice,we can know that the middle qi is enough although cole evil is heavy,Seallion white has a acrid flavour and a warm nature, the light and Ch'ing (?) go upward lines. Corresponding to the human body, its role is external, upper parts.Because of the stasis wood qi and its crazy catharsis in the lower parts, Scallion Yang-Freeing Decoction pattern's main symptom is diarrhea. Wood qi can not lift in order, not only for the cold northern water but for the south can not dispersing through the cold evil, as the north water cold, springhead is insufficient and wood qi can not transform into fire qi. Dry ginger and aconite breaks the northern cold evil, scallion white open the bound of cold evil in the north. Yin qi and Yang qi's circulation resume normal and disease can be cured. On the basis of this soup adding in Pig's Bile and urine becomes Scallion Yang-Freeing Decoction Plus Pig's Bile,its pathogenesis is similar with Vessel-Freeing Counterflow Cold Decoction plus pig's bile, Yang collapse clue has revealed.
The symptom that reverse-flow of the limbs of Danggui Sini Tang, is caused (?) that, cold obstructing the channels and collaterals and so yang qi can not achieve. Compared with the pathogenesis of other decoctions in preceding text, except the Northern cold evil excessive besides the demonical achieves the blood aspect, Yin aspect is also injured.'Thin pulse verging on expiry' is the evidence. Compared with the'faint pulse verging on expiry'of Vessel-Freeing Counterflow Cold Decoction.we know the emphasis on blood aspect deficiency. Congealing cold and blood vacuity forms vicious cycle. Make heavy use of herbs which can work on the blood aspect, such as angelica and White Paeony Root. Angelica makes the wood qi of liver lifting moistly. White Paeony Root breaks the stasis of blood aspect. Using trifoliate, akebia and asarum and others to warm dissolve cold evil and dredge meridians. On the basis of this soup adding in Evodia, Fresh Ginger and clear wine becomes Chinese Angelica*& Counterflow Cold Decoction Plus Evodia and Fresh Ginger, applied to the long time cold evil. Long illness, Congealing cold and blood vacuity is worse, so that its necessary to make heavy use of warm nature hurbs.
True Warrior Decoction pattern is both shui and tu deficiency, shui is out of control and counterflow ascent. Middle-earth shui evil spreads mainly and the northern cold evil for the second.Due to cold water and withered wood, wood qi can not lift in order, depression and excessive catharsis.turbid qi rises along with wood evil and infringes upon the center.The dosage of fresh ginger can press yin evil, and help the turbid yin decline. At the same time, use poria to disinhibit dampness by bland percolation and the evil has a way out, use aconite to break the northern cold evil. The combination of pressing water evil, dredging water evil and breaking cole evil makes the tu and the shui work normally.
Comclusion
Judging from the composition of the decoctions,we find that eight soups have aconite, seven have dry ginger, seven have aconite and dry ginger, four have aconite, dry ginger and mix-fried licorice. Aconite,dry ginger and mix-fried take a large proportion of the group and are the major component of the series.
Judging from the pathogenesis of the decoctions, northern cold evil excessive is the background. Besides, Counterflow Cold Decoction Plus Ginseng pattern has a deficiency of five zang-organs essence and middle-earth qi, Vessel-Freeing Counterflow Cold Decoction pattern and Vessel-Freeing Counterflow Cold Decoction plus pig's bile pattern have the most seriously northern cold evil, Ginger Aconite Decoction pattern has abundant middle-earth qi relatively, Scallion Yang-Freeing Decoction pattern and Scallion Yang-Freeing Decoction Plus Pig's Bile pattern have a better middle-earth qi, Danggui Sini Tang pattern and Chinese Angelica*& Counterflow Cold Decoction Plus Evodia and Fresh Ginger pattern have a hurt of blood aspect and the latter has a worse Congealing cold and blood vacuity, True Warrior Decoction pattern is both shui and tu deficiency and the water evil flooding in the center is emergency.
Judging from the symptoms, it can be heat and cold pattern of the following soups:Counterflow Cold Decoction, Counterflow Cold Decoction Plus Ginseng, Vessel-Freeing Counterflow Cold Decoction, Vessel-Freeing Counterflow Cold Decoction plus pig's bile, Ginger Aconite Decoction, Scallion Yang-Freeing Decoction, Scallion Yang-Freeing Decoction Plus Pig's Bile. Danggui Sini Tang, Chinese Angelica*& Counterflow Cold Decoction Plus Evodia and Fresh Ginger and True Warrior Decoction mainly have cold pattern. The former shows that coming on urgent, condition serious, life and death only in an instant.The latter comes on slowly and has a long course.
Judging from the clinical application, Counterflow Cold Decoction and its series mainly use in heart, kidney and vascular diseases.
引文
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