Application of Classic Prescription Xiao Chaihutang in Treatise on Febrile Diseases and Miscellaneous Diseases in Gynecology： A Review
10.13422/j.cnki.syfjx.20251697
- VernacularTitle:《伤寒论》经典名方小柴胡汤在妇科中的应用研究进展
- Author:
Chengyu JI
1
;
Xin XU
2
Author Information
1. Beijing Haidian Hospital，Beijing 100080，China
2. Beijing Hospital of Traditional Chinese Medicine，Capital Medical University，Beijing 100010，China
- Publication Type:Journal Article
- Keywords:
Treatise on Febrile Diseases;
Xiao Chaihutang;
pathophysiological characteristic of woman;
gynecological disease;
applied research
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2025;31(22):153-164
- CountryChina
- Language:Chinese
-
Abstract:
Xiao Chaihutang，an ancient classic prescription，originated from the Treatise on Febrile Diseases and Miscellaneous Diseases （hereinafter referred to as Treatise on Febrile Diseases） written by ZHANG Zhongjing in the Eastern Han Dynasty. It is a representative prescription for reconciling Shaoyang. It can strengthening the body resistance to eliminate pathogenic factors，clear away the evil heat，and harmonize the stomach Qi and can be used to treat various diseases caused by insufficient vital energy，lingering evil energy，dysregulation of ascending and descending，disharmony between the exterior and interior，and dysfunction of the liver，gallbladder，and stomach，such as liver-gallbladder damp heat syndrome，disharmony between the exterior and interior （intermittent chills and fever，malaria），abnormal ascending and descending （vomiting，thirst，irritability，constipation， and depression），and disharmony between Yin and Yang. The core point of the pathogenesis is that the lack of positive energy and the invasion of evil energy，with an unfavorable Shaoyang cardinal system，which is consistent with the pathophysiological characteristics of women. In gynecology，on the one hand，women are prone to Qi and blood deficiency，which affects the body's ability to fight off evil influences. On the other hand，women's liver function is the most important，and they are prone to the pathological manifestations of catharsis dysfunction，Qi stagnation，and loss of function. Therefore，Xiao Chaihutang is used in the treatment of various gynecological diseases such as menstruation，leukorrhea，childbirth，and lactation. The key to using ancient formulas lies in flexible application. As long as the additions and subtractions are appropriate，different diseases can be treated in the same way. If the clinical syndrome can be adjusted according to the changes，the ratio of monarch drug and ministerial drug group，the nature of cold and warm，and the ability to tonify and diarrhea，it can be widely used in the treatment of a variety of gynecological diseases based on the reconciliation of the pathogenesis of Shaoyang，the essence of the same treatment of different diseases，and flexible tailoring. This article aims to study the application of the classic prescription Xiao Chaihutang from the Treatise on Febrile Diseases in gynecology，summarize its characteristics of pathological mechanism integration，and help peers in the treatment of gynecological diseases.
