从“怪病多痰”探讨慢性疲劳综合征病因病机及治疗思路  

Discussion on the etiology, pathogenesis and treatment of chronic fatigue syndrome from 'strange disease is related to sputum frequently'

作　　者：张二伟 王强[1] 陈琦 陈兴华[2] ZHANG Er-wei;WANG Qiang;CHEN Qi;CHEN Xing-hua(First School of Clinical Medicine,Guangzhou University of Chinese Medicine,Guangzhou 510405,China;No.1 Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州中医药大学第一临床医学院,广州510405 [2]广州中医药大学第一附属医院,广州510405

出　　处：《中华中医药杂志》2018年第8期3544-3547,共4页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：慢性疲劳综合征是一种多发于青壮年,以长期难以缓解的疲劳为主要症状并伴有多种兼症的临床常见疾病。从"怪病多痰"出发,对慢性疲劳综合征病因病机及治疗思路进行了探讨。认为长期过"劳"耗伤元气致元气亏虚,长期精神压力过大致肝郁,元气亏虚、肝郁又进而导致痰浊滋生。痰浊内生是本病的基本病因病机,治疗上培补元气以治其本,疏肝理气、通利三焦、化痰逐邪以治其标。以此为中医临床治疗慢性疲劳综合征以及科学研究提供思路。Chronic fatigue syndrome （CFS） is a common clinical disease which attacks young adults frequently and is characterized by chronic fatigue which is difficult to alleviate in a long term and has many other symptoms accompanied. We discussed about the etiology and pathogenesis of CFS and treatment ideas based on‘strange disease is related to sputum frequently＇ in this paper. It is believed that long-term overwork can lead the primordial qi deficiency, long-term excessive mental stress can lead to liver depression, and then the primordial qi deficiency and the liver depression in turn lead into the breeding of turbid phlegm. Turbid phlegm endogeny is the basic etiology and pathogenesis of this disease, therapeutically we should tonify the primordial qi to treat the root, and then dispersing liver and regulating qi, promoting sanjiao, dissipating phlegm and dislodging pathogenic qi are used as the treatment of manifestation, which can provide a way for traditional Chinese medicine clinicaltreatment and scientific research.

关 键 词：慢性疲劳综合征 怪病多痰 元气 肝郁 培补元气 疏肝理气 通利三焦 

分 类 号：R259[医药卫生—中西医结合]