| 洪俊豪,夏永良.夏永良治疗盗汗验案举隅[J].浙江中医药大学学报,2022,46(11):1266-1269. |
| 夏永良治疗盗汗验案举隅 |
| Proven Cases of XIA Yongliang‘s Treatment of Night Sweats |
| DOI：10.16466/j.issn1005-5509.2022.11.014 |
| 中文关键词: 盗汗 知柏地黄丸 四妙丸 三仁汤 柴胡桂枝汤 名医经验 验案 |
| 英文关键词: night sweats Zhibo Dihuang pills Simiao pills Sanren decoction Chaihu Guizhi decoction famous doctor‘s experience medical cases |
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| 中文摘要: |
| [目的] 总结夏永良老师临证辨治盗汗的特色及经验。 [方法] 通过跟师随诊，整理夏师治疗盗汗的病案，选取四则典型验案，结合历代医家论述，分析并总结夏师辨治盗汗的学术思想及临床经验。[结果] 夏师认为盗汗之病机总属阴阳失调、营卫失和，具体病机可分为以下三个方面:阳热为汗出的内在动力，阴虚内热、湿热内蕴、阳明热盛等阳热偏盛之证均可致盗汗；汗出受到卫气的调节，卫气虚弱则肌腠无所固护，如阳气亏虚、气血亏虚之证可致盗汗；气血津液的正常敷布运输受阻，如痰湿阻滞、瘀血阻滞之证亦可致盗汗。临证时辨证重在辨虚实，虚者多见阴虚、阳虚、气虚、血虚，实者多见里热、湿阻、血瘀，多因素相兼、虚实夹杂者亦不少见；治疗以调和阴阳、补虚泻实为原则，遣方用药上以合方为主，配伍化裁，并酌情加以收敛止汗之药治其标，疗效确切。[结论] 夏师辨治盗汗从虚实两端入手，随证施治，疗效突出，值得临床学习和借鉴。 |
| 英文摘要: |
| [Objective] To summarize the clinical characteristics and experience of Professor XIA Yongliang‘s syndrome differentiation and treatment of night sweats. [Methods] Through following Professor XIA‘s outpatient service， sorting out medical cases of Professor XIA‘s treatment of night sweats， selecting four typical cases， combining with the discussion of doctors in previous dynasties， to analyze and summarize the academic thought and clinical experience of Professor XIA‘s syndrome differentiation and treatment of night sweats. [Results] Professor XIA believes that the pathogenesis of night sweats generally belongs to the imbalance of Yin and Yang and the disharmony between Ying and Wei. The specific pathogenesis can be divided into the following three aspects: First， Yang heat is the internal driving force of sweating， the syndrome of excessive Yang heat， such as Yin deficiency and internal heat， damp heat accumulation， excessive Yangming heat， can cause night sweats； second， sweating is regulated by Wei Qi， when Wei Qi is weak， there is no protection for muscular striae， for example， the syndrome of deficiency of Yang Qi and deficiency of Qi and blood can cause night sweats； third， the normal application and transportation of Qi-blood and body fluid are blocked， such as phlegm dampness block and blood stasis block， which can also cause night sweats. Syndrome differentiation focuses on deficiency and excess in clinic. Deficiency syndrome is mostly Yin deficiency， Yang deficiency， Qi deficiency and blood deficiency. Excess syndrome is mostly internal heat， dampness resistance and blood stasis. And it is not uncommon for many factors to be combined and mixed with deficiency and excess. The treatment is based on the principle of harmonizing Yin and Yang， tonifying deficiency and reducing excess. Prescriptions are often combined with various prescriptions by compatibility and cutting， and take the medicine of astringent and antiperspirant as appropriate to treat its symptom， which get exactly curative effect. [Conclusion] Professor XIA‘s syndrome differentiation and treatment of night sweats start from deficiency and excess according to syndrome， and has excellent prescription and outstanding curative effect， which is worthy of clinical learning and reference. |
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