论脾肾亏虚与流唾症  

Discussion on Spleen-Kidney Depletion and Sialorrhea

作　　者：孙月明 黄铭涵[2] 罗邦水 何友成 SUN Yueming;HUANG Minghan;LUO Bangshui;HE Youcheng(Zibo Integrated Chinese and Western Medicine Hospital,Zibo Shandong 255026,China;Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350003,China;Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]淄博市中西医结合医院,山东淄博255026 [2]福建中医药大学附属第二人民医院,福建福州350003 [3]上海中医药大学附属龙华医院,上海200032

出　　处：《新中医》2024年第11期198-202,共5页New Chinese Medicine

基　　金：国家自然科学基金项目(82174365);福建省自然科学基金项目(2020J01253)。

摘　　要：脾在液为涎、肾在液为唾,强调脾、肾二脏在唾液的生成、输布、排泄方面的关键作用。流唾症病机总属脾肾亏虚。或是脾气不升,口津乏源,浊邪上干;或为脾阳亏虚,土不制水,口津失运;或属脾虚失摄,口唇痿软,涎满而溢;或因肾阴亏虚,脾中虚热,津为火迫;或肾阳亏虚,关门不利,口津内聚;抑或是肾气亏虚,先天不足,口津内停。临证辨治上应重视脾肾亏虚这一核心病机,以健脾止涎、益肾摄唾为治疗总则。可采用益气健脾、理气化浊,健脾助运、温阳化饮,补中益气、健脾摄涎,补肾滋阴、化浊利水,补益肾气、蠲饮除邪等法治之,以促进津液代谢过程平衡稳定,进而使流唾症逐渐向愈。The saying of“fluid of the spleen is thin saliva,and fluid of the kidney is thick saliva”emphasizes the key role of the spleen and kidney in the generation,distribution,and excretion of saliva.The pathogenesis of sialorrhea always belongs to spleen and kidney deficiency;or spleen qi fails to ascend,mouth lacks fluids,and turbid pathogen dries up;or spleen yang depletes,earth fails to control water,and oral fluid fails to transport;or spleen deficiency fails to contain,mouth and lip become flaccid,and saliva overflows;or due to kidney yin depletion,deficiency-heat spleen,and fire pressure in the body;or kidney yang depletion,unfavorable closing of the door,and convergence of the mouth and saliva;or kidney qi depletion,congenital deficiency,and cessation of oral fluid.In clinical differentiation and treatment,attention should be paid to the core pathogenesis of spleen-kidney depletion,with fortifying the spleen and stopping salivation,reinforcing kidney and absorbing saliva as the treatment principle.The methods can be used to promote the balance and stability of body fluid metabolism,such as tonifying qi and fortifying the spleen,rectifying qi and removing turbidity,promoting spleen circulation,warming yang and dissolving rheum,supplementing the center and boosting qi,fortifying the spleen and absorbing saliva,nourishing the kidney and enriching yin,removing turbidity and promoting urination,supplementing kidney qi,and reducing rheum and eliminating pathogenic factors,thereby gradually improving salivation.

关 键 词：流唾症 脾肾亏虚 健脾止涎 益肾摄唾 辨治思路 

分 类 号：R781.7[医药卫生—口腔医学]