摘要
慢性疲劳综合征(CFS)是一种病程缓慢且常伴有多种躯体及精神神经症状的慢性综合性疾病,目前发病率呈上升趋势。本文基于“气脉常通”理论,认为CFS病机以脾肾亏损、气脉虚滞为本,肝肺失调、气脉郁滞为枢,风火侵袭、痰瘀内生为标。治疗应补脾益肾以治其本,根据脾肾亏虚程度及气血阴阳亏虚侧重,选用补中益气汤、归脾汤、升阳益胃汤、苓桂术甘汤、肾气丸等;疏肝理肺以调其枢,肝肺同调,升降并用,根据病位、病性的侧重,选用柴胡疏肝散、逍遥散、四逆散、桂枝汤、生脉散等;疏风清热、化痰活血以治其标,以补虚解郁为主,根据病机侧重不同,选用相应治法加减用药为辅。附验案一则,以作佐证,以期为CFS的中医治疗提供参考。
Chronic fatigue syndrome(CFS)is a chronic comprehensive disease with a slow course and often accompanied by a variety of physical and psychiatric symptoms.At present,the incidence rate is on the rise.Based on the theory of“qi-pulse smooth and unobstructed”,the pathogenesis of CFS is considered to be the loss of spleen and kidney and the deficiency of qi-pulse as the root;liver and lung disorders,qi-pulse stagnation as the pivot;wind fire invasion,phlegm blood stasis as the superficiality.Treatment should focus on tonifying the spleen and tonifying the kidneys to treat its root cause.According to the degree of deficiency of spleen and kidney and the emphasis of deficiency of qi-blood yin-yang,Buzhong Yiqi Decoction,Guipi Decoction,Shengyang Yiwei Decoction,Linggui Zhugan Decoction and Shenqi Pills should be selected flexibly.The methods of soothing the liver and regulating the lungs to regulate their pivot,harmonizing the liver and lungs,and using both ascending and descending functions should be used.Chaihu Shugan Powder,Xiaoyao Powder,Sini Powder,Guizhi Decoction,Shengmai Powder,etc.could be selected flexibly according to the disease location and disease focus.Clearing wind and clearing heat,eliminating phlegm and promoting blood circulation should be used to treat its superficiality,emphasizing tonifying deficiency and resolving depression.According to the different pathogenesis of patients,the corresponding treatment method should be flexibly chosen to supplement with medication.One medical case was attached in this article as the evidence,in order to provide reference for the TCM treatment of CFS.
作者
彭彬
王猛
马思佳
王国为
徐世杰
PENG Bin;WANG Meng;MA Sijia;WANG Guowei;XU Shijie(Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处
《中国中医药信息杂志》
CAS
CSCD
2024年第10期176-180,共5页
Chinese Journal of Information on Traditional Chinese Medicine
基金
中国中医科学院科技创新工程(CI2021B001)。
关键词
慢性疲劳综合征
气脉常通
虚劳
气血津液
风火痰瘀
chronic fatigue syndrome
qi-pulse smooth and unobstructed
consumptive disease
qi blood body fluid
wind fire phlegm stasis
