基于《丹溪心法》痰证观中医外治肝胆疾病  

External Therapy of Traditional Chinese Medicine in the Treatment of Hepatobiliary Disease Based on Phlegm Syndrome Viewpoint in Danxi Xinfa

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作  者:邵祥芸 李晓会 SHAO Xiangyun;LI Xiaohui(Department of Traditional Chinese Medicine,Juyuan New Area Community Health Service Center of Jiading District,Shanghai 201800,China)

机构地区:[1]上海市嘉定区菊园新区社区卫生服务中心中医科,上海201800

出  处:《光明中医》2025年第2期360-362,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

基  金:上海市嘉定区社区名老中医(流派)工作室建设项目(No.2021MLZYLPGZS-011);嘉定区卫生健康委中医药科研基金项目(No.2023-QN-ZYY-01)。

摘  要:肝胆疾病是临床常见病、多发病,病情复杂多变。近年来,社区老年人群体检后发现其肝胆疾病发病率也逐年增加。此文结合朱丹溪从痰论治杂病的观点,对中医“有形之痰”和“无形之痰”进行阐述,初步分析病理因素“痰”在肝胆疾病发病过程中的病因病机,从“畅气机、实脾土、燥脾湿”的治疗原则出发,结合国内学者近几年的研究结果,对痰邪易致病危险因素进行简要分析,以期达到能够加强对痰证的重视,指导临床实践,从中医外治角度预防此类疾病的进一步发展。Hepatobiliary disease is a common and frequently occurring disease in clinic,and its condition is complex and changeable after the disease.In recent years,the incidence rate of hepatobiliary diseases among elderly people in the community has also increased year by year after physical examination.This article combined Zhu Danxi's viewpoint of treating miscellaneous diseases from the perspective of phlegm theory,and elaborated on the“tangible phlegm”and“intangible phlegm”discussed in traditional Chinese medicine.It preliminarily analyzed the etiology and pathogenesis of the pathological factor“phlegm”in the pathogenesis of liver and gallbladder diseases.Starting from the treatment principles of“promoting qi circulation,strengthening spleen soil,and drying spleen dampness”,combined with the research results of domestic scholars in recent years,it briefly analyzed the risk factors of phlegm pathogenic factors,in order to strengthen the attention to phlegm syndrome,guide clinical practice,and prevent further development of such diseases from the perspective of external treatment in traditional Chinese medicine.

关 键 词:肝胆疾病 痰证 《丹溪心法》:朱丹溪 中医外治疗法 

分 类 号:R259[医药卫生—中西医结合]

 

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