山西中医药大学 晋中 030619
A/Prof. JIA Zhixin, Ph.D.. Shanxi University of Chinese Medicine, No.121, Daxue Street, Yuci District, Jinzhong 030619. E-mail: 13934534587@139.com
纸质出版日期:2023-10-30,
网络出版日期:2023-07-12,
收稿日期:2022-11-28,
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贾志新, 梁葆朱, 李东明, 等. 泄湿透热法治疗湿遏热伏证的证治研究[J]. 北京中医药大学学报, 2023,46(10):1357-1360.
JIA Zhixin, LIANG Baozhu, LI Dongming, et al. Syndrome differentiation and treatment research on eliminating dampness and dispelling heat method in the syndrome of dampness obstructing heat and suppressing heat[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(10):1357-1360.
贾志新, 梁葆朱, 李东明, 等. 泄湿透热法治疗湿遏热伏证的证治研究[J]. 北京中医药大学学报, 2023,46(10):1357-1360. DOI: 10.3969/j.issn.1006-2157.2023.10.005.
JIA Zhixin, LIANG Baozhu, LI Dongming, et al. Syndrome differentiation and treatment research on eliminating dampness and dispelling heat method in the syndrome of dampness obstructing heat and suppressing heat[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(10):1357-1360. DOI: 10.3969/j.issn.1006-2157.2023.10.005.
通过对《温热论》原文“湿遏热伏”相关内容的学习,发现文献中多以香燥、咸寒、苦寒等药物进行治疗,与原文所言“泄湿透热”“防其就干”的本意不符。本文从湿遏热伏的临床表现,以及“泄”“泄湿”“泄湿透热”的释义出发,结合各家观点,对湿遏热伏的证治内容进行分析。湿遏热伏证的临床表现除白苔绛底外,还可出现恶寒、发热、脘闷、神昏、舌干、苔厚黄、苔腻、脉滑等卫、气、营分的证候表现;其病位广泛,以肺、脾、胃为多;治以辛苦甘淡之品泄湿透热,其中辛苦开泄湿热是目的,甘淡渗利是治疗手段之一,临证宜慎用香燥、咸寒、苦寒之品,避免误解误用。
Through the study of the relevant content of "dampness obstructing heat and suppressing heat" in the original text of
Wenre Lun
it was found that the literature mostly use fragrant and dry
salty and cold
or bitter and cold medicinals for treatment
which is inconsistent with the original ideas of "eliminating dampness and dispelling heat" and "preventing its dryness". Therefore
beginning from the clinical manifestations of dampness obstructing heat and suppressing heat
and the definitions of "eliminating"
"eliminating dampness"
and "eliminating dampness and dispelling heat"
combined with various perspectives
the syndrome differentiation and treatment content of dampness obstructing heat and suppressing heat was analyzed. The clinical manifestations of the syndrome of dampness obstructing heat and suppressing heat
in addition to a deep red tongue with white fur
may also include symptoms such as aversion to cold
fever
epigastric fullness
unconsciousness
dry tongue
thick yellow fur
greasy fur
and slippery pulse
which represent disorders of weifen
qifen
and yingfen. The disease location is wide-ranging
mainly involving the lung
spleen
and stomach. The treatment strategy is to eliminate dampness and dispel the heat with medicinals acrid
bitter
sweet and bland in flavour. The goal is to open up the dampness and heat with acrid and bitter medicinals
and percolating and draining dampness with sweet and bland medicinals is only one of the available treatment methods. In clinical practice
caution should be exercised when using fragrant and dry
salty and cold
or bitter and cold medicinals to avoid misunderstandings and misuse.
泄湿透热湿遏热伏证治研究辛开苦降
eliminating dampness and dispelling heatdampness obstructing heat and suppressing heatsyndrome differentiation and treatment researchacrid medicinals open and bitter medicinals promote descent
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