论口苦八证  

Discussion on the eight syndromes of bitter taste in mouth

作　　者：杜珍蓉 邓丹丹 李娜[1] 周萍萍 成词松[1] DU Zhen-rong;DENG Dan-dan;LI Na;ZHOU Ping-ping;CHENG Ci-song(Basic Medicine College,Chengdu University of TCM,Chengdu 611137.China)

机构地区：[1]成都中医药大学基础医学院,成都611137

出　　处：《中华中医药杂志》2020年第8期4077-4079,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81273851,No.81673885)。

摘　　要：口苦指患者未进食苦味食物或药物而自觉口中有苦味的症状。临床以口苦为主诉的病例主要包括持续性口苦和晨起口苦两类,临床常见证型可概括为"口苦八证",即胆腑热盛证、肝火炽盛证、心火亢盛证、胃气上逆证、肾阴虚证、胆虚气逆证、脾胃阳虚证、肺实肝虚证。口苦的基本病机为"气逆",包括胆气上逆和火气上逆两方面,但晨起口苦还具有时间节律性,与脏腑精气的昼夜盛衰变化有关。临床治疗口苦,当谨守"口苦八证"之病机,随证立法而治之。Bitter taste in mouth refers to the symptom related to bitter in the mouth without feeding bitter food or drug.Clinically,the cases with the bitter taste as the main complaint majorly includes continuous bitter taste and bitter taste in the morning.And the clinically common symptoms can be summarized into‘eight syndromes of bitter taste in mouth’,namely heat stagnation in gallbladder-fu,syndrome of exuberance of liver fire,syndrome of exuberance of heart fire,syndrome of adverse rising of stomach qi,syndrome of deficiency of kidney yin,syndrome of insufficiency of gallbladder qi and reversed flow of qi,syndrome of yang deficiency of spleen and stomach,and syndrome of excess in lung and deficiency in liver.The basic pathogenesis of bitter taste in mouth is reversed flow of qi,including adverse rising of gallbladder qi and internal heat.But bitter taste in the morning is characterized by time rhythmicity,it is associated with change of night and day resulting in excess and deficiency for essential qi.Bitter taste in mouth should be treated clinically in strict accordance with pathogenesis of‘eight symptoms of bitter taste’and treatment based on syndrome differentiation.

关 键 词：口苦 气逆 八证 证候病机 

分 类 号：R255[医药卫生—中医内科学]