口苦症与脾胃湿热病机辨考  

Pathogenesis-Based Diagnosis of Bitter Taste in Mouth and Dampness-Heat of Speen and Stomach

作　　者：林翠丽 陈琴[2] 黄铭涵[1] 黄晓峰[1] 李思汉 LIN Cuili;CHEN Qin;HUANG Minghan;HUANG Xiaofeng;LI Sihan(The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350003,Fujian,China;Union Hospital Affiliated to Fujian Medical University,Fuzhou 350003,Fujian,China;Basic Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510006,Fujian,China)

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350003 [2]福建医科大学附属协和医院,福建福州350003 [3]广州中医药大学基础医学院,广东广州510006

出　　处：《实用中医内科杂志》2022年第9期10-12,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家重点研发计划(2018YFC1705402);福建省自然科学基金(2020J01253);福建省卫健委中青年骨干人才培养项目(2019-ZQN-79)。

摘　　要：口苦症是指与进食或药物无关,患者自觉口中有苦味的症状,与脾胃湿热病机关系密切。湿热之邪病及三焦,蒙上流下,上扰于心,中犯脾胃、肝胆,下损于肝肾,皆可引起口苦症。临床当结合患者全身证候、整体观念、辨证论治,从三焦分治、阴阳异治的角度进行辨治。Bitter taste in mouth means that it has nothing to do with food or medicine, and patients are aware of bitter taste in mouth, which is often closely related to dampness-heat of speen and stomach. Dampness-heat disease that it involves Sanjiao, cover the upper and lower flow, upward disturbe the heart, medially invade the spleen and stomach, liver and gallbladder, and downward damage to the liver and kidney, can cause bitter taste in mouth. Clinical differentiation and treatment should be combined with patients’ systemic symptoms, overall concept, pathogenesis-based diagnosis and treatment, which can be used to treat bitter taste in mouth from the point of view of Sanjiao treatment and different treatment of yin and yang.

关 键 词：口苦症 脾胃湿热 病机辨考 

分 类 号：R256.3[医药卫生—中医内科学]