摘要
水气一病临床易见且病因难寻,常合并多经同发同传,若施治不当可延成慢性疾病。甘肃省名中医、甘肃省中医院内分泌科芦少敏主任医师,兼顾医教研工作30余载,践行辨病审因、辨证对症与微观有机结合的论治方法,基于机体转运水液之功能及邪气深浅,将水气病分为内源、外源两大类别。在病因病机方面,芦师继承了《黄帝内经》的理论体系并予以补充与扩展,认为水气病主要以肺、脾、肾三脏失调为主,与三焦、膀胱“水循通道”密切相关,强调水气不化还可致血瘀水肿,进一步损伤机体正气。芦师临床运用经方颇多,依据“平治于权衡,去菀陈莝……开鬼门,洁净府”等理论,主推发汗、利小便和攻下逐水等三法大纲,并借由“阴阳相得,其气乃行,大气一转,其气乃散”与“血不利则为水”等水气病素演变规律,完整归纳水气病机病邪转化,为水气病的遣方用药树规立矩。芦师主张临床面对水气疾患应灵活运用张机(字仲景)六经辨证,区分水气病经别、病机病位、经方选择等方面,结合患者体质、年龄及疾病转归等综合因素确定治则,以发汗、利水、通小便三大治水法门,并配合经验药对化清痰浊,祛除气毒瘀血等外邪病因,在正安邪祛后期阶段多用平复脏腑、回津生气之物,整体临床治疗效果斐然。
Water Qi(气)disease is clinically common but etiologically elusive,and it is often combined with multiple simultaneous interpretations,and if it is not treated properly,it can be delayed into a chronic disease.LU Shaomin,a famous traditional Chinese medicine doctor in Gansu Province and chief physician of the Department of Endocrinology of Gansu Provincial Hospital of Traditional Chinese Medicine,has been taking into account medical teaching and research for more than 30 years,practicing the treatment method of distinguishing the cause of the disease,differentiating the syndrome and the organic combination of microscopic and microscopic treatment,and ffexibly using the prescription to review the details and ensure the efffcacy.In terms of etiology and pathogenesis,Master LU inherited the theoretical system of Huangdi Neijing(《黄帝内经》)and supplemented and expanded,believing that Water Qi disease is mainly caused by the imbalance of the lungs,spleen and kidneys,and is closely related to the“water circulation channel”of the three focal points and bladder.LU Shaomin has a lot of clinical prescriptions,based on the principle of some theories,mainly promote the outline of the three methods of sweating,urination and water,and through the“Yin(阴)and Yang(阳),Qi”and“blood,water”evolution laws,completely summarize the changes of disease and evil,and establish rules for the prescription of Water Qi disease.It advocates that in the face of Water Qi diseases in clinical practice,we should ffexibly use the ZHANG Ji six meridians to distinguish the etiology,pathogenesis,menstrual distinction,symptoms and prescription selection of water Qi diseases,and determine the treatment principles based on comprehensive factors such as the patient’s constitution,age and disease prognosis.The clinical treatment achieves remarkable efffcacy by employing three major approaches to regulate water metabolism-inducing sweating,promoting diuresis,and facilitating urination-combined with experienced herbal pairs to resolve phlegm-turbidity while eliminating pathogenic factors including Qi-toxins,blood stasis,and external pathogens.During the recovery phase when healthy Qi is restored,the therapy focuses on regulating organ functions and restoring body ffuids to regenerate vitality through mild tonic herbs.
出处
《中医临床研究》
2025年第4期78-82,共5页
Clinical Journal Of Chinese Medicine
基金
国家中医优势专科建设项目(甘卫中医函[2023]63号)
甘肃省名中医芦少敏传承工作室建设项目(甘财社[2022]105号)。
关键词
水气病
六经辨证
名医经验
Water Qi disease
Six-meridian syndrome differentiation
Famous doctor experience
作者简介
王黎(1993-),女,主治医师,研究方向为中西医结合防治内分泌疾病;通讯作者:芦少敏(1965-),女,主任医师,硕士研究生导师,研究方向为中西医结合防治内分泌疾病。
