姜德友基于"以平为期"分型辨治汗证OA
Jiang Deyou's experience in the syndrome differentiation and treatment of sweating disease based on the concept of"taking achieving a harmonious state of the body as the goal"
汗证以汗出异常为临床表现,其病机复杂多样.姜德友认为汗证一病系阴阳失衡、气血偏颇所致,其病机包括营卫失调、阴阳不和致汗液浮泄,湿热内生、气机不畅使热迫津泄,情志拂逆、肝郁化火令血津逆泄,肾失秘藏、阴精盗散引发虚火煎泄,心失所养、瘀热搏结造成心液妄泄.故以"平"为期,针对不同病机进行分型辨治,敛卫和营、踞阴召阳以平阴阳,泄热渗湿、疏调气机而安脏腑,疏肝解郁、清火宁血而畅气机,滋阴填精、降火潜阳而宁虚火,化瘀清热、养心安神而谧心神,复阴阳、气血、寒热、虚实、脏腑功能之平,以飨同道.
Sweating disease is characterized by abnormal sweating,with complex and diverse pathogeneses.Professor Jiang Deyou holds that sweating disease is caused by imbalance of yin and yang and deviation of qi and blood.Its pathogeneses include the following:disharmony between nutrient qi and defensive qi and yin-yang imbalance leading to excessive sweating;internal generation of damp-heat and unsmooth qi movement propelling the body to sweat;emotional disturbance and liver depression with internal heat driving blood and body fluids to be discharged abnormally;kidney's failure to store essence and yin essence leakage inducing deficient fire and excessive sweating;heart malnutrition and entanglement of static blood and heat causing heart fluids to be discharged abnormally.Therefore,its treatment should aim at restoring balance,with different pathogeneses treated in a different way.The specific methods include harmonizing defensive qi and nutrient qi to balance yin and yang,clearing heat and promoting diuresis to soothe qi movement and calm the internal organs,dispersing the liver and resolving depression to clear internal heat and regulate qi movement,nourishing yin and replenishing essence to diminish deficient heat,resolving blood stasis and clearing heat to nourish the heart and calm the mind.The goals of these approaches are to restore the balance of yin and yang,qi and blood,cold and heat,deficiency and excess,and the functions of internal organs.A case study is attached in this article for reference.
于琨;李文昊;代月盈;张曦丹;董春杨;姜德友
黑龙江中医药大学,哈尔滨 150006黑龙江中医药大学,哈尔滨 150006北京中医药大学东直门医院,北京 100700黑龙江中医药大学,哈尔滨 150006黑龙江中医药大学,哈尔滨 150006黑龙江中医药大学,哈尔滨 150006
医药卫生
以平为期汗证分型辨治
taking achieving a harmonious state of the body as the goalsweating diseasepathogenesis-based syndrome differentiation and treatment
《吉林中医药》 2026 (8)
996-1001,6
黑龙江省自然科学基金项目(PL2024H211)国家中医药管理局龙江医学流派传承工作室建设项目(LPGZS2012-14)国家中医药管理局姜德友全国名老中医药专家传承工作室项目(ZHY12-Z095)
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