摘要
《伤寒论》第39条历代医家都认为是对38条的补充,但仲景所述症状只有身重、脉浮缓,并未言及表寒里热的典型脉证。结合《金匮要略·痰饮咳嗽病脉证并治》篇之内容综合分析,本条当为溢饮在表的证治较为妥当。大青龙汤主治有二:一是《伤寒论》第38条的伤寒表实兼内热证;二是治疗溢饮之证,即《伤寒论》第39条。39条脉证符合溢饮,“大青龙汤发之”即可,其他解释都是有悖仲景原旨的。
Physicians of all time generally hold that Item39 of Treatise on Exogenous Febrile Diseases is supplementary to Item38. Yet manifestations listed in the book include only lassitude, and floating and slow pulse rather than the typical manifestations of exterior cold with interior heat. By referring to Synopsis of the Golden Chamber under the subtitle of Phlegm Syndrome and Cough, the author holds that Item39 should apply to anasarca in the exterior, Oaqinglong Decoction is mainly used for exterior excess complicated with interior heat, and anasarca. The descriptions of pube conditions in Itesn39 complies with that of anasarca, therefore this decoction should be used for diaphoretic purpose. Other interpretations of this item are all against the original idea of Zhang Zhongjing.
出处
《河南中医》
2003年第11期1-2,共2页
Henan Traditional Chinese Medicine
关键词
《伤寒论》
溢饮
大青龙汤
Treatise on Exogenous Febrile Diseases
anasarca
Daqinglong Decoction
