南京中医药大学学报2024,Vol.40Issue(9) :880-884.DOI:10.14148/j.issn.1672-0482.2024.0880

"瘦人多火症"的因机证治探析

Analysis of the Causes,Mechanisms,Syndromes and Treatments of Excessive Fire in Thin People

叶放 孙萌 周崇怡 万洁 豆晓云 陈潇颖
南京中医药大学学报2024,Vol.40Issue(9) :880-884.DOI:10.14148/j.issn.1672-0482.2024.0880

"瘦人多火症"的因机证治探析

Analysis of the Causes,Mechanisms,Syndromes and Treatments of Excessive Fire in Thin People

叶放 1孙萌 1周崇怡 1万洁 1豆晓云 1陈潇颖1
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作者信息

  • 1. 南京中医药大学国医大师周仲瑛传承工作室/国家中医药管理局中医瘀热病机重点研究室,江苏 南京 210029
  • 折叠

摘要

提出消瘦是临床常见的体质状态,常常会伴随"瘦人多火症"相关证候表现.阴气不足是形体消瘦的主要生理、病理基础,燥火偏旺是形体消瘦的继发表现,病位涉及五脏,核心在脾.治疗原则以滋养阴气为主,宣发郁热为辅.具体包括治本与治标两个方面,治本当滋养阴气以改善"消瘦"体质,治标在发散郁热以消除"多火"状态,二者孰轻孰重应依据火旺轻重缓急而定.临床根据病情之标本缓急、消瘦而能食不能食、火热之虚实微盛、病机兼夹以及季节等因素进行药味加减.

Abstract

Emaciation is a common physical condition in clinical practice,often accompanied by symptoms related to"excessive fire in thin people".Insufficient yin-qi is the main physiological and pathological basis of emaciation,and excessive dryness-heat is the secondary manifestation.The disease involves five viscera,with the spleen as the core.The principle of treatment is to nourish yin-qi as the main method,and to dissipate stagnant heat as the auxiliary method.Specifically,it includes two aspects:treating the root cause and treating the symptoms.Treating the root cause should nourish yin-qi to improve the"emaciation"constitution,and treating the symptoms should dissipate stagnant heat to eliminate the"excessive fire"state.The importance of the two should be determined ac-cording to the severity and urgency of the excessive fire.Clinically,the addition and subtraction of medicinal ingredients are made ac-cording to factors such as the urgency of the root cause and symptoms,the state of emaciation and the ability to eat,the degree of defi-ciency or excess of fire-heat,the pathogenesis of the disease,and the season.

关键词

千金润脾膏/瘦人多火/阴虚燥热/证治探析/病机/体质

Key words

Qianjin Runpi Ointment/thin people with excessive fire/yin deficiency dryness-heat/syndrome and treatment discus-sion/pathogenesis/constitution

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基金项目

江苏省(社会发展)重点研发计划(BE2019723)

中国中医科学院学部委员学术传承与传播专项项目(CI2022E028XB)

出版年

2024
南京中医药大学学报
南京中医药大学

南京中医药大学学报

CSTPCD北大核心
影响因子:1.658
ISSN:1672-0482
参考文献量1
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