基于“随其所得而攻之”探讨脾胃湿热证防治内涵及临床实践  

Discussion on the Connotation and Clinical Practice of Prevention and Treatment of Syndrome of Dampness-heat of Spleen and Stomach Based on“Attacking it According to Its Combination”

作　　者：何友成 蒋风茹 吴月 潘可怡 周淳宇 蔡舒雨 袁建业[1] HE Youcheng;JIANG Fengru;WU Yue;PAN Keyi;ZHOU Chunyu;CAI Shuyu;YUAN Jianye(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《中国中医药信息杂志》2024年第6期175-180,共6页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家自然科学基金(81874391);上海市“科技创新行动计划”医学创新研究专项(21Y11922600)。

摘　　要：脾胃湿热证是中医临床辨治较为棘手的脾胃复合证型之一。基于“随其所得而攻之”理论内涵,认为脾胃湿热证需从“攻无形邪气所据”(祛湿温阳)、“攻治所合之腑”(苦寒直折胃腑湿热)、“随五脏欲恶而攻”(制定脾胃所喜的生活调摄方案)、“随五脏所喜用药”(随脾胃所喜用药)、“各量轻重,从宜施治”(把握细节,辨证施治)5个方面进行综合辨治,并附临证案例一则,为脾胃湿热证防治提供参考。Syndrome of dampness-heat of spleen and stomach is one of the complex syndromes of the spleen and stomach,which is difficult to differentiate and treat in TCM.According to the theoretical connotation of“attacking it according to its combination”,it is suggested that the syndrome of dampness-heat of spleen and stomach should be comprehensively differentiated and treated from five aspects,including“attacking the visible pathogens combined with the invisible ones”(removing dampness and warming yang),“treating the fu-organs sharing interior-exterior relationship with zang-organs”(clearing away damp-heat pathogens of stomach with drugs of bitter taste and cold property),“formulating the treatment according to the likes and dislikes of the five internal organs”(developing a life adjustment plan favored by the spleen and stomach),“administrating drug according to the five organs”(medications according to the spleen and stomach),“weighing the severity and applying the treatment”(pay attention to the details,and treating according to syndrome differentiation).A clinical case is exampled,with the purpose to provide reference for the prevention and treatment of syndrome of dampness-heat of spleen and stomach.

关 键 词：随其所得而攻之 脾胃湿热证 辨证论治 理论探析 

分 类 号：R259.7[医药卫生—中西医结合]