基于文献探讨历代采用微汗法治疗痹病  

A discussion on the treatment of the Bi disease by microperspiration method in previous dynasties based on related literature

作　　者：张闯 田巍巍 韩文舫 ZHANG Chuang

机构地区：[1]鱼台县人民医院,山东济宁272399

出　　处：《中医临床研究》2023年第17期14-18,共5页Clinical Journal Of Chinese Medicine

摘　　要：汗法为中医治病八法之一,也是八法中的第一法,主要是通过人体汗出达到营卫和,肺气畅,腠理开,血脉通等以祛邪外出,调和正气的目的,广泛运用于日常疾病的治疗。东汉张机(字仲景)治疗痹病依据《黄帝内经》中“外因多责之于风寒湿邪”的理论,针对性地提出了“发汗祛湿”的基本治法。汗法通过调和营卫开通毛窍,调节气机,可用于治疗内伤杂病。历代医家在长期的临床实践中对汗法有所继承和创新。现代临床尤其注重采用汗法治疗早期痹病,这对阻断病情的发展尤为关键。在历代应用汗法治疗痹证的方药中,首先以祛除湿邪为主,且遵循张机的经验以“微汗法”为要,以防“风去湿存,痹不除”,突出强调“祛湿邪,助正气,汗出有度,存津液”等应用注意要点。文章结合案例,总结历代汗法治疗痹病理论及组方用药规律,以期为临床拓展思路。The perspiration method is one of the eight methods of treating diseases in TCM,and is also the first of the eight methods.It is mainly through sweating to achieve the purpose of harmonious Yingwei(营卫),smooth lung Qi(气),and blood circulation to dispel evil spirits and reconcile healthy Qi.It is widely used in the treatment of daily disease.According to the theory of the external causes mainly include wind,cold and dampness in Huangdi Neijing(《黄帝内经》),TCM master ZHANG Ji of the Eastern Han Dynasty proposed the basic treatment of perspiration and dehumidification.the perspiration method can be used to treat internal injuries and miscellaneous diseases by harmonizing Yingwei to open hair orifices and regulate Qi movement.Under the guidance of long-term clinical practice,physicians in previous dynasties inherited and innovated perspiration method.Modern clinical practice pays special attention to the treatment of early arthralgia disease by perspiration,which is particularly critical to block the development of the disease.Among the prescriptions and medicines for treating the Bi(痹)syndrome by perspiration in previous dynasties,the first was to eliminate dampness,and the experience of ZHANG Ji was followed to focus on microperspiration method to prevent the condition of wind is removed,dampness is still remained,and the Bi disease is not be eradicated.He emphasized the key points to pay attention to the application of dispelling dampness,promoting healthy Qi,sweating moderately,and storing body fluid.In this paper,the theory and medication rule of treating the Bi disease by microperspiration method in previous dynasties is summarized with the empirical case analysis to expand ideas for clinical practice.

关 键 词：微汗法 痹病 祛寒湿 发汗解表 调和营卫 

分 类 号：R255.6[医药卫生—中医内科学]