运用“通因通用”法治疗汗证的理法方药探讨
Theoretical Exploration of Sweat Syndrome by "Treating Incontinent Syndrome with Dredging Method"
DOI:10.13192/j.issn.1000-1719.2020.10.014
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1.辽宁中医药大学附属医院,辽宁 沈阳 110032
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王莉. 运用“通因通用”法治疗汗证的理法方药探讨[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.10.014
WANG Li. Theoretical Exploration of Sweat Syndrome by "Treating Incontinent Syndrome with Dredging Method"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.10.014
王莉. 运用“通因通用”法治疗汗证的理法方药探讨[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.10.014 DOI:
WANG Li. Theoretical Exploration of Sweat Syndrome by "Treating Incontinent Syndrome with Dredging Method"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.10.014 DOI:
汗证是中医临床的常见病、多发病。汗证治疗多在“虚则补之”的原则指导下,采用益气固表法、滋阴清热法、养血补心法、清肝泄热化湿和营法等进行治疗。“通因通用”法是中医反治法之一,是应用通泄的药物治疗具有通泄特征的病证。该文在研究经典及现代文献的基础上,结合自己多年的临床经验,创新性地提出应用发汗法、化痰祛湿法、活血化瘀法、消食导滞法等“通因通用”的治法可以达到收敛止汗的目的。适用于由于“旧血不去”,或者“湿浊不化”时,津液不得归经而导致津液外泄的汗证,尤其对于痰瘀互结的汗证疗效最佳。文章列举了3个典型医案,佐证了“通因通用法”对多种原因所导致的汗证都具有很好地治疗作用,为汗证的临床治疗提供了新的途径。
Sweat syndrome is a common disease inTCM. The treatment of sweat syndrome is mostly guided by the principle of "deficiency requiring tonifying", using the methods of invigorating Qi for consolidating the exterior, nourishing Yin and clearing heat, nourishing blood andheart, clearing liver and relieving heat. The "Treating incontinent syndrome with dredging method" is one of the contrary treatment of traditional Chinese medicine. It is the application of dredging drugs to treat the symptoms with dredging characteristics. Based on the study of classic and modern literature, and combined with many years of clinical experience, this article innovatively proposed the "treating incontinent syndrome with dredging" treatment methods such as sweating, resolving phlegm and eliminating dampness, promoting blood circulation to remove blood stasis, and dispersing food stagnation, which can achieve the purpose of convergence and stopping sweating. It is suitable for sweat syndrome in which the fluid is leaked due to "the blood stasis is not gone" or "dampness and turbid", especially for sweat syndromes with phlegm and blood stasis. The article enumerated three typical medical cases, which proved that the "treating incontinent syndrome with dredging method" has a good therapeutic effect on sweat syndrome caused by various reasons, and provided a new way for the clinical treatment of sweat syndrome.
通因通用汗证理法方药
treating incontinent syndrome with dredging methodsweat syndrome
周仲瑛,主编. 新世纪全国高等中医院校规划教材:中医内科学[M]. 2版. 北京: 中国中医药出版社, 2017: 415-419.
徐奔, 向航. 从“调和营卫”论治疗慢性再生障碍性贫血自汗患者的临床观察[J]. 内科急危重症杂志, 2017, 23(1): 53-54.
李国铭. 桂枝汤治疗脑卒中后汗出异常的疗效评价[J]. 深圳中西医结合杂志, 2019, 29(19): 40-41.
汤艳霞, 刘亚芳, 冀旭艳, 等. 李宝玲主任医师运用桂枝汤类方治疗自汗验案举隅[J]. 光明中医, 2018, 33(7): 125-127.
付婷婷. 浅析桂枝汤在糖尿病汗证中的运用[J]. 中医临床研究, 2016, 8(33): 91.
周春权. 双参补虚健脾止汗颗粒功效及其作用机制研究[D]. 福州: 福建农林大学, 2017.
刘斯念. 炙甘草汤治疗恶性肿瘤相关性汗证(气血两虚型)临床观察[D]. 武汉: 湖北中医药大学, 2018.
肖飞, 吴建红, 张雪荣, 等. 龙牡壮骨颗粒治疗小儿虚汗的中医理论研究[J]. 世界中医药, 2016, 11(2): 44-45.
陈佳娜, 肖勇, 吴小芸. 牡蛎散加减治疗原发性手汗症57例[J]. 实用中医药杂志, 2017, 33(1): 38-39.
杨崇. 陈民治疗老年汗证经验[J]. 湖南中医杂志, 2016, 32(10): 49-50.
张丽红, 袁宏伟. 刘长玉主任治疗汗证经验临床举隅[J]. 河北中医, 2017, 39(4): 6-8,12.
程玉峰, 郝庆伟. 杨从鑫名老中医治疗汗证经验[J]. 河南医学研究, 2019, 28(9): 7-9.
程建通. 李七一教授辨治汗证的临床经验与学术思想初探[D]. 南京: 南京中医药大学, 2017.
林佳. 祛湿降浊法治疗湿热蕴脾型自汗的临床观察[D]. 哈尔滨: 黑龙江中医药大学, 2018.
苑海民, 哈虹. 健脾益肾活血法治疗更年期汗证探讨[J]. 内蒙古中医药, 2016, 35(6): 32-33.
黄帝内经·素问[M]. 北京: 人民卫生出版社, 2005: 176-190.
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