白虎汤四大症探析

Analysis of the four major symptoms of Baihu decoction syndrome

关键词:  白虎汤  伤寒论  温病条辨

Key words:  Baihu decoction  Shang Han Lun  Wen Bing Tiao Bian

摘要:

白虎汤的主证为“热渴汗出脉洪大”之四大症，然有学者对此提出质疑，认为四大症应治以白虎加人参汤，且四大症与《伤寒论》中对白虎汤证的描述有不符之处。文章从《伤寒论》及《温病条辨》原著进行比较，得知对于“应以白虎加人参汤治四大症”的主张，需从张仲景及吴鞠通对人参功效的认识进行分析；白虎汤四大症的提法，是总结于《温病条辨》，因此与《伤寒论》所述之症状有别，然因两者病机相同，故可异病同治。

Abstract:

Baihu decoction has been used to treat four major symptoms which were high fever, extreme thirst, excessive perspiration and bounding pulse. However, certain scholar disagrees with this with the view that this four major symptoms should be treated with Baihu Renshen decoction instead and that the four major symptoms did not match the Baihu decoction syndrome as described in Shang Han Lun. By comparing Shang Han Lun and Wen Bing Tiao Bian, it was found that to understand the argument on whether the four major symptoms should be treated by Baihu Renshen decoction, one should examine the different understanding of the function of Renshen researched by both Zhang Zhongjing and Wu Jutong; Besides that, the treatment of Baihu decoction to the four major symptom was based on Wen Bing Tiao Bian, where it does not matches the description of symptom in Shang Han Lun. However, due to the fact that both had the same pathogenic factor, Baihu decoction is suitable to be used to treath both syndrome.