《黄帝内经》"酒风"新解——基于糖尿病泌汗异常谈"酒风"OA
An Interpretation of"Jiu Feng"Proposed in Huang Di Nei Jing Based on Diabetic Sweating Abnormality
酒为《黄帝内经》十三方之一,古人酿酒通常作为疾病的防治之用,与此同时,多种疾病也可因饮酒不当而得之,如《黄帝内经》中所载"酒风"."酒风"主要病机为中满土壅而生内热,腠理不固,津液外泄,同时又兼可引起木郁化火.肝脾居于中焦,中焦郁热,郁火灼肺,肺开窍于皮毛,故而造成津液外泄为汗;还可因日久伤脾,致腠理不固,汗出漏泄.治疗具备饮酒史的糖尿病泌汗异常患者时,应考虑到疾病或为酒风,而非单纯地认为其仅为糖尿病泌汗异常.故在中医治疗上,应"因人制宜""因'因'制宜",从糖尿病病因进行探讨而对其合并的汗证进行对症治疗,从而达到预期疗效.
Jiu(Liquor)is one of the thirteen prescriptions illustrated in Huang Di Nei Jing,and the ancients usually used it as a pre-ventive and therapeutic use of diseases.At the same time,a variety of diseases can also be obtained due to improper drinking of liquor,such as"Jiu Feng"discribed in Huang Di Nei Jing.The main pathogenesis of"Jiu Feng"is that the Middle Jiao(Earth Element)is blockage induces internal Heat,and the opened pores induces body Fluids leakage;at the same time,(Liver)Wood stagnation induces Fire.Since the Liver and Spleen are in the Middle Jiao,the stagnant Heat within which burns the Lung and the Lung is connected to the skin and fine hair,which causes the body Fluids leakage as sweat.Over time,the Spleen is further damaged,which cause greater sweat leakage.Therefore,when treating diabetic dyphorrhea with a history of alcohol consumption,the disease related to alcohol should be con-sidered,rather than simply thinking that it is only diabetic dyshidrosis.Therefore,in traditional Chinese medicine treatment practice,it is necessary to"treat according to the person"and"treat according to the cause",and discuss the cause of diabetes and treat the com-bined sweating syndrome symptomatically,so as to achieve the expected curative effect.
王彤瑞;王孟龙;吴祺;李明哲;谷峰
辽宁中医药大学附属第二医院,辽宁 沈阳 110034辽宁中医药大学中医学院,辽宁 沈阳 110032辽宁中医药大学附属第二医院,辽宁 沈阳 110034辽宁中医药大学附属第三医院,辽宁 沈阳 110005辽宁中医药大学中医学院,辽宁 沈阳 110032
医药卫生
酒风糖尿病泌汗异常汗证《黄帝内经》
Jiu Fengabnormal diabetic sweatingsweating syndromeHuang Di Nei Jing
《中医学报》 2026 (4)
782-785,4
国家中医药管理局第四批优秀人才(中医基础类)研修项目(10010244B10038)
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