从“脾病生火”论治复发性口疮  

Treatment of Recurrent Aphthous Stomatitis Based on the Theory of“Hot Pathogens Resulting from Spleen Disease”

作　　者：晏阳天 吴拥军[2] YAN Yangtian;WU Yongjun(Jiangsu Province Hospital of Chinese Medicine,Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Nanjing 210000;Nanjing University of Chinese Medicine,Jiangsu Nanjing 210000)

机构地区：[1]江苏省中医院南京中医药大学附属医院,江苏南京210029 [2]南京中医药大学,江苏南京210023

出　　处：《深圳中西医结合杂志》2024年第8期132-136,共5页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：南京中医药大学自然科学基金项目(XZR2023026)。

摘　　要：复发性口疮为临床常见口腔黏膜疾病。古今医家多认为本病病位与脾相关,病邪与火热邪气密切关联。故总结归纳各家经验,以“脾病生火”为核心探讨复发性口疮辨治思路,分为脾胃伏火、湿热蕴结、清阳不升、土虚火浮、血热血瘀五个证型,治当健脾和胃以固本虚、因势利导以泻邪实、升清降浊以调气机、活血化瘀以畅血行,辨正邪主次与火热虚实,随证治之。Recurrent aphthous stomatitis is a common clinical oral mucosal disease.Both ancient and modern medical practitioners believe that the location of the disease is closely related to the spleen,and the pathogenic factors are closely associated with heat and hot pathogens.Therefore,summarizing the experiences of various schools of thought,the core of exploring the diagnosis and treatment of recurrent aphthous stomatitis is“spleen disease generates heat”.It is divided into five syndrome types:spleen and stomach hidden heat,damp-heat accumulation,cleaRyang failure to rise,earth deficiency with floating fire,and blood heat and blood stasis.The treatment should invigorate the spleen and stomach to consolidate the foundation,eliminate pathogenic factors by taking advantage of the situation,regulate qi movement by raising the cleaRand reducing turbidity,and promote blood circulation and resolve stasis to promote blood flow.Distinguishing between right and wrong,prioritizing treatment of heat and deficiency,and treating accordingly.

关 键 词：复发性口疮 脾病生火 病机分类 治疗大法 证治关联 

分 类 号：R246.83[医药卫生—针灸推拿学]