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李浩教授运用"虚气留滞"理论辨治汗证OA

Professor LI Hao Differentiates and Treats Sweating Syndrome Using"Qi Deficiency and Stagnation"Theory

中文摘要英文摘要

汗证是临床常见病证.现代医学治疗汗证手段有限,且存在不良反应等局限,中医药辨证论治具有独特优势.李浩教授经多年临床实践提出,"虚气留滞"为汗证核心病机:"虚"为汗出之本,包括气血阴阳亏虚、营卫不和、卫外不固、津液耗伤;"滞"为汗出之标,气滞、痰凝、湿阻、血瘀等病理产物蕴滞肌腠经络所致.治疗应谨守病机,遵从《素问》中"平治于权衡,去宛陈莝"之旨,以益气养血、调和阴阳、固表敛汗补其虚,以祛痰化浊、清热祛湿、活血化瘀、和解枢机通其滞;临证用药方随证转、药随症加,善以大剂量黄芪、苍术等固表运脾,并顾护胃气.

Sweating syndrome is a common clinical disorder.Modern medical treatment is limited by inadequate therapies and adverse effects.In contrast,traditional Chinese medicine(TCM)emphasizes syndrome differentiation and treatment,demonstrating unique advantages.Based on years of clinical practice,Professor LI Hao proposes that"qi deficiency and stagnation"is the core pathogenesis of sweating syndrome.Specifically,"deficiency"is the root of sweating,covering qi,blood,yin,and yang deficiency,nutrient-defense disharmony,defensive qi deficiency,and body fluid consumption."Stagnation"is the branch resulting from the accumulation of pathological products,including qi stagnation,phlegm coagulation,dampness,and blood stasis,in interstices and meridians.Accordingly,in adherence to pathogenesis,treatment follows the principle"regulating balance and eliminating stagnated pathogen"in the Plain Questions.Deficiency is tonified by replenishing qi and nourishing blood,harmonizing yin and yang,as well as strengthening the exterior and arresting sweat.Stagnation is resolved by dispelling phlegm and eliminating turbidity,clearing heat and removing dampness,activating blood and resolving stasis,and harmonizing the pivot.In clinical practice,medication is modified according to syndromes and symptoms,adept at Astragali Radix and Atractylodis Rhizoma of large dosages to strengthen the exterior and spleen while protecting stomach qi.A typical case is attached for validation.

李琪琳;肖杰;谭展飞;李浩

中国中医科学院望京医院,北京 100102中国中医科学院望京医院,北京 100102中国中医科学院望京医院,北京 100102中国中医科学院望京医院,北京 100102

医药卫生

李浩虚气留滞平治权衡去宛陈莝汗证

LI Haoqi deficiency and stagnationregulating balanceeliminating stagnated pathogenSweating syndrome

《世界中西医结合杂志》 2026 (9)

1735-1738,4

中国中医科学院望京医院高水平中医医院建设项目"名老医药专家学术经验传承"项目(WJCC-202306)

10.13935/j.cnki.sjzx.260907

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