黄韬运用风药治疗汗证经验  

Huang Tao′s Experience of Treating Sweating Syndrome with Wind Medicinals

作　　者：杜晓妹 黄韬 DU Xiao-mei;HUANG Tao(Minhang District Hospital of Integrated Traditional Chinese and Western Medicine of Shanghai,Shanghai,China,201199;Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai,China,200437)

机构地区：[1]上海市闵行区中西医结合医院,上海201199 [2]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《河南中医》2022年第8期1186-1189,共4页Henan Traditional Chinese Medicine

基　　金：上海市闵行区名老中医工作室建设项目(mhmlzy01)。

摘　　要：黄韬老师认为,汗出病机为卫气失于固护、开阖失常、腠理疏松、营阴外泄。营卫根于中气,中焦脾胃之气(中气)是托举五脏不陷之气,治疗应注重中气和机体枢机。黄老师采用补中益气汤补中升清,并加用风药增强祛风胜湿、发散郁热、开腠通络之效,临证多选麻黄、桂枝、荆芥、防风、羌活、独活、白芷、藁本、薄荷、葛根等,使卫阳复职,营阴内守,营卫调和,汗出自愈。Professor Huang Tao believes that the pathogenesis of sweating is defensive qi failing to open and close,the loose interstitial striae and the leakage of nutrient yin.Nutrient and defense qi is rooted in the middle energizer.The qi of the spleen and stomach in the middle energizer(middle qi) is to lift the qi of the five internal organs.The treatment should focus on the middle qi and the body cardinal.Center-Supplementing and Qi-Boosting Decoction can invigorate the middle qi and ascend the lucid qi.Wind medicinals can be added to enhance the effect of eliminating wind and removing dampness,dispersing stagnant heat,and opening interstitial striae and channels.In clinical practice,Mahuang(Herba Ephedrae),Guizhi(Ramulus Cinnamomi),Jingjie(Herba Schizonepetae),Fangfeng(Radix Saposhnikoviae),Qianghuo(Radix et Rhizoma Notopterygii),Baizhi(Radix Angelicae Dahuricae),Gaoben(Rhizoma Ligustici),Bohe(Herba Menthae),Gegen(Radix Puerariae Lobatae) are often selected so as to restore defense yang,maintain nutrient yin,harmonize nutrient and defense qi,which can heal sweating.

关 键 词：汗证 风药 补中益气汤 黄韬 

分 类 号：R255.9[医药卫生—中医内科学]