从脾阴虚论治口渴的机理  

Mechanism in the treatment of thirst from deficiency of spleen yin

作　　者：周步天 周春祥[2] 

机构地区：[1]上海交通大学医学院基础医学院,上海200025 [2]南京中医药大学基础医学院,江苏南京210046

出　　处：《上海中医药杂志》2017年第11期32-34,44,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(81273639)

摘　　要：查阅历代古籍医案,凡口渴从中焦论治者,多从胃火炽盛、胃阴亏虚等角度入手,鲜有论及脾阴虚口渴的证候及治疗。在深入探讨口渴发病机制的基础上,结合脾脏的生理特性,提出"脾不升清、阴虚火旺、气阴两亏"为脾阴虚口渴的主要病机,并详细阐明其发病特征及鉴别要点,以"滋补脾阴、生津润舌"为主要治疗手段,为口渴的临床诊治提供新的思路与方法。By studying the ancient medical cases in past dynasties,treatment on thirst from middle energizer often based on the pathogenesis of exuberance of stomach fire and deficiency of stomach yin,but there were few cases that involved the syndrome and treatment of thirst due to deficiency of spleen yin. Based on the deep discussion on the pathogenesis of thirst,combined with the physiological characteristics of spleen,it put forward that the main pathogenesis of thirst due to deficiency of spleen yin were dysfunction of spleen in ascending clear,hyperactivity of fire due to yin deficiency and deficiency of both qi and yin,and the characteristics of disease and the key points of differentiation were expounded in detail,and the main therapy was nourishing spleen yin and promoting fluid production for moistening tongue,which provided new ideas and methods for the clinical diagnosis and treatment of thirst.

关 键 词：口渴 脾阴虚 滋补脾阴 辨证论治 

分 类 号：R249[医药卫生—中医临床基础]