CAJ | 학술논문

①实寒证是以寒盛为主，寒盛伤阳而致阳虚，寒盛阳虚是主要矛盾，而寒盛则是主要矛盾的主要方面，甚则寒盛逼阳外越上浮而形成格阳戴阳证。虚寒证是体质素虚，因阳虚而生寒，阳虚有寒是主要矛盾，而阳虚则是矛盾的主要方面，且因阳虚而派生诸多例如寒湿弥漫、水饮停留、滑脱便脓血等相关病机。②戴阳证是阴寒内盛，逼阳上越，阳气外越较少，仅限于头面上部，故仅见面红如妆；格阳证是阴寒盛极，逼阳外越，阳气大量外浮，体表头面均有，故见发热不恶寒，其人面色赤。戴阳也是阴寒与阳气格拒，所以戴阳实质上也是格阳；格阳证阳气也上浮头面，所以格阳证也包含了戴阳。③《伤寒论》方剂加减用药有其规律、方式和模式。其规律为随症加减，即不论其证候病机如何，只针对症状加减用药；辨证加减是根据主证病机，结合症状，加减与病机相应的药物。其方式为固定方式，即将主方进行加减后形成固定方剂；灵活方式是在主方的基础上根据临床症状表现加减不同药物。模式分为平行模式，即在原方基础上加减药物或用量；递进模式即在原方加用药物，其后依次去掉前面加入的药物再另加其他药物。
①실한증시이한성위주，한성상양이치양허，한성양허시주요모순，이한성칙시주요모순적주요방면，심칙한성핍양외월상부이형성격양대양증。허한증시체질소허，인양허이생한，양허유한시주요모순，이양허칙시모순적주요방면，차인양허이파생제다례여한습미만、수음정류、활탈편농혈등상관병궤。②대양증시음한내성，핍양상월，양기외월교소，부한우두면상부，고부견면홍여장；격양증시음한성겁，핍양외월，양기대량외부，체표두면균유，고견발열불악한，기인면색적。대양야시음한여양기격거，소이대양실질상야시격양；격양증양기야상부두면，소이격양증야포함료대양。③《상한론》방제가감용약유기규률、방식화모식。기규률위수증가감，즉불론기증후병궤여하，지침대증상가감용약；변증가감시근거주증병궤，결합증상，가감여병궤상응적약물。기방식위고정방식，즉장주방진행가감후형성고정방제；령활방식시재주방적기출상근거림상증상표현가감불동약물。모식분위평행모식，즉재원방기출상가감약물혹용량；체진모식즉재원방가용약물，기후의차거도전면가입적약물재령가기타약물。
①Cold syndrome is mainly by cold excess,cold excess due to cold injury Yang,cold excess and Yang deficiency is the prin-cipal contradiction,and cold excess is the main aspect of principal contradiction is very cold,forced Yang Sheng outside more upward and form a lattice Yang Dai Yang syndrome.Deficiency cold syndrome is due to Yang deficiency constitution,Yang deficiency and cold, is the principal contradiction,and Yang deficiency is the main aspect of the contradiction,andderived many such as cold due to Yang and diffuse,drinking water retention,sepsis and otherrelevant pathological spondylolisthesis.②The Dai Yang syndrome is Yin cold ex-cess,forced Yang up,less outside Yang,only the upper part of the head,only to meet such as red makeup;GE Yang syndrome is Yin cold excess polar,forced Yang outside more,Yang large external floating head,body surface are so see fever,aversion to cold,his com-plexion is red.Dai Yang is Yin cold Yang and repelling,so wear Yang is also a lattice Yang;Yang syndrome on lattice Yang also floating head surface,so the lattice Yang card also contains Dai Yang.③Shanghanlun prescription has its rules,ways and modes.The rules for addition and subtraction with the disease,that is,no matter how the syndrome pathogenesis,symptoms for only the prescription;dialecti-cal addition and subtraction is according to the main pathogenesis,combined with clinical symptoms,drug addition and subtraction and pathogenesis of the corresponding.In the form of fixed mode,addition and subtraction is imminent in the main square formed after the fixed prescription;flexible way is based on the main square on the basis of clinical symptoms of different drug addition and subtraction. Mode is divided into parallel mode,namely,in the original basis of addition and subtraction drug or dosage;progressive mode in the orig-inal party together with drugs,followed byremoving the drug previously introduced plus other drugs.