从水逆探讨空调病的发生机制与治疗策略  

Discussion on Mechanism and Treatment Strategy of Air-Conditioning Disease from Theory of Water Inversion

作　　者：武可尚京 龙柯宇 陈先玉 张静[1] 白耀琳 李斌[1] Wu Keshangjing;Long Keyu;Chen Xianyu;Zhang Jing;Bai Yaolin;Li Bin(Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,610072,China)

机构地区：[1]成都中医药大学附属医院,四川成都610072

出　　处：《成都中医药大学学报》2025年第1期59-62,共4页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82174345);四川省干部保健科研项目(川干研2022-504)。

摘　　要：水逆发生原因为水气内停,逆犯三焦,其阳气闭郁,津液失布的特性与空调病的病机具有共通性。通过分析空调病寒燥伤阳,气不布津的关键病机,结合空调病发病表现出的头晕头痛、咳嗽恶寒、咽痛鼻塞等一系列症候,提出温阳启闭,化气布津的治疗总则,选方以五苓散为基础方,根据患者阳伤、气闭、水停的偏重,加用真武汤以温阳布津、柴胡桂枝干姜汤以通阳开玄、猪苓汤以滋阴利水,以恢复津液之转输,三焦之气化。From the perspective of“Water Inversion”,it is believed that the closure of the body's yang Qi and the loss of bodily fluids share similarities with the pathogenesis of Air-Conditioning disease.Through an analysis of the key pathogenesis of Air-Conditioning disease,which involves Cold and Dryness injuring Yang,and Qi not distributing fluids,combined with the symptoms of dizziness,headache,cough,chills,sore throat,and nasal congestion that are commonly observed in patients with Air-Conditioning disease,a treatment plan was proposed that involves warming Yang,opening closure,transforming Qi,and distributing fluids.The basic formula for this plan is“Wuling Powder”,and additional formulas such as“Zhenwu Decoction”can be added to warm Yang and distribute fluids based on the patient's specific condition.“Chaihu Guizhi Ganjiang Decoction”can also be added to promote the circulation of Yang and open the mysterious pathways,and“ZhuLing Decoction”to nourish Yin and promote Water,to restore the transformation of bodily fluids and the distribution of Qi in the Three Jiao.

关 键 词：水逆 空调病 五苓散 津液失布 

分 类 号：R222[医药卫生—中医基础理论] R2-03[医药卫生—中医学]