山东中医药大学学报2025，Vol.49Issue(4)：441-445,5.DOI:10.16294/j.cnki.1007-659x.2025.04.007
《脾胃论》"自汗"证"始为热中""终传寒中"探讨
Exploration on"Spontaneous Sweating"Syndrome in Treatise on Spleen and Stomach:"Initially Heat in the Middle"and"Ultimately Cold in the Middle"
摘要
Abstract
This paper explores LI Dongyuan's experience in differentiating and treating the"spontaneous sweating"syndrome.The"spontaneous sweating"syndrome in Treatise on Spleen and Stomach can be divided into two stages:"initially heat in the middle"(syndrome of heat in the middle)and"ultimately cold in the middle"(syndrome of cold in the middle).The"spontaneous sweating"syndrome includes spontaneous sweating covering night sweating.The syndrome of heat in the middle of"spontaneous sweating"is characterized by dampness-heat,while the syndrome of cold in the middle of"spontaneous sweating"is characterized by cold-dampness.For the syndrome of heat in the middle of spontaneous sweating,the treatment is mainly to replenish the defensive qi and consolidate the exterior,supplemented by removing dampness and dredging collaterals,nourishing yin and clearing heat.The representative formula is Tiaowei Decoction(调卫汤).For the syndrome of heat in the middle manifested as night sweating,the treatment is mainly to clear heat and dry dampness,supple-mented by nourishing yin and regulating nutrient qi,tonifying the middle-energizer and replenishing the defensive qi.The representative formulas are Danggui Liuhuang Decoction(当归六黄汤)and Zhengqi Decoction(正气汤).The syndrome of cold in the middle of spontaneous sweating is also divided into two stages.In the initial stage,there is a struggle between cold and heat with the predominance of yin-cold.The treatment is mainly to warm and tonify spleen and kidney,supplemented by removing dampness and clearing heat.The representative formula is Shengsheng Fuqi Decoction(神圣复气汤).In the later stage,there is deficiency of primordial yang and excessive cold-dampness in the middle-energizer.The treatment is mainly to tonify the primordial yang,dry dampness and expel cold.The representative formula is Chenxiang Wenwei Pills(沉香温胃丸).关键词
《脾胃论》/自汗/热中证/寒中证/寒湿/湿热/阴火/除湿清热/温阳燥湿Key words
Treatise on Spleen and Stomach/spontaneous sweating/syndrome of heat in the middle/syndrome of cold in the middle/cold-dampness/dampness-heat/yin-fire/removing dampness and clearing heat/warming yang and drying dampness分类
医药卫生引用本文复制引用
仇玉平..《脾胃论》"自汗"证"始为热中""终传寒中"探讨[J].山东中医药大学学报,2025,49(4):441-445,5.基金项目
山东省重点研发计划项目(编号:2019GSF108024) （编号:2019GSF108024）
