桂枝汤在《金匮要略》中的应用及其理论拓展

The application of Guizhi Decoction in the “Jinkui Yaolue” and Its Theoretical Expansion

摘要: 桂枝汤作为《伤寒论》中的经典方剂，主要用于治疗外感风寒表虚证。然而在《金匮要略》中，其应用范围得到了进一步拓展，广泛用于虚劳、汗证、妇科病等杂病的治疗。本文通过系统剖析《金匮要略》中桂枝汤的应用条文，深入探讨其在杂病治疗中的理论依据与拓展价值。研究表明，桂枝汤凭借调和营卫、温阳化气的功效，在虚劳、自汗、盗汗、月经不调等病症的治疗中效果显著。本文旨在揭示桂枝汤在外感病之外的临床应用潜力，丰富其理论体系，为现代中医临床实践提供有力的理论支撑。

Abstract: Guizhi Decoction, as a classic formula in “Shanghan Lun”, is mainly used for the treatment of external contraction of wind-cold with deficiency syndromes. However, in “Jinkui Yaolue”, its scope of application has been further expanded, widely used in the treatment of various diseases such as weakness, sweating syndromes, and gynecological disorders. This article systematically analyzes the articles on the application of Guizhi Decoction in “Jinkui Yaolue”, exploring its theoretical basis and value for expansion in the treatment of miscellaneous diseases. Research shows that Guizhi Decoction, with the efficacy of harmonizing Yin and Wei, warming Yang and transforming Qi, has significant effects in treating conditions such as weakness, spontaneous sweating, night sweating, and irregular menstruation. This article aims to reveal the clinical application potential of Guizhi Decoction beyond external diseases, enrich its theoretical system, and provide robust theoretical support for modern clinical practice in traditional Chinese medicine.