Pathogenesis and Treatment of Shao Yang Disease Learned in the Shang Han Lun / 日本東洋医学雑誌

ABSTRACT

The Shaoyang lies next to the Interior of the Taiyang and to the Exterior of the Yangming, and is located in the half exterior and half interior position, containing both the parts and its physiological function which belong to the Gallbladder Channel of Foot-Shaoyang and the Triple Warmer Channel of Hand-Shaoyang. The Gallbladder Channel of Foot-Shaoyang controls the dispersing and discharging function of the vital energy (qi), and the Triple Warmer Channel of Hand-Shaoyang controls the function which distributes and transports the vital energy (qi), the fire and the water. When the wind-cold pathogen enters Shaoyang, anti-pathogenic vital-qi and exopathogen conflict each other, the distribution and the transport of the vital energy (qi), the fire and the water in the Triple Warmer Channel is obstructed due to the impairment of the dispersing and discharging function of the Gallbladder Channel of Foot-Shaoyang, the malfunction of Shaoyang pivots is then occured and results in the Shaoyang disease which is characteristic of the symptom complex such as bitter taste in the mouth, dryness of the throat, blurring of vision, alternate fever and chills, fullness in the chest and hypochondrium, hypochondria and anorexia, restless in mind, incessant vomiting, wiry and thready pulse and so on. This syndrome is treated by using Xiao chai fu tang which can harmonize Shaoyang. If various inproper treatments are given repeatedly to the Shaoyang disease, the syndrome to which Xiao chai hu tang must be given disappears, and a delirium as a deteriorated case appears newly, it is important to make clear what kind of inproper treatments were given, and the most appropriate treatment must be done in accordance with different present syndromes.