摘要
阴虚湿阻证是病性虚实夹杂的一类证型,在代谢性疾病、呼吸系统疾病、疲劳综合征、亚健康状态等临床辨证中均为多见。临床上阴虚与湿邪停滞的矛盾病理状态容易并存,又因湿邪缠绵难除,阴虚正亏难复,辨证、治疗皆属不易。从《黄帝内经》“阳化气,阴成形”理论角度分析,阴血津液亏虚、阳化气不足、阴成形太过是阴虚湿阻证形成的关键,本着“治病必求于本”,辨治时当虚实兼顾、邪正并调,助阳化湿不伤阴、滋阴养形不助湿,使阴津复、气得化、湿浊除,方可达到《伤寒论》“津液自和”的思想。该文着眼于阴虚湿阻证这一津液类病证,对其因、机、症、治展开探讨,以期启发临床实践,并为从“津液自和”论治感染新冠后疲劳综合征提供思路。
The syndrome of blockade of dampness due to yin deficiency falls into the category of intermingled deficiency and excess,prevalent in the clinical syndrome differentiation of metabolic diseases,respiratory system diseases,fatigue syndrome,and sub-health state and so on.Clinically,the contradictory pathological state of yin deficiency and dampness stagnation is prone to coexist,and it is difficult to eliminate the lingering dampness and to recover the deficiency of yin and vital qi,so it is not easy to differentiate and treat this complicated syndrome.Based on the theory of"yang transforming qi while yin shaping up the body"in the Inner Canon of Yellow Emperor,the key of the syndrome lies in the deficiency of yin,blood and body fluids,resulting in an insufficient yang transforming qi,while an excessive yin shaping up the body.In line with the principle of"treating the root cause of a disease",the syndrome should be differentiated and treated by taking into account both its deficiency and excess,coordinating its pathogenic factors and positive factors,reinforcing yang and resolving dampness without damaging yin,nourishing yin and the body without reinforcing dampness,so as to restore yin and body fluids,transform qi,and remove dampness and turbidity,achieving the goal of the"natural harmony of body fluids"as described in the Treatise on Cold Pathogenic Diseases.Focusing on the syndrome of blockade of dampness due to yin deficiency,this paper discusses its etiology,pathogenesis,symptoms,and treatment methods,with a view to offering an insight into its clinical practice and providing an idea for the differentiation and treatment of the fatigue syndrome after COVID-19 infection from the perspective of"natural harmony of body fluids".
作者
黄梦文
高昭
吕品
王稼心
曾静
李修洋
提桂香
HUANG Mengwen;GAO Zhao;LV Pin;WANG Jiaxin;ZENG Jing;LI Xiuyang;TI Guixiang(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;China Traditional Chinese Medicine Science and Technology Development Center,Beijing 100191,China)
出处
《吉林中医药》
2023年第12期1375-1379,共5页
Jilin Journal of Chinese Medicine
基金
中国中医科学院科技创新工程重大攻关项目(CI2021A03009)
中国中医科学院基本科研业务费自主选题项目(ZZ11-032)。
关键词
阴虚湿阻证
津液自和
阳化气
阴成形
辨证论治
syndrome of blockade of dampness due to yin deficiency
natural harmony of fluid
yang transforming qi
yin shaping up body
treatment based on syndrome differentiation
