【摘要】 《伤寒论》桃核承气汤是治疗蓄血证的经典名方，历代医家把桃核承气汤的病机解读为瘀热互结，而关于“瘀”和“热”孰轻孰重的问题现在的主流观点是热重于瘀，但现实中“热重于瘀”的临床病例却并不常见。文章通过对桃核承气汤原文的详细解析，结合症状、字义、方药、中病反应、医案举例等，认为该方病机瘀热互结，但瘀重于热。这一解析或许能对临床精准应用本方及相关研究提供新的思路。更多还原

【Abstract】 Taohe Chengqi Decoction is a classical prescription for the treatment of blood storage syndrome in Shanghan Lun. Doctors of all dynasties interpreted the pathogenesis of Taohe Chengqi Decoction as the stagnation of stasis and heat, and the mainstream view about the importance of ‘stasis’ and ‘heat’ is that heat is more important than stasis, but the clinical cases of ‘heat is more important than stasis’ are not common in reality. Through the detailed analysis of the original text of Taohe Chengqi Decoction, combined with symptom, textual research, prescription, mid disease reaction and medical case examples, this paper believes that the pathogenesis of this prescription is stagnation of stasis and heat, but stasis is more serious than heat. This analysis may provide new ideas for accurate clinical application of this prescription and related research.更多还原