Exploring Differences in Understanding Cause and Mechanism of Article 28 in Treatise on Febrile Diseases Based on Various Insights and Actual Connotation of Guizhi Qugui Jia Fuling Baizhu Decoction(桂枝去桂加茯苓白术汤)
Abstract:For the understanding of Article 28 of Treatise on Febrile Diseases,the views of ancient physicians are quite differ-ent.There are two main differences.One is whether the disease described in this article is exogenous or internal injury.The oth-er is the removal of Guizhi(Cinnamomi Ramulus)and Shaoyao(Paeoniae Radix)in Guizhi Jia Fuling Baizhu Decoction(桂枝去桂加茯苓白术汤).In this paper,combined with the views of doctors in the past dynasties and the literature with similar diseases and syndromes,it is deduced that the etiology and pathogenesis of Article 28 are labor,which leads to the deficiency of Yangqi,misuse of sweating method to cause damage to the body,excessive drinking of water leading to Yang deficiency.It further ex-plained that the significance of removing Guizhi(Cinnamomi Ramulus)and leaving Shaoyao(Paeoniae Radix)in the original text is to converge Yangqi.At the same time,an example was given to explore the extended application of Guizhi Qugui Jia Fuling Baizhu Decoction in clinical practice.
Treatise on Febrile DiseasesGuizhi Jia Fuling Baizhu Decoction(桂枝去桂加茯苓白术汤)pathogenesisclin-ical application