摘要
文章总结了解乐业治疗口干的临床经验。口渴由于津液不足所致者,十之一二也。口不渴需要三个条件:一、津液充足,为水之源头;二、阳气的推动和化生,为水之动力;三、津液的运行疏布通畅,为水之道路。解师提出“化气、和解、清火、滋阴、温阳、化瘀”的治疗思路,取得了不错的临床效果。气化不利,水饮内停之口渴,治以化气行水,表里分解;少阳枢机不利,津液输布失调之口渴,治以和解少阳;阳明热盛,气津两伤之口渴,治以清热泻火生津;肾阴亏虚,虚火上炎之口渴,治以滋阴降火;饮停中焦,津液不布之口渴,治以温阳化饮;瘀血内阻,津不上承之口渴,治以活血化瘀。我们在临床中治疗口干时,不能拘泥于口干即阴津不足所致,而应当四诊合参,寻病因,抓病机,辨证施治,如此方能有好的疗效。
This article summarizes the clinical experience of XIE Leye in the treatment of xerostomia.About 10%to 20%xerostomia was due to lack of body fluid.There are three conditions to relieve xerostomia:Firstly,sufficient body fluid is the source of water.Secondly,promotion and metaplasia of Yang Qi(阳气)is the power of water.Thirdly,the body fluid runs smoothly,which is the road of water.Tutor XIE puts forward the therapeutic ideas of“transforming Qi,harmonizing,clearing fire,nourishing Yin(阴),warming Yang and removing blood stasis”,which have achieved good clinical effects.If the gasification fails and the water flowing stops,the treatment lies in promoting gasification and relieving both the exterior and interior.If Shaoyang(少阴)cardinal fails and the body fluid distribution is in disorder,the treatment lies in harmonizing Shaoyang.If fire and heat flourishes and injures Qi,the treatment lies in clearing heat and promoting fluid production.If deficiency of kidney-Yin(阴)leads to inflammation,the treatment lies in nourishing Yin to lessen fire.If the water stops in the middle Jiao(焦)and fluid fails to distribute,the treatment lies in warming Yang for resolving fluid retention.If the blood stasis blocks,the treatment lies in promoting blood circulation to remove blood stasis.In the clinical treatment of xerostomia,four diagnoses should be combined to find the cause,grasp the pathogenesis,and treat the disease according to syndrome differentiation,which will help to achieve good curative effect.
出处
《中医临床研究》
2021年第36期15-16,共2页
Clinical Journal Of Chinese Medicine
基金
第六批全国老中医药专家学术经验继承工作项目(国中医药人教发[2017]29号)
山东省中医药科技发展计划项目(2019-0776)
解乐业名老中医药专家传承工作室(国中医人教函[2018]134号)。
关键词
解乐业
口干
临床经验
Professor Xie Leye
Xerostomia
Clinical experience
