《温病条辨》承气汤类方研究

摘要

Objective]To summarize the principle of usage of Chenqi Decoction Family, and compare with the similarities and differences of those in ShangHan Lun. [Method]To classify and analyse the scriptures related to Chenqi Decoction Family, and make a comparison with those in Chapter of Yangming Disease in ShangHan Lun. [Result]Besides the method of purgation and urgent purgation to preserve Yin, Wu Jutong inhertied and developed the purgation method of Zhang Zhongjing’s ShangHan Lun, such as Fluid-increasing Decoction, The New Yellow Dragon Decotion, The Lung-ventilating Chenqi Decotion, The Heart-fire Conduction Chenqi Decotion, The Calculi bovis Chenqi Decotion and The Fluid-increasing Chenqi Decotion, which enriched the syndrome differentiation system of ferbile disease. A deeper comparison of WenBingTiaoBian and ShangHanLun is worth researching.%[目的]总结吴鞠通《温病条辨》运用承气类方的规律，并与《伤寒论》辨别其异同。[方法]对《温病条辨》诸承气汤方条文进行分类和分析，并与仲景《阳明病篇》所论作出比较。[结果]除了仲景泻下腑实、急下存阴之大法外，吴氏更进一步关注了扶正袪邪和阳明兼证的一面，发展出增液汤、新加黄龙汤、宣白承气汤、导赤承气汤、牛黄承气汤及增液承气汤，大大发展了三承气，丰富了下法的内容。[结论]吴鞠通继承并发扬了仲景《伤寒论》中阳明病篇的治法，丰富了热病辨治体系的内容，《温病条辨》和《伤寒论》的比较这一研究专题值得学者们继续深入探讨。