发汗法治疗水肿病证的源流及实质探讨  

origin and essence of diaphoresis in treating edema

作　　者：姚天文[1] 韩世盛[1] 王怡[1] YAO Tian-wen;HAN Shi-sheng;WANG Yi(Nephrology Department,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院肾内科

出　　处：《中华中医药杂志》2019年第11期5156-5159,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：上海中医药大学预算内科研项目(No.18LK053)~~

摘　　要：发汗法是临床常用的治疗"表证"的方法之一,是中医八法之首,其在治疗水肿病证中的应用最早可追溯至春秋战国时期,发展于两汉,丰富于宋金元,成熟于明清,形成了较为完善的理论体系与方药基础。发汗法发挥功用的基本条件:阴精的充沛,阳气的鼓动和玄府的畅通。现代医学认为,发汗法治疗水肿病证,尤其是肾性水肿的机制可能与其参与调节水通道蛋白(AQP)、瞬时受体电位离子通道(TRPC)以及白细胞介素-21(IL-21)的表达有关。Diaphoresis is one of the most commonly used methods in treating the exterior syndrome, which is also the first of eight methods in traditional Chinese medicine. The history of diaphoresis in treating edema can be dated back to the Spring and Autumn Period. Then, diaphoresis was developed in Han dynasty, riched in the Song, Jin and Yuan dynasties, matured in Ming and Qing dynasties with the perfect theories and medicine. The conditions of diaphoresis should include yin, yang, and xuanfu. The modern medical science believes that the mechanism on diaphoresis in treating edema, especially nephrogenic edema may involve the adjustment of AQP, TRPC, and IL-21.

关 键 词：发汗法 水肿 沿革 阴液 阳气 玄府 机制 

分 类 号：S85[农业科学—兽医学]