王秀娟运用和法论治手汗症经验  

Wang Xiujuan's Experience of Treating Syndrome of Primary Palmar Hyperhidrosis with Harmonizing Method

作　　者：孙怡柳 王秀娟[2] SUN Yiliu;WANG Xiujuan(Tianjin University of Traditional Chinese Medicine,Tianjin,China,301617;Affliated Hospital of Tianjin Institute of Traditional Chinese Medicine,Tianjin,China,300120)

机构地区：[1]天津中医药大学,天津301617 [2]天津市中医药研究院附属医院,天津300120

出　　处：《河南中医》2024年第8期1211-1215,共5页Henan Traditional Chinese Medicine

摘　　要：王秀娟教授认为,手汗症病机多与局部郁热蕴蒸、经络瘀滞不通有关,主要辨证分型为:肺脾不和证、中焦郁热证与心神失养证。王教授擅长运用和法,从脾胃治疗手汗症,手心汗出过多的肺脾不和证,常运用和脾胃、健脾气或补脾益肺为法,以复肺气之宣肃;中焦郁热证,常用和肝运脾之法,以疏肝泻火、健脾运浊;心神失养证,在补益心脾的基础上侧重健脾益气,中气和则五脏调。王教授治疗手汗症,注重整体辨证,阴阳表里寒热并重,重视中焦气机失调之病机,同时关注情志因素,遵循李东垣“内伤劳役伤脾气,饮食伤胃伤其形”之脾胃观,不忘将现代社会压力下人们的身心疾病因素考虑在内。在用药方面,王教授注重整体观,遣方用药以和为主,重在调和气机,辨证运用和肝疏郁、调和营卫、和解少阳等治法,使机体达到阴平阳秘之稳态。Professor Wang Xiujuan believes that the pathogenesis of syndrome of primary palmar hyperhidrosis(PPH)is often related to local stagnation of heat,as well as blockage of meridians and collaterals.The main syndrome differentiation types are as follows syndrome of disharmony between lungs and spleen,syndrome of stagnated heat in the middle energizer,syndrome of heart and mind deficiency.Professor Wang is skilled in using harmonizing method to treat syndrome of PPH from the spleen and stomach,as well as syndrome of disharmony between lungs and spleen caused by excessive sweating in the palms.She often uses harmonizing method to regulate the spleen and stomach,soothe the spleen qi,or method of tonifying the spleen and replenishing the stomach in order to promote the recovery of lung qi's ascending and descending.For syndrome of stagnated heat in the middle energizer,she often uses the method of harmonizing the liver and invigorating the spleen to soothe the liver,clear fire,invigorate the spleen and remove turbidity.For syndrome of heart and mind deficiency,she places emphasis on invigorating the spleen and replenishing qi on the basis of nourishing the heart and spleen,because the harmony of the middle qi leads to the regulation of the five internal organs.For PPH,Professor Wang focuses on overall syndrome differentiation,emphasizing both yin and yang,cold and heat inside and outside body,and the pathogenesis of the imbalance of the middle energizer qi mechanism.At the same time,she pays attention to emotional factors and follows Li Dongyuan's spleen and stomach view of"internal injury and overstrain damaging spleen qi,while diet injury damaging the stomach".She does not forget to take into account the physical and mental health factors of people under the pressure of modern society.In terms of medication,Professor Wang pays attention to the concept of holism,with a focus on harmonizing the qi mechanism in choosing formulas.She uses differential diagnosis and treatment methods such as soothing the liver depression,r

关 键 词：手汗症 和法 肺脾不和证 中焦郁热证 心神失养证 王秀娟 

分 类 号：R249.2[医药卫生—中医临床基础]