开泄法和苦泄法在代谢病中的应用探讨  

Discussion on the Application of Opening-dispersing and Bitter Catharsis in Metabolic Diseases

作　　者：张恒耀 纪少秀 党毓起 ZHANG Heng-yao;JI Shao-xiu;DANG Yu-qi(Yinchuan Traditional Chinese Medicine Hospital,Yinchuan 750001,China;Ningxia Metabolic Disease(Integrated Traditional Chinese and Western Medicine)Clinical Medical Research Center,Yinchuan 750001,China;School of Basic Medicine,Chengdu University of Traditional Chinese Medicine,Chengdu 610072,China)

机构地区：[1]银川市中医医院,银川750001 [2]宁夏代谢性疾病(中西医结合)临床医学研究中心,银川750001 [3]成都中医药大学基础医学院,成都610072

出　　处：《江西中医药大学学报》2023年第5期1-3,7,共4页Journal of Jiangxi University of Chinese Medicine

基　　金：宁夏自然科学基金项目(2019AAC03280);宁夏青年科技人才托举工程项目(TJGC2019097)。

摘　　要：开泄法和苦泄法在叶天士《温热论》中主要用于治疗湿邪偏胜的温病,其治法内涵在于宣畅气机,泄利湿浊。在《临证指南医案》中叶天士又将其发挥用于各种内生湿邪的病证,临床疗效显著。通过文献参阅及临床实践,将代谢性疾病的中医病机概括为“气机郁滞,精气浊化”,结合开泄法和苦泄法的治法内涵,确立了“调气泄浊”的代谢病基本治则,拓展了代谢性疾病的中医病机和治法理论。In YE Tian-shi's Treatise on Warm-Heat Diseases,the methods of opening-dispersing and bitter catharsis are mainly used to treat the warm diseases with excessive dampness.The connotation of the treatment lies in regulating Qi and discharging turbidity.In the Clinical Guide Medical Record,the methods are used to treat various diseases with endogenous dampness.Through literature review and clinical practice,the TCM pathogenesis of metabolic diseases is summarized as"Qi stagnation and essence turbid".Based on the treatment theories of opening-dispersing and bitter catharsis,the basic treatment principle of"regulating Qi and discharging turbid"is established,which expands the TCM pathogenesis and treatment theory of metabolic diseases.

关 键 词：开泄 苦泄 代谢性疾病 精气浊化 调气泄浊 

分 类 号：R243[医药卫生—中医临床基础]