基于汗出机理梳理《中医诊断学》问汗内容  

Sorting out the Contents of Inquiry about Sweating in Diagnostics of Traditional Chinese Medicine Based on the Sweating Mechanism

作　　者：于晓飞[1] 王科军[1] 王醊恩[1] 叶蕾[1] YU Xiaofei;WANG Kejun;WANG Zhuien;YE Lei(Institute of Integrated Medicine,Binzhou Medical University,ShaJadong Province,Yantai 264003,China)

机构地区：[1]山东省滨州医学院中西医结合学院,山东烟台264003

出　　处：《中国中医药现代远程教育》2018年第20期1-3,共3页Chinese Medicine Modern Distance Education of China

基　　金：国家自然科学基金【No.81703983】;山东省中医药科技发展计划【No.2015-269】;山东省研究生教育创新计划项目【No.SDYC032】;山东省属本科高校教学改革研究项目(重点项目)【No.2015Z026】;山东省滨州医学院科研启动基金【No.BY2014KYQD14】

摘　　要：汗出是判断病情的重要症状,也是临床常见临床症状,问汗是《中医诊断学》问诊的重要内容。笔者尝试基于汗出机理对中医采集病史的两大症状之一"问汗"内容进行重新梳理,发现影响汗出的三个要素为津液、腠理及阳气,并围绕该三要素的异常变化及其对汗出量的影响分析病理性汗出的病因和机理。认为特殊汗出和局部汗出是汗出的特殊表现形式,要着重讲授临床表现,汗出的发生机理是贯穿问汗的核心内容。Sweating is the common physiological and pathological phenomena in the clinical medicine. The inquiry about sweating is an important part of diagnostics of traditional Chinese medicine. The authors tried to sort out the contents of inquiry about sweating. There are three elements could be extracted by analyzing the sweating physiological mechanism fluid, interstitial space, yang？鄄qi, and then analyzed the etiological and pathogenesis of pathological sweating around the three elements. Special and local sweating is special form of expression. The key point of the lecture is clinical features. In conclusion, the sweating mechanism is the core content and runs through inquiry about sweating.

关 键 词：汗出 问汗 中医诊断学 教学改革 问诊 汗证 

分 类 号：R241[医药卫生—中医诊断学]