浙江中医药大学学报2025，Vol.49Issue(2)：185-188,4.DOI:10.16466/j.issn1005-5509.2025.02.010
白通加猪胆汁汤中猪胆汁的作用探讨
Discussion on the Function of Pig Bile in Baitong Plus Pig Bile Decoction
摘要
Abstract
[Objective]To explore the function and clinical significance of pig bile in Baitong Plus Pig Bile Decoction.[Methods]The pathogenesis of Baitong Plus Pig Bile Decoction syndrome was re-sorted by combining with the pulse and the development of Shaoyin disease,to analyze the limitations in previous physicians'comprehension of the efficacy of pig bile in Baitong Plus Pig Bile Decoction,and further explore the key roles of pig bile in ancient medical texts and modern research.[Results]As the heart governs blood circulation,in the progression of Shaoyin disease,the pulse transitions from weak to absent,indicating a progressively increasing degree of Yang deficiency,the pathogenesis of heart-Yang desire removal was concluded as Baitong Plus Pig Bile Decoction.Previous physicians held the belief that pig bile possessed properties conducive to using corrigent and nourishing Yin,which may have contradicted ZHANG Zhongjing's original intentions.It had been proven that the heart and gallbladder were in contact,and the gallbladder's Qi was hidden in the bile,which had the effect of calming the heart's Yang.Pig as a water animal,pig bile was more effective than sheep bile in restricting the inner Yang,the use of bile in small quantities could cause the pulse to renew itself slightly,so that there was a chance of survival.[Conclusion]This understanding can better explain the connotation of the articles of Treatise on Febrile Diseases and expand the scope of clinical application of porcine bile,so as to provide a useful reference for better application of animal bile and bile concoctions of traditional Chinese medicines in the treatment of cardiac diseases and even cardiac emergencies and critical illnesses.关键词
白通加猪胆汁汤/猪胆汁/少阴病/心阳欲脱/镇守心阳/心胆相通/《伤寒论》/临床应用Key words
Baitong Plus Pig Bile Decoction/pig bile/Shaoyin disease/heart-Yang being removal/calm the heart's Yang/the heart and gallbladder are in contact/Treatise on Febrile Diseases/clinical application分类
医药卫生引用本文复制引用
秦欣欣,吴华阳..白通加猪胆汁汤中猪胆汁的作用探讨[J].浙江中医药大学学报,2025,49(2):185-188,4.基金项目
北京中医药大学教育科学研究专项课题(XJZX2008) Education Science Research Project of Beijing University of Chinese Medicine(XJZX2008) （XJZX2008）
