| 汪天宇,饶立科,夏永良.浅析湿热盗汗的病因病机与治疗思路[J].浙江中西医结合杂志,2019,29(9): |
| 浅析湿热盗汗的病因病机与治疗思路 |
| Brief Analysis of the Etiology Pathogenesis and Treatment of Damp-heat Night SweatWANG Tianyu, RAO Like, XIA Yongliang 1.The Second Affiliated Hospital of Zhejiang Chinese Medical University；2. Traditional Chinese Medicine Hospital of Hangzhou Xiaoshan；3.The First Affiliated Hospital of Zhejiang Chinese Medical University |
| 投稿时间：2019-04-24 修订日期：2019-05-07 |
| DOI： |
| 中文关键词: 湿热 盗汗 病因病机 改良生活习惯 清热化湿。 |
| 英文关键词:Damp-heat Night sweat Etiology and pathogenesis Improvement of living habits Clearing away heat and dampness. |
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| 中文摘要: |
| [目的]阐述湿热盗汗的病因病机,纠正一遇盗汗便敛阴止汗的惯性思维。通过理论与临床相结合的方式提出湿热盗汗的论治之法。[方法]对临床上证属湿热内蕴型的盗汗患者,使用葛根芩连、四妙散合三仁汤加减清热化湿治疗。在中药治疗的同时,改变患者可能会导致湿热证的不良生活习惯。最后观察疗效,并举隅验案一则。[结果]通过清热化湿的中药治疗以及健康宣教后,不仅患者的主症盗汗状况得到有效控制,湿热证的其余症状均有所改善。[结论]盗汗患者证有虚实,临床上存在湿热证象者不在少数,故应当予以重视。而导致湿热之病因繁多,中医治病必求于本,故在治疗上需从盗汗问题产生的源头入手,而不应局限于盗汗之表象。治疗此病,从改良患者生活习惯、药物辅助治疗两方面入手,改良生活习惯可令患者阴阳调和,正气充沛,不易产生湿热证；中药治疗攻补兼施,清化湿热与补益脾胃并举,可令药物与人体正气相辅相成,共同将邪气排出体外。最后达到阴平阳秘,精神乃治的状态,盗汗自然能愈。 |
| 英文摘要: |
| [Objective] To change the doctor"s inertial thinking of treating night sweat with nourishing yin and stopping sweat, this paper expounds the etiology and pathogenesis of damp-heat night sweat. Through the combination of theory and clinical practice, the correct treatment of damp-heat night sweating was put forward. [Methods] We used Ge Gen Qin Lian Decoction, Si Miao San and San Ren Decoction to treat night sweats with Damp-heat syndrome. Simultaneously, to the best of our ability to change the bad habits of patients with Damp-heat syndrome. Finally, the curative effect was observed and one case was cited. [Results] After the treatment of traditional Chinese medicine for clearing away heat and dampness and health education, not only the main symptoms of sweating were effectively controlled, but also the other symptoms of damp-heat syndrome were improved. [Conclusion] The causes of night sweat can be divided into deficiency and excess. There are a great deal of patients with damp-heat syndrome in clinic, so we should pay enough attention to them. There are many causes of dampness and heat, when Chinese medicine treats diseases, it starts from the fundamental point of view, so the treatment should start from the source of the problem of night sweat, rather than stay in the appearance of night sweat. To treat this disease, we need to improve the living habits of patients and drug adjuvant therapy. Improvement of living habits can make patients Yin and Yang harmonious, positive Qi abundant, not easy to produce damp-heat syndrome; Chinese medicine treatment of both attack and tonic, while clearing damp-heat and tonifying the spleen and stomach simultaneously, can make drugs and human body positive Qi help each other, together the evil gas out of the body. Finally, the state of Yin Ping Yang Mi and Ease of mind can be achieved. Night sweat can be healed naturally. |
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