魏子孝教授从“痰火”辨治内分泌代谢疾病浅析  

Analysis of Prof. Wei Zixiao's Experiences in the Treatment of Endocrinal Metabolic Diseases Differentiated as Phlegm Fire Pattern

作　　者：邵鑫[1] 张广德[1] 魏子孝[1] 

机构地区：[1]中国中医科学院西苑医院,2012级博士研究生北京100091

出　　处：《世界中西医结合杂志》2015年第4期563-566,572,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目;中国中医科学院"名医名家传承"项目-魏子孝学术思想及临床经验研究(CM20141003)

摘　　要："百病多因痰作祟",痰火为患可致百病,百病亦可以痰火为表现,痰火作为致病因素在内分泌疾病中多有体现。魏师认为痰火的形成与肺、脾、肾关系最密切,治以养阴清肺,调脾胃气机,滋肾潜阳,善后以安此三脏为要。"痰因火动"、"痰随火行",治疗痰火以治火热为主,实火则清降,虚火则清润,随证辅以顺气、燥痰、化痰、豁痰、坠痰之品。魏子孝教授提出了"先辨病-抓主症-标本先后-辨证以定基础方-加减-疗效评价"的中医治疗思路模式,紧紧抓住痰火主病的临床表现,将痰火证与内分泌疾病相结合,辨证论治,随证加减,临床取得了显著疗效。Many diseases may be caused by phlegm and manifested as phlegm fire. Phlegm fire commonly causes endocrinal diseases. Prof. Wei Zixiao viewed that the formation of phlegm fire was the most closely related to the lung, spleen and kidney. Nourishing yin, clearing the lung heat, regulating the spleen and stomach qi activity,nourishing the kidney to pacify yang were the essentials in the treatment for the adjustment of the three organs. Phlegm and fire are interacted with each other. The clearing and reducing method was used for the fire of excess type and the clearing and nourishing method was for the deficiency type. Additionally,the methods for regulating qi, moistening the lung and resolving phlegm were associated. Prof. Wei put forward his mode of TCM treatment, named, differentiating diseases, focusing on symptoms, distinguishing the primary from the second, determining basic formula, modifying the prescription and evaluating the efficacy. He focused on the interconnection between phlegm firm and endocfinal disease and had achieved the significant efficacy based on syndrome differentiation and flexible modification of prescription.

关 键 词：痰火 内分泌代谢疾病 中医药疗法 经验 魏子孝 

分 类 号：R226[医药卫生—中医基础理论]