毛德西从脾胃升降论治肥胖症  

Experience of Professor MAO Dexi in Treating Obesity from Perspective of Spleen Qi Ascending and Stomach Qi Descending

作　　者：巴明玉[1] 陈亚琳[1] 王娴[1] 郭盼盼 禄保平[2,3] 燕树勋[1] BA Mingyu;CHEN Yalin;WANG Xian;GUO Panpan;LU Baoping;YAN Shuxun(The first Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan China 450000;Henan University of Chinese Medicine,Zhengzhou Henan China 450046;Mao Dexi National Famous Traditional Chinese Medicine Doctor Studio,Henan Province Hospital of Chinese Medicine,Zhengzhou Henan China 450002)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000 [2]河南中医药大学,河南郑州450046 [3]河南省中医院毛德西全国名中医工作室,河南郑州450002

出　　处：《中医学报》2023年第7期1502-1505,共4页Acta Chinese Medicine

基　　金：河南省中医药传承与创新人才工程(仲景工程)中医药拔尖人才项目(CZ0237-02);郑州市科技惠民计划项目(2021KJHM0017);河南省卫生健康委员会中医药科学研究专项课题项目(20-21ZY2163)。

摘　　要：肥胖属本虚标实之症,脾胃功能失常,升降失职为发病之本,水湿、痰浊、瘀血阻滞脉络为发病之标。临证常见3种类型:胃强脾弱,常表现消谷善饥、腹型肥胖,四肢纤瘦,肢体倦怠,身体困重,易于疲劳等;脾胃俱旺,则纳运转输亢进,膏浊堆积,发为肥胖;脾胃俱虚,胃受纳腐熟无力,脾虚失运,水湿、痰浊、瘀血壅滞体内,膏浊堆积,则少食而肥。临证应重视调理脾胃,脾升胃降,水道通利治其发病之本,同时又要兼顾祛除水湿、痰浊、瘀血治其标,标本同治。辨证施以补气健脾、利湿化痰、痰瘀同治之法,常用自拟方药山楂降脂饮。Obesity is a disease of deficiency in root and excess in symptoms,in which dysfunction of Spleen and Stomach induced Qi disorder is the root cause while Dampness-Water,Phlegm-Turbid and blood stasis blocking meridians is the symptoms.There are three common clinical types,namely,strong Stomach and weak Spleen,showing hunger,abdominal obesity,thin limbs,limb burnout,heavy body fatigue,easy fatigue,etc;strong Spleen and Stomach,with too good appetite and digestion,the accumulation of turbidity,and obesity;the deficiency of Spleen and Stomach,showing bad appetite and poor digestion,dysfunction in transportation due to Spleen deficiency,Dampness-Water,Phlegm-Turbid,stagnation of blood stasis,accumulation paste turbidity,fat with little food.In clinic,attention should be paid to the function recuperation of Spleen and Stomach to achieve ascending Spleen Qi and descending Stomach Qi and dredged waterway to treat the disease,and at the same time Dampness,Phlegm-Turbid and blood stasis should be dispelled.Syndrome differentiation is applied with the method of tonifying Qi and invigorating Spleen,relieving Dampness and resolving Phlegm as well as removing Phlegm and blood stasis,and Shanzha Jiangzhi Drink is often used in treatment.

关 键 词：肥胖症 脾胃升降 运化 毛德西 

分 类 号：R249.27[医药卫生—中医临床基础]