摘要
单纯性肥胖是糖尿病、高脂血症、痛风以及心脑血管疾病等多种慢性非传染性疾病的危险因素,对人类的身体健康和社会发展有严重的不利影响.中医药治疗单纯性肥胖具有疗效显著且不良反应少的优点.肖万泽教授临证多年,学验俱丰,认为其病位主要在脾,脾主运化,脾虚是其发生的根本原因,痰湿是重要的病理产物.其在治疗时以健脾益气、祛湿利水为治疗大法,以自拟的健脾祛湿方为基础方,根据患者具体情况和现代药理学研究进行药物的加减化裁.本文从病因病机、治则治法、经验方用药加减分析及附案举隅等角度总结肖万泽教授治疗单纯性肥胖的临床经验,探讨肖师治疗本病的辨证思路,为当前单纯性肥胖的临床治疗工作提供借鉴.
Abstract
Simple obesity,a risk factor for a variety of chronic non-infectious diseases,such as diabetes,hyperlipidemia,gout,and cardiovascular and cerebrovascular diseases,has serious adverse impacts on human health and social development.Traditional Chinese medicine has definite therapeutic effects and mild adverse reactions in the treatment of simple obesity.Professor Xiao Wanze has been practicing medicine for many years and accumulated rich knowledge and experience.He believes that simple obesity is mainly rooted in the spleen,which governs transportation and transformation.Spleen deficiency is the fundamental cause for the occurrence of simple obesity,and phlegm dampness is a major pathological product.During the treatment of simple obesity,Professor Xiao follows the principles of invigorating spleen,tonifying qi,dispelling dampness,and promoting urination and designs Jianpi Qushi Formula,which is modified according to the specific situations of patients and modern pharmacological research.This article summarizes Professor Xiao Wanze's clinical experience in treating simple obesity from etiology,pathogenesis,treatment principles and methods,empirical formula and modification,and cases.By exploring Professor Xiao's idea of syndrome differentiation in treating simple obesity,this article provides reference for the clinical work regarding this disease.