国医大师张磊从"燮理阴阳"论治汗证OACSTPCD

Blood stasis,Dampness-Heat accumulation,pathogenic Heat stagnation and fumigation,Yang hyperactivity,Yin injury and Qi deficiency can all become the pathogenic factor of sweating syndrome,which core pathogenesis is disharmony of Yin and Yang,dis-harmony of the nutrient Qi and defense Qi,as well as dysfunction of interstitial striae inducing liquid and fluid loss.In clinical treat-ment,the method of harmonizing is used for holistic regulation.According to the pathogenic regularity and characteristics of sweating syndrome,based on the theory of harmonizing Yin and Yang,the treatment methods are as follows:regulating the five Zang with syn-drome differentiation of Zang and Fu;treating accurately with identification of deficiency and excess;balancing Yin and Yang with suit-able prescription;modifying the formula flexibly according to syndrome or symptom.Besides,the pathological nature of sweating syn-drome can be categorized into two types:deficiency or excess,which should be differentiated first,and then Qi,blood,Yin and Yang should be differentiated.The treatment method for Yin deficiency syndrome is to nourish Yin to stop sweating.For syndrome of defense Yang deficiency,the treatment method is to secure the external,regulate and harmonize the nutrient Qi and defense Qi.Those with Qi and blood deficiency are treated with method of tonifying and replenishing Qi and blood.Those with pathogenic Heat stagnation and fu-migation are treated with clearing and purging the Liver Heat methods.