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柴胡始出《本经》,两千年来作为疏散退热的有效药物而广泛应用于临床。但是到了清代,有的医家提出其能和解少阳,而且这种观点被一部分人所接受,影响至今。现在高等中医院校的统编教材及部分中医药书籍,将“和解少阳”列为柴胡功用之首。对此,笔者存有异议。通过考证历代本草文献,冒昧提出个人浅见,不妥之处,尚望同仁指正。 1.孰能和解少阳,诸家众说不一 考证历代本草文献,对于“和解少阳”是否为柴胡的功用,认识不一,归纳之,不外以下几种。 第一,认为和解少阳是小柴胡汤的作用,非柴胡单味药之功。如《本草经疏》:“足少阳,胆也。胆为清净之府,无出无入,不可汗,不可吐,不可下,其经在半表半里,故法从和解,小柴胡汤之属是也。”陈修园也认为:“伤寒在表者可汗,在里者可下,具半表半里者,惟有和之一法焉,仲景用小柴胡汤加减是也。”
Bupleurum originated from “The Classics” and has been widely used clinically as an effective evacuation antipyretic drug for two thousand years. However, in the Qing Dynasty, some doctors proposed that they could reconcile Shaoyang, and this view was accepted by some people and influenced it so far. At present, the textbooks and some Chinese medicine textbooks of higher TCM colleges and universities have listed “Reconciliation Shaoyang” as the first of the functions of Chaihu. In this regard, the author has objections. Through the verification of ancient herbal literature, take the liberty to put forward some personal views, wrong, still hope my colleagues correct me. 1. How can reconciliation Shaoyang, different opinions of various scholars Study the ancient herbal literature, for “reconciliation Shaoyang” whether the function of Bupleurum, the understanding is different, summed up, but the following kinds. First, the reconciliation of Shaoyang is considered to be the role of Xiaochaihu Decoction. Such as “Ben Cao Jing Shu”: “Foot Shaoyang, gallbladder also. Gallbladder is a clean house, nothing out, can not sweat, can not spit, can not be under, and its in the semi-table half, so the law from reconciliation, Xiao Chaihu The soup is also belong.” Chen Xiuyuan also believes: “The typhoid fever in the form of Khan, who can be in the next, half of the table and a half, only one of the law, and Zhongjing use Xiao Chai Hu Tang addition and subtraction is also.”