刘德山教授中医中药辨治口味异常临证经验  

Professor Liu Deshan’s clinical experience in distinguishing and treating abnormal taste by traditional Chinese medicine

作　　者：徐安琪 宋民 刘阳 刘振国 石振鹏 刘德山[2] XU Anqi;SONG Min;LIU Yang;LIU Zhenguo;SHI Zhenpeng;LIU Deshan(The First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan250014,China;Department of Traditional Chinese Medicine,Qilu Hospital of Shandong University,Shandong Province,Jinan250012,China)

机构地区：[1]山东中医药大学第一临床医学院,山东济南250014 [2]山东大学齐鲁医院中医科,山东济南250012

出　　处：《中国医药导报》2023年第13期144-147,共4页China Medical Herald

基　　金：山东省卫生健康委员会齐鲁医派中医学术流派传承项目(鲁卫函〔2022〕93号-10);山东省卫生健康委员会全省名老中医药专家传承工作室建设项目(鲁卫函〔2019〕92号-19)。

摘　　要：口味异常是指人口中有异常的味觉和气味,西医治疗易产生耐药性,且停药易复发,存在一定的局限。刘德山教授认为口味异常的病机总归为脾胃或其他脏腑功能失常,是脏腑病变通过经络反应于口的见症,口甘常从脾胃湿热论治,口酸常从脾胃积滞论治,口苦常从胆腑郁热论治,口辛常从肺胃同热论治。此外,临证时重视把握寒热、虚实的鉴别,随证加减,标本同治,均有良效,为治疗口味异常拓宽了思路。本文总结刘德山教授治疗口甘、口酸、口苦、口辛的临证思路,以期为中医中药辨治口味异常提供经验,并附典型医案一则,以飧同道。Abnormal taste refers to the abnormal taste and odor in the human body.Western medicine is easy to produce drug resistance,and the drug is easy to relapse,and there are certain limitations.Professor Liu Deshan believes that the pathogenesis of abnormal taste is always attributed to the dysfunction of the spleen and stomach or other zang-fu organs,which is a symptom of the disease of the zang-fu organs reflected in the mouth through the meridians and collaterals.Sweet taste is often treated from the dampness and heat of the spleen and stomach,sour taste is often treated from the stagnation of the spleen and stomach,bitter taste is often treated from the stagnation of the bile organs,and spicy taste is often treated from the heat of the lung and stomach.In addition,attention should be paid to grasp the differentiation of cold and heat,deficiency and excess when the syndrome is present.With the addition and subtraction of the syndrome,the disease is treating both manifestation and root cause,which have good effect,then broaden the idea for the treatment of abnormal taste.This paper summarizes clinical thinking of Professor Liu Deshan in the treatment of sweet taste,sour taste,bitter taste,and spicy taste,in order to provide experience for treatment of abnormal taste by traditional Chinese medicine.Last but not least,a typical medical case is attached for peer’s reference.

关 键 词：口味异常 口甘 口酸 口苦 口辛 名医经验 中医中药 

分 类 号：R241[医药卫生—中医诊断学]