“瘦人多火症”的因机证治探析  

Analysis of the Causes, Mechanisms, Syndromes and Treatments of Excessive Fire in Thin People

作　　者：叶放[1] 孙萌 周崇怡 万洁 豆晓云 陈潇颖 YE Fang;SUN Meng;ZHOU Chongyi;WAN Jie;DOU Xiaoyun;CHEN Xiaoying(Inheritance Studio of National Medical Master Zhou Zhongying,Nanjing University of Chinese Medicine,Key Research Laboratory of TCM Stasis-Heat Pathogenesis,National Administration of Traditional Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学国医大师周仲瑛传承工作室/国家中医药管理局中医瘀热病机重点研究室,江苏南京210029

出　　处：《南京中医药大学学报》2024年第9期880-884,共5页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：江苏省(社会发展)重点研发计划(BE2019723);中国中医科学院学部委员学术传承与传播专项项目(CI2022E028XB)。

摘　　要：提出消瘦是临床常见的体质状态,常常会伴随“瘦人多火症”相关证候表现。阴气不足是形体消瘦的主要生理、病理基础,燥火偏旺是形体消瘦的继发表现,病位涉及五脏,核心在脾。治疗原则以滋养阴气为主,宣发郁热为辅。具体包括治本与治标两个方面,治本当滋养阴气以改善“消瘦”体质,治标在发散郁热以消除“多火”状态,二者孰轻孰重应依据火旺轻重缓急而定。临床根据病情之标本缓急、消瘦而能食不能食、火热之虚实微盛、病机兼夹以及季节等因素进行药味加减。Emaciation is a common physical condition in clinical practice,often accompanied by symptoms related to"excessive fire in thin people".Insufficient yin-qi is the main physiological and pathological basis of emaciation,and excessive dryness-heat is the secondary manifestation.The disease involves five viscera,with the spleen as the core.The principle of treatment is to nourish yin-qi as the main method,and to dissipate stagnant heat as the auxiliary method.Specifically,it includes two aspects:treating the root cause and treating the symptoms.Treating the root cause should nourish yin-qi to improve the"emaciation"constitution,and treating the symptoms should dissipate stagnant heat to eliminate the"excessive fire"state.The importance of the two should be determined according to the severity and urgency of the excessive fire.Clinically,the addition and subtraction of medicinal ingredients are made according to factors such as the urgency of the root cause and symptoms,the state of emaciation and the ability to eat,the degree of deficiency or excess of fire-heat,the pathogenesis of the disease,and the season.

关 键 词：千金润脾膏 瘦人多火 阴虚燥热 证治探析 病机 体质 

分 类 号：R228[医药卫生—中医基础理论]