汗证的经方治验与体会  

Experience in treatment of sweating syndrome by applying classical prescriptions

作　　者：鲍计章[1] 陈伟[2] 赵心华[3] 何育华 李晓丹[4] 周永明[1] BAO Jizhang;CHEN Wei;ZHAO Xinhua;HE Yuhua;LI Xiaodan;ZHOU Yongming(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Tongji Hospital Affiliated to Tongji University,Shanghai 200065,China;Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Wenshan Prefecture People's Hospital Affiliated to Kunming University of Technology,Wenshan,Yunnan 663000,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]同济大学附属同济医院,上海200065 [3]上海中医药大学,上海201203 [4]昆明理工大学附属文山州人民医院,云南文山663000

出　　处：《上海中医药杂志》2021年第2期49-52,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81774258);第六批全国老中医药专家学术经验继承人项目(国中医药人教发[2017]29号);上海中医药大学高峰高原学科临床人才专项计划项目;上海中医药大学“杏林传承”人才计划项目;上海市卫计委进一步加快中医药事业发展三年行动计划项目(ZY[2018-2020]-CCCX-2004-09);上海市教委项目(2019WK122);上海市名中医周永明工作室项目(SHGZS-2017019);周永明上海中医药大学名老中医药专家学术经验研究工作室项目(SZYMZYGZS4018)。

摘　　要：结合案例5则,探讨运用经方辨治汗证的临床经验。认为汗证为汗液外泄失常的病证,是一种病理性出汗。主要由人体阴阳失调、营卫不和、毛孔开阖不利所致,营卫不和为其核心病机,临证多以桂枝汤为主方,合用柴胡剂、白虎剂等进行加减治疗。This paper discusses the clinical experience of using classical prescriptions in differential treatment of sweating syndrome combined with 5 cases.It is considered that sweating syndrome is the syndrome of abnormal sweat leakage, and it is a kind of pathological sweating, mainly caused by the imbalance of yin and yang, the disharmony between nutrient qi and defensive qi, and the abnormal opening and closing of pores. As the key pathogenesis of sweating syndrome is the disharmony between nutrient qi and defensive qi, the main prescription for the syndrome is Guizhi Decoction combined with Chaihu prescriptions and Baihu prescriptions.

关 键 词：汗证 自汗 阴阳失调 营卫不和 经方 桂枝汤 

分 类 号：R255.9[医药卫生—中医内科学]