贾颖教授依据《内经》“治水”理论辨治黏液性水肿  

Professor Jia Ying's Discussion on the Treatment of Mucous Edema from the Perspective of“Water Treatment”in the Internal Classic

作　　者：王浩悦 莘策 孙慧 贾颖 Wang Haoyue;Xin Ce;Sun Hui;Jia Ying(Shanxi University of Chinese Medicine,Jinzhong 030619,China)

机构地区：[1]山西中医药大学,山西晋中030619

出　　处：《亚太传统医药》2024年第1期110-113,共4页Asia-Pacific Traditional Medicine

基　　金：山西中医药大学科技创新能力培育计划:中医学术流派传承工作室建设项目(2023PY-LP-04);山西省基础研究计划自由探索类(面上项目):基于“脑-肠轴”的酸枣仁-远志药对治疗失眠的肠道菌群调控机制(20210302124294)。

摘　　要：黏液性水肿多与甲状腺疾病有关,临床上可分为全身黏液性水肿和胫前黏液性水肿,多表现为非凹陷性水肿,可归于中医“水肿”范畴。贾颖教授从《内经》“汤液醪醴论”讨论治水之法,认为“开鬼门”是通扶脾肾阳气、化气行水、通利小便;“洁净府”是通利三焦;“去菀陈莝”是活血利水;而“平治于权衡”是指以实际病情为依据,对三种治法的主次进行排序,属治疗中的思想层次,通过结合前人智慧与现代研究,从病因病机、症状分类、治疗原则和方法等方面对黏液性水肿的辨治进行分析探讨,并附验案二则以与同道共享。Myxedema is often associated with thyroid diseases,and can be clinically divided into generalized myxedema and pretibial myxedema,often manifested as non concave edema.Traditional Chinese medicine can be classified as“edema”.Professor Jia Ying discussed the method of water treatment from the“Tang Ye Lao Li Lun”in the Internal Classic,and believed that“Opening the Ghost Gate”is to promote the spleen and kidney Yang Qi,transform Qi and promote water circulation,and facilitate urination;The“Cleanse the Mansion”is the Tongli Sanjiao;The saying“Removing blood stasis and turbidity”is to promote blood circulation and promote water circulation.And'balancing treatment with balance'refers to sorting the priority of the three treatment methods based on the actual condition,which belongs to the ideological level of treatment.This article combines the wisdom of predecessors and modern research,and analyzes their causes and pathogenesis,symptom classification,treatment principles and methods from a rough and shallow perspective.Attached is a case study to support this.

关 键 词：黏液性水肿 开鬼门 洁净府 去菀陈莝 平治于权衡 贾颖 

分 类 号：R249[医药卫生—中医临床基础]