向楠教授运用温肾健脾化痰法治疗肥胖症经验浅析  

Analysis of Professor XIANG Nan’s experience in treating obesity by warming kidney and strengthening spleen and eliminating phlegm

作　　者：宋幸铃 周亚娜 周慧敏[1] 左盼 向楠[1] 

机构地区：[1]湖北中医药大学,湖北武汉430061 [2]湖北省中医院/湖北中医药大学附属医院/湖北省中医药研究院,湖北武汉430074

出　　处：《中医临床研究》2024年第27期127-130,共4页Clinical Journal Of Chinese Medicine

基　　金：湖北省自然科学基金项目(2020CFB155);湖北省教育厅科学技术研究项目(B2020099);湖北中医名师向楠工作室(鄂卫生计生通报[2018]15号)。

摘　　要：肥胖症是机体脂肪总含量过多和/或局部含量增多及分布异常的慢性代谢性疾病。近年来超过一半的中国成年人患有超重或肥胖,肥胖症已成为中国的重大公共卫生问题,主要治疗手段包括非药物治疗(饮食、运动、心理、手术)和药物治疗等,但疗效有限,且存在潜在的并发症或不良反应等问题,中医药在临床实践中呈现显著的优势。向楠教授是湖北中医药大学二级教授、主任医师、博士生导师,湖北中医名师、首届湖北省中青年知名中医、武汉中青年名医。曾入选首批全国优秀中医临床人才,为第七批全国老中医药专家学术经验继承工作指导老师,获评第四届湖北省楚天园丁奖。向楠教授对肥胖症的研究颇有建树,运用温肾健脾化痰法治疗肥胖症是向楠教授学术思想和临床经验的重要部分。向楠教授基于禀赋体质、人体衰老的内因,饮食不节、劳逸失度的外因,在中医痰病学说发病观的基础上,认为肥胖症的病机总属脾肾亏虚,痰湿内蕴,病性属本虚标实,提出温肾健脾,化痰治肥的观点,总结出温肾健脾化痰经验方,该方由淫羊藿10 g,肉桂5 g,茯苓15 g,苍术10 g,陈皮10 g,荷叶30 g等组成。肥胖的脾肾阳虚证多见于中老年人及难治性肥胖症患者,针对此证向楠教授强调温肾补肾的重要性,临床上疗效确切,值得进一步推广和应用。Obesity is a chronic metabolic disorder characterized by excessive total body fat and/or localized fat accumulation Oand abnormal distribution.In recent years,more than half of Chinese adults are overweight or obese,obesity has become a major public health problem in China.The main treatment methods for obesity include non-pharmacological interventions(diet,exercise,and psychological support,surgical interventions)and pharmacological treatment.However,these treatments have limited efficacyand may have potential complications or side effects.Traditional Chinese medicine(TCM)has shown significant advantages in clinical practice.Professor XIANG Nan is a second-level professor,chief physician,and doctoral supervisor at Hubei University of Chinese Medicine.She is a renowned TCM expert in Hubei Province and is selected as one of the first batch of outstanding TCM clinical talents nationwide.She serves as a guiding teacher for the academic experience inheritance of the seventh batch of national senior TCM experts and has been honored with the fourth Chutian Gardener Award in Hubei Province.Professor XIANG Nan has made great achievements in the research of obesity and has developed the academic thoughts and clinical experience in the treatment of obesity using the method of warming kidney,invigorating spleen,and resolving phlegm.Based on the theories of TCM on phlegm-related diseases,Professor XIANG Nan believes that the pathogenesis of obesity mainly involves deficiency of spleen and kidney,internal accumulation of phlegm and dampness.She proposes the viewpoint of warming kidney,invigorating spleen,and resolving phlegm to treat obesity.She has summarized the empirical decoction for this treatment,which includes Yinyanghuo(epimedium)10 g,Rougui(cinnamon)5 g,Fuling(poria)15g,Cangzhu(atractylodes)10 g,Chenpi(tangerine peel)10 g,Heye(lotus leaf)30 g.This decoction is specifically designed for obese patients with spleen and kidney yang deficiency,a condition commonly seen in middle-aged and elderly individuals,as well as in

关 键 词：肥胖 名家经验 温肾健脾化痰方 

分 类 号：R723.14[医药卫生—儿科]