毛以林教授辨治汗证验案举隅  

Professor Mao Yilin's Experience in Treating of Sweat Syndrome

作　　者：伍秦亮 唐思琴 毛以林(指导)[2] WU Qinliang;TAN Siqin;MAO Yilin(Hunan University of Traditional Chinese Medicine,Changsha 410208,China;The Second Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410000,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第二附属医院,湖南长沙410000

出　　处：《中国民族民间医药》2025年第8期99-102,共4页Chinese Journal of Ethnomedicine and Ethnopharmacy

基　　金：湖南省卫生健康委员科研基金项目(D202303017511);湖南中医药大学“一方制药”研究生创新项目(2024YF04)。

摘　　要：多汗症在临床治疗上存在不良反应多、长期预后不佳等问题,归属于中医“汗证”范畴,中医药治疗具有历史悠久、疗效突出、整体辨治等特点,文章总结了毛以林教授治疗汗证的临证经验。毛以林教授认为汗证总病机为阴阳失调,腠理不固,强调“部位-经络-脏腑”整体观念,其病位与五脏均有关,局部汗出可由经络归属脏腑,由脏腑定位并明确病性,临床推崇药物归经的应用,重视敛汗药、引经药及外用药的运用。Hyperhidrosis has many adverse reactions and poor long-term prognosis in clinical treatment.It belongs to the category of'sweat syndrome'in traditional Chinese medicine.The treatment of traditional Chinese medicine has the characteristics of long history,outstanding curative effect and overall differentiation and treatment.This paper summarizes the clinical experience of Professor Mao Yilin in the treatment of sweat syndrome.Professor Mao Yilin believes that the total pathogenesis of sweat syndrome is imbalance of yin and yang,and the striae is not solid.He emphasizes the overall concept of‘part-meridian-viscera’.The location of the disease is related to the five zang-organs.Local sweating can be attributed to the zang-organs by the meridians,and the nature of the disease can be defined by the zang-organs.Clinically,the application of meridian tropism of drugs is highly praised,and the application of antiperspirant drugs,meridian-guiding drugs and external drugs is emphasized.

关 键 词：汗证 辨治经验 典型案例 毛以林 

分 类 号：R249.2[医药卫生—中医临床基础] R246.7[医药卫生—中医学]