张磊从“燥湿同形同病”论治干燥综合征经验  

ZHANG Lei′s Experience in the Treatment of Sj?gren Syndrome from the Perspective of"Same Form and Disease of Dryness and Dampness"

作　　者：李亚南[1] 许二平[1] 张瑞[1] 张磊(指导)[1] LI Yanan;XU Erping;ZHANG Rui(Henan University of Chinese Medicine,Zhengzhou,450046)

机构地区：[1]河南中医药大学,河南郑州450046

出　　处：《中医杂志》2025年第1期12-16,共5页Journal of Traditional Chinese Medicine

基　　金：河南省特色骨干学科中医学学科建设项目(STGZYX04-202132)。

摘　　要：总结张磊教授从“燥湿同形同病”论治干燥综合征的临证经验。认为干燥综合征的病理因素涉及燥、湿两个方面,重要病机为燥湿同形同病,即燥与湿同形互化或同病相兼。燥湿同形包括因湿致燥证和因燥致湿证,分别予以五苓散加减、阿胶鸡子黄汤加减;燥湿同病临床常见证型为肺燥脾湿证、胃燥脾湿证、肝燥脾湿证、肾燥脾湿证,分别予以甘露饮合苇茎汤加减、自拟健脾养阴方加减、自拟谷青汤合橘皮枳术丸加减、肾气丸合苓桂术甘汤加减。This paper summarized professor ZHANG Lei′s experience in the treatment of sjogren syndrome(SS)from the perspective of"same form and disease of dryness and dampness".It is believed that both dryness and dampness are involved as the pathological factors of SS.The important pathogenesis is that dryness and dampness are of the same form and coexist in the disease,that is,dryness and dampness can transform into each other with the same form or be concurrent in the disease.The same form of dryness and dampness includes the dryness syndrome caused by dampness and the dampness syndrome caused by dryness,which can be treated with modified Wuling Powder(五苓散)and modified Ejiao Jizihuang Decoction(阿胶鸡子黄汤),respectively.The disease of both dryness and dampness includes lung dryness with spleen dampness,stomach dryness with spleen dampness,liver dryness with spleen dampness,and kidney dryness with spleen dampness syndrome,which can be treated with modified Ganlu Beverage and Weijing Decoction(甘露饮合苇茎汤),self-made Jianpi Yangyin Formula(健脾养阴方)with modifications,self-made Guqing Decoction and Jupi Zhishu Pill(谷青汤合橘皮枳术丸)with modifications,and Shenqi Pill and Linggui Zhugan Decoction肾气丸合苓桂术甘汤)with modifications,respectively.

关 键 词：干燥综合征 燥证 湿证 名医经验 张磊 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]