基于《黄帝内经》五脏风理论探讨汗证的论治OA
Discussion on the Treatment of Sweating Syndrome Based on the Five Visceral Wind Theory in the"Huangdi Neijing"
汗证是指因阴阳失调,腠理不固,而致局部或全身非正常汗出的病证,其核心病机可归结为内外邪气扰乱机体,阴阳平衡失调,津液输布排泄功能紊乱.汗证的病因病机复杂,众多医家论治汗证多从"气虚、阴虚、湿热"等病理方面入手."五脏风"是指风邪侵犯人体五脏导致阴阳失衡后出现的一系列症状,文章旨在通过研究《黄帝内经》"五脏风"理论,揭示五脏风与汗证形成的内在关联,明确五脏风汗出具有"风邪内存"与"脏气阴阳失衡"双重病机特点,以及在临床表现上具有明显的时间节律性、体质易感性,进而从病因层面创新性提出"燮理阴阳-协调风气"的五脏风所致汗出的治疗总则.希望实现上游病因与下游病证和预防调护的整体治疗,从而提高疗效.
Sweating Disease refers to a clinical condition characterized by genelized or localized abnormal sweating due to imbalance of Yin-Yang and insecure in terstices.Its core pathogenesis arises from internal and external Wind-Evilra dist urbing the body,leading to Yin-Yang imbalance and disordered distribution/excretion functions of Body Fluids.The etiology and pathogenesis of Sweating Disease are complex,with many scholars focusing on pathologi-cal factors such as"Qideficiency,Yin deficiency,and damp-heat"in their diagnosis and treatment.Five Zang Wind describes a series of symptoms caused by Wind Evil invading the Five Zang organs,resulting in the imbalance of yin andyang.This paper explores the"Five Zang Wind"theory in Huangdi Neijing to uncover the intrinsic link between Five Zang Wind and Sweating Disease.It identifies that sweating induced by Five Zang Wind involves dual patho-logicalmechanisms:"internal retention of Wind Evil"and"imbalance of Yin and Yang of Five Zang".Clinically,such sweating demonstrates distinct temporal rhythms and constitutional susceptibilities.Innovatively,this study proposes aetiological treatment principles of"harmonizing Yin-Yang and regulating Wind qi"for Sweating Disease caused by Five Zang Wind.The goal is to integrate upstream aetiology,downstream diagnosis and treatment,and preventive care into aholistic therapeutic approach,thereby enhancing clinical efficacy.
杨凛然;赵孟婷;刘振鑫;邓奕辉
湖南中医药大学第一中医临床学院 湖南 长沙 410007湖南中医药大学第一中医临床学院 湖南 长沙 410007湖南中医药大学第一中医临床学院 湖南 长沙 410007湖南中医药大学 湖南 长沙 410208
医药卫生
汗证黄帝内经五脏风风邪论治
Sweating DiseaseHuangdi NeijingFive Zang WindWind EvilDiagnosis and Treatment
《中医药临床杂志》 2026 (3)
475-480,6
湖南省科技创新计划资助(2020RC4050)湖南省自然科学基金创新研究群体项目(2024JJ1007)
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