首页|"瘦人多火症"的因机证治探析

"瘦人多火症"的因机证治探析

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

Qianjin Runpi Ointmentthin people with excessive fireyin deficiency dryness-heatsyndrome and treatment discus-sionpathogenesisconstitution

叶放、孙萌、周崇怡、万洁、豆晓云、陈潇颖

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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

千金润脾膏 瘦人多火 阴虚燥热 证治探析 病机 体质

江苏省(社会发展)重点研发计划中国中医科学院学部委员学术传承与传播专项项目

BE2019723CI2022E028XB

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
年,卷(期):2024.40(9)
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