吉林中医药2026，Vol.46Issue(5)：546-551,6.DOI:10.13463/j.cnki.jlzyy.2026.05.003
基于"阳虚三夺统于脾"理论探讨Ⅲ期混合痔病机演变与辨治
Exploring the pathogenesis evolution and syndrome differentiation-treatment of stage Ⅲ mixed hemorrhoids based on the theory of"yang deficiency causing three depletions in the spleen"
摘要
Abstract
Based on the theory of"yang deficiency causing three depletions in the spleen",this paper explores the pathogenesis evolution and treatment strategies of stage Ⅲ mixed hemorrhoids.Professor Sun Huazhong identifies yang deficiency as the fundamental pathogenic factor of the disease,summarizing its evolution into three distinct stages:initially,yang deficiency leads to spleen dysfunction and qi deficiency with sinking qi("qi depletion");subsequently,kidney yang gets depleted,causing instability in essence retention("essence depletion");ultimately,vital gate fire diminishes,leading to internal generation of cold-dampness accompanied by deficiency-heat disturbance("fire depletion").Accordingly,its treatment should be stage-specific,with replenishing spleen yang as the core principle.Clinically,during the"qi depletion"stage,modified Buzhong Yiqi Decoction is commonly prescribed to tonify qi,invigorate the spleen,and ascend yang qi and relieve qi desertion;in the"essence depletion"stage,Xuefu Zhuyu Decoction combined with essence-replenishing herbs is utilized to warm the kidneys,nourish essence,and promote blood circulation for removing blood stasis;finally,in the"fire depletion"stage,modified Huaihua Powder is adopted to warm yang,promote diuresis,and clear deficiency-heat.This phased treatment approach aims to alleviate the symptoms of the disease,enhance patients'quality of life,and provide novel insights for the clinical management of stage Ⅲ mixed hemorrhoids.关键词
"阳虚三夺统于脾"/Ⅲ期混合痔/病机/精/气/火Key words
yang deficiency causing three depletions in the spleen/stage Ⅲ mixed hemorrhoids/pathogenesis/essence/qi/fire分类
医药卫生引用本文复制引用
郭丁岩,李宇轩,孙化中..基于"阳虚三夺统于脾"理论探讨Ⅲ期混合痔病机演变与辨治[J].吉林中医药,2026,46(5):546-551,6.基金项目
山西省医学重点科研项目(2021XM28) （2021XM28）
