789研献SSC浙江中医药大学学报2023年7月第47卷第7期“百合病见于阳者,以阴法救之”条文考辩刘芸睿贾春华北京中医药大学中医学院北京100029摘要:【目的]对《金匮要略》“百合病见于阳者,以阴法救之”条文进行辨析,从而更好地阐释百合病治则,解决历代对本条文认知不清的问题。[方法]通过对该条文义理的分析,并考《小品方》《千金要方》与本条所论相近之条文,再考仲景大论“阴阳”之本意,概括总结其文本中的错误。[结果]历代对本条文中阴阳的解释多种多样,如寒热、表里等,但均无法解决条文中两组阴阳前为寒热后为表里,前后不一的问题。而在唐以前医籍《小品方》《千金要方》中相关条文记载与《金要略》并不一致,均写作见于阴而以阳法攻之”,其逻辑更为清晰,文理更为融贯。又通过对仲景理法的分析,如阴病十八阳病十八的论述,发现仲景著作中的辨证体系是建立在阴阳指代表里的基础上。[结论]通行版《金质要略》中“百合病见于阳者,以阴法救之”的条文不能阐发百合病的治疗原则,推测有关本条文的记述存在错简。关键词:金匮要略;百合病;阴阳;逻辑;小品方;千金方;推理中图分类号:R395文献标志码:A文章编号:1005-5509(2023)07-789-04D0I:10.16466/i.is1005-5509.2023.07.015TextualResearchoftheClausethat“UsingPrincipleofYintoCureBaiheDiseasewithYangSyndromes's”LIUYunrui,JIAChunhuaSchoolofChineseMedicine,BeijingUniversityofChineseMedicine,Beijing(100029),Chinacine,Beijing(100029),ChinaAbstract:[Objective]Todifferentiatevalidityoftheclausethat“usingprincipleofYintocureBaihediseasewithYangsyndromes"”inSynopsisoftheGoldenChamber,inordertoexplainthetreatmentprinciplesofBaihediseasebetterandsolvetheproblemaboutthemisunderstandingofthisclauseinthelastseveralcenturies.[Methods]Byanalyzingthemeaningofthisclausefirst,collatingthecorrespondingclausesinXiaopinPrescriptionsandQianjinPrescriptions,thenresearchingtheoriginalmeaningoftheYin-YangtheoryofZHANGZhongjing,finallygatheringthemistakeintheclauseofSynopsisoftheGoldenChamber.[Results]TherearevariousinterpretationsofYin-Yanginthisclause,suchascoldandheat,exteriorandinterior,etc.However,noneofthemcansolvetheproblemoftheinconsistencybetweenthetwogroupsofYin-Yanginthetext,theformerbeingcoldandho...