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余读《伤寒论》,发现论中有的条文值得商榷。如第175条云:“伤寒,脉浮,发热无汗,其表不解,不可与白虎汤;渴欲饮水,无表证者,白虎加人参汤主之。”本条提要曰:“白虎加人参汤证及禁例”(成都中医学院主编《伤寒论讲义》1964年版)。接着释义曰:“白虎汤的用法,必须在表解后内热盛者,方可使用。”观之临床,殊不尽然。张仲景设此禁之意,是针对表证而无内热者,郑重告戒庸医不可妄投白虎汤,以免遭冰伏难解之弊。清代吴鞠通提出用白虎汤有四禁:“脉浮弦而细者不可与也;脉沉者不可与也;不渴者不可与也;汗不出者不可与也.”
After reading the “Treatise on Febrile Diseases”, I found that some of the articles on the issue are worth discussing. Such as the 175th cloud: “typhoid fever, floating pulse, fever, no sweat, its form is not understandable, not with the white tiger soup; thirsty to drink water, no form of evidence, white tiger plus ginseng soup is the main.” Summary of this article: “white tiger plus Ginseng Decoction and Prohibited Cases” (1964 edition of “Treatise on Febrile Diseases”, Chengdu Institute of Traditional Chinese Medicine). Then he explained: “The use of white tiger soup must be performed within the list of people who are able to use it.” The clinical observation is not entirely clear. Zhang Zhongjing set this ban on the meaning, is for the evidence and no insider, solemnly admonish quack quack doctors can’t cast white tiger soup, so as to avoid the ills of intractable ice. In the Qing Dynasty, Wu Tongtong proposed that there were four bans for the use of white tiger soup: “The pulse can’t cross the strings and the fine ones can’t. And those who don’t thirsty can’t. And the ones who don’t thirsty can’t.”