吴鞠通对邪犯少阳的辨治

Wu Jutong's Diagnosis and Treatment of Evil Invading Shaoyang

  • 摘要: 吴鞠通近师承于叶氏,而远追踪乎仲景,对邪犯少阳有独到认识与发挥。吴鞠通认为,少阳具有主升和主枢机两大功能特性,治疗邪犯少阳的原则是顺应少阳升发之性与恢复少阳转枢功能。对于少阳火热证,顺少阳升散以透火热,常选用轻清透散之品;对于少阳痰饮证,创香附旋覆花汤利肝胆而化痰饮;对于疟犯少阳,转枢机以截疟,以小柴胡汤和青蒿鳖甲汤加减治疗;对于阴邪侵入少阳、厥阴,常运用小柴胡汤或柴胡转少阳枢机且温通厥阴。并归纳小柴胡汤的使用禁忌。

     

    Abstract: Wu Jutong's academic thoughts are inherited from Ye Tianshi and traced back to Zhongjing, and have a unique understanding and play of the evil invading Shaoyang. Wu Jutong believes that Shaoyang has two major functional characteristics: ascending and pivoting. The principle of treating evil invading Shaoyang is to follow the ascending nature of Shaoyang and restore the pivoting function of Shaoyang. For Shaoyang fire-heat syndrome, follow Shaoyang to ascend and disperse to penetrate heat, and often use light, scavenging and dispersing products; for Shaoyang phlegm-fluid syndrome, creat Xiangfu Xuanfuhua Decoction to benefit the liver and gallbladder and resolve phlegm-fluid; for malaria invading Shaoyang, turn the pivot to stop malaria, and use Xiaochaihu Decoction and Qinghao Biejia Decoction for the treatment; for yin evil invading Shaoyang and Jueyin, Xiao Chaihu Decoction and Bupleurum chinense DC. are often used to turn the pivot of Shaoyang and warm and unchoke Jueyin. The contraindications of Xiao Chaihu Decoction are also summarized.

     

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