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半表半里及少阳病探析

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《伤寒论》未提出"半表半里"的概念,此概念系后世注家注解时提出。半表半里不是人体中的一个层次,亦非某具体部位、某些脏腑。少阳病、厥阴病应为"半病",表现为半表里、半寒热、半虚实,治疗上应用"和法",即表里双解、寒热并用、攻补兼施。少阳病证包含小柴胡汤证,小柴胡汤证为少阳本病,最能代表少阳病证的特点。对少阳病方剂的应用,不应止步于"方证相应",而应紧扣半表里、半寒热、半虚实之"半病"概念。
Brief Discussion on Half Surface,Half Inner and Shaoyang Disease
The concept of"half-exterior and half-interior"was not proposed in the Treatise on Cold Damage,which was written by Zhang Zongjing.It was introduced by later commentators.The"half-exterior and half-interior"is not a spe-cific level or location in the human body,nor is it a specific organ or set of organs.The"half-disease"of the Shaoyang and Jueyin syndromes should be understood as a condition of being half-exterior and half-interior,half-cold and half-hot,and half-deficient and half-excessive.Treatment should be based on the"harmonizing method",which involves re-solving both exterior and interior pathogens,using both cold and hot drugs,and employing both attacking and nouris-hing therapies.The Shaoyang disease pattern includes the Xiaochaihu Tang pattern,which represents the Shaoyang dis-ease pattern most accurately and fully.The application of Shaoyang disease formulae should not be limited to"matching the syndrome with the formula",but should instead focus on the"half-disease"concept of being half-exterior and half-interior,half-cold and half-hot,and half-deficient and half-excessive.

Half Surface and InteriorHalf Inside,Half OutsideChaihu SyndromeShaoyang Disease

刘振航、陈扬波

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浙江中医药大学第二临床医学院,浙江 杭州 310053

浙江省立同德医院 重症医学二科,浙江 杭州 311122

半表半里 半在里半在外 柴胡证 少阳病

2025

亚太传统医药
中国民族医药学会 湖北省科技信息研究院

亚太传统医药

影响因子:0.743
ISSN:1673-2197
年,卷(期):2025.21(1)