从《医原》中的“燥、湿”论论治干燥综合征  

Treating Sjogren’s syndrome based on the theories of dryness and dampness in Yiyuan

作　　者：姜雨 姜兆荣[1] JIANG Yu

机构地区：[1]辽宁中医药大学附属医院,辽宁沈阳110847

出　　处：《中医临床研究》2024年第25期39-42,共4页Clinical Journal Of Chinese Medicine

摘　　要：干燥综合征是临床常见的一种累及泪腺、唾液腺等外分泌腺的慢性炎症性自身风湿免疫病,临床以口干、眼干为主要表现,可损及其他重要脏器,影响患者的生活质量。本病临床症状与湿病相差甚远,但临床中部分燥证是由湿证导致的,与患者体内的水液代谢障碍息息相关。《医原》为清代名医石寿棠所撰,书中对“燥邪、湿邪”论述尤为透彻,认为燥湿之证的形成与季节、患者个人体质、地理位置等因素有关。干燥综合征与燥湿关系密切,同时还受精、气、血、津液运行的影响。该病临床症状表现表面与湿病性质、表现相差甚大,表现出是燥证,但其症状与体内水液代谢障碍息息相关。在临床实践中,从燥、湿角度出发对干燥综合征患者进行辨证施治,取得了不错的疗效。研究以《医原》中的“燥、湿”理论为基础,从燥、湿、燥湿同病3个方面论治干燥综合征,为临床治疗本病提供新思路。Sjogren’s syndrome is a common chronic inflammatory autoimmune rheumatic disease involving lacrimal glands,salivary glands and other exocrine glands in clinical practice.Dry mouth and dry eyes are the main clinical manifestations.The disease can damage other important internal organs and affect the quality of life of patients.The clinical symptoms of this disease are very different from the wet disease apparently,but part of the clinical dryness syndrome is actually caused by wet syndrome,and is closely related to the water metabolism disorder in the patient.Yiyuan(《医原》)was written by SHI Shoutang,a famous TCM practitioner in the Qing Dynasty.In this book,the explanation of dryness evil and dampness evil was particularly thorough,and it was believed that the formation of dryness-dampness syndrome was related to the season,the personal constitution,and the geographical location.Sjogren's syndrome is closely related to dryness and dampness,and is also influenced by the circulation of essence,Qi(气),blood,and body fluid.The clinical symptoms of this disease may appear quite different from those of dampness-related diseases,manifesting as a dryness syndrome,but its symptoms are closely related to the disturbance of water metabolism in the body.In clinical practice,Sjogren’s syndrome is treated from the perspectives of dryness and dampness based on syndrome differentiation,and good curative effects have been gained.Based on the theories of dryness and dampness in Yiyuan,the treatment of Sjogren’s syndrome is discussed in the paper from three aspects of dryness,dampness,and dryness-dampness agglutination,so as to provide new ideas for clinical treatment of this disease.

关 键 词：干燥综合征 《医原》 燥湿 

分 类 号：R229[医药卫生—中医基础理论]