谭毅从心论治老年汗证经验
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摘要
汗证是老年人群常见病或疾病伴发症状,严重影响患者的生活质量。老年人由于高龄机体老化、免疫力下降、全身组织器官功能衰退,常见病程缠绵难愈。谭毅教授基于《素问·宣明五气篇》"五脏化液,心为汗"理论,强调汗为心之所主,临床出现的汗证多与心有关,生理上心与汗液密切相关,也决定了其在病理上必然相互影响。谭毅教授临证中发现老年汗证患者多伴有心悸、胸闷、气短、失眠多梦等心系症状,治疗时从心论治,常获良效。
Sweating syndrome is a common disease or disease associated with symptoms in the elderly,which affects the quality of life of patients seriously.Because of aging,immunity decline,systemic tissue and organ function decline,the disease is often difficult to heal.Based on the theory that "the five Zang organs turn into liquid and the heart lquid is the sweat",Professor TAN Yi emphasizes that sweat is the master of the heart.The clinical manifestations of sweat syndrome are mostly related to the heart,and physiologically,the heart is closely related to sweat.It also determines that it must interact with each other on pathologically.Professor TAN Yi found that sweating syndrome patients with heart palpitations,chest tightness,shortness of breath,insomnia and dreams and other heart symptoms can obtain good effect by the treatment from heart.
Sweating syndrome is a common disease or disease associated with symptoms in the elderly,which affects the quality of life of patients seriously.Because of aging,immunity decline,systemic tissue and organ function decline,the disease is often difficult to heal.Based on the theory that "the five Zang organs turn into liquid and the heart lquid is the sweat",Professor TAN Yi emphasizes that sweat is the master of the heart.The clinical manifestations of sweat syndrome are mostly related to the heart,and physiologically,the heart is closely related to sweat.It also determines that it must interact with each other on pathologically.Professor TAN Yi found that sweating syndrome patients with heart palpitations,chest tightness,shortness of breath,insomnia and dreams and other heart symptoms can obtain good effect by the treatment from heart.
引文
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[2] 许世英.辨证施治多汗症[J].实用中医内科杂志,2013,5(6):65-67.
[3]熊继柏.内经汗证证治研讨[J].山东中医杂志,1995,14(7):293.
[4]吴华强.“汗为心之液”辨识[J].安徽中医学院学报,2003,22(1):7-8.
[5]龙清华,田代志.王平从五脏相关理论辨治汗证[J].中华中医药杂志,2016,31(12):246,5104-5106.
[6]李志刚.中医学心说的“现代化”与自汗、盗汗机理探析[J].世界中西医结合杂志,2008,3(9):553-554.
[7]张智勤.风心病心衰与汗证关系分析[J].实用中医药杂志,2007,23(10):669.
[8]王相阳.从心论治汗证4则[J].江苏中医药,2016,48(10):101.
[9]熊超,陈玉超.从虚论治肿瘤相关性多汗[J].辽宁中医药大学学报,2014,16(4):135-137.
[10]朱文锋.汗证探源[J].光明中医,2008,23(8):1061-1063.
[11]陈书佩.浅议“汗为心之液”,北京中医药,2012,31(9):676-677.
[12]程绍民.浅析《内经》从脏腑论汗[J].上海中医药杂志,2008,42(11):62-63.
[13]陈明.黄帝内经临证指要(藏象篇)[M].北京:学苑出版社,2006:125.
[14]叶天士.临证指南医案[M].北京:人民卫生出版社,2006:114.
[15]仲建刚,郭宏敏.循《临证指南医案·汗》从心肾辨治老年汗证[J].江苏中医药,2016,48(11):43-44.
[16]迟伟,林榕,都荣.盗汗不尽属阴虚[J].辽宁中医药大学学报,2013,15(1):135-136.
[17]姜德友,张志刚.汗证源流考[J].长春中医药大学学报,2009,25(5):662-664.
[18]陈国政.汗证从心论治[J].内蒙古中医药,2012,31(19):122.
[19]黄飞龙,钱林超.汗证从心论治初探[J].光明中医,2009,24(11):2055-2056.
[20]周天羽,陈民,周学文.傅山止汗方临床应用举隅[J].辽宁中医药大学学报,2009,11(1):160-161.