| 林可,刘晓谷.基于“邪伏三阴，发于三阳”理论论治复发性口腔溃疡[J].浙江中医药大学学报,2023,47(6):700-702. |
| 基于“邪伏三阴，发于三阳”理论论治复发性口腔溃疡 |
| Treatment of Recurrent Aphthous Stomatitis Based on the Theory of “Evils Remain Dormant in Three-Yin and Symptoms Appear in Three-Yang” |
| DOI：10.16466/j.issn1005-5509.2023.06.021 |
| 中文关键词: 伏邪 口腔溃疡 复发性口疮性口炎 扶正祛邪 医案 标本兼治 |
| 英文关键词: hidden pathogens oral ulcer recurrent aphthous stomatitis strengthening the body resistance and eliminating pathogenic factors medical case treat both symptoms and root causes |
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| 中文摘要: |
| [目的] 探讨“邪伏三阴，发于三阳”理论治疗复发性口腔溃疡(recurrent aphthous stomatitis，RAS)的病机与治法。[方法] 通过梳理中医伏邪理论，以“邪伏三阴，发于三阳”为切入点，深入分析RAS的病因病机，阐述伏邪与RAS的相关性，并附医案一则加以佐证。[结果] RAS病因复杂、发病隐匿、病程缠绵的特点与伏邪致病特点相似，具有“感而不发”与“反复发作”两个阶段。中医认为，正气亏虚乃邪气潜伏之基础，邪气伏于三阴则“感而不发”；当正气来复，正邪交争则发于三阳，不及时祛邪或未完全祛邪则导致“反复发作”。结合RAS特点，采用攻补兼施、寒温并用的治法，根据六经传变规律随证加减，使邪从里出表，疾病得到控制、截断，从而痊愈。所举医案中患者体内邪伏少阴、太阴，后发于阳明，辨为肝肾亏虚、痰瘀互阻型，以补益少阴太阴，兼以托举排毒为主要治法，临床效果明显。[结论] 从“邪伏三阴，发于三阳”理论论治RAS，以中医整体观角度重新审视复杂性疾病，为临床治疗RAS提供了新的思路和方法参考。 |
| 英文摘要: |
| [Objective] To explore the pathogenesis and treatment of recurrent aphthous stomatitis(RAS) with the theory of “evils remain dormant in three-Yin and symptoms appear in three-Yang”. [Methods] By combing the theory of hidden pathogens in traditional Chinese medicine(TCM)， taking “evils remain dormant in three-Yin and symptoms appear in three-Yang” as the starting point， the etiology and pathogenesis of RAS are deeply analyzed， the correlation between hidden pathogens and RAS is expounded， and a medical case was attached to prove it. [Results] RAS has the characteristics of complex etiology， hidden onset and lingering course of disease， which are similar to the pathogenic characteristics of hidden pathogens， with two stages of “feeling without onset” and “recurrent attack”. According to TCM， deficiency of healthy Qi is the basis of hidden pathogens. Pathogenic Qi is “felt but not produced” when it lies in the three-Yin. When the positive Qi comes back， the conflict between positive and pathogens will occur in three-Yang， and not timely or not completely dispelling the pathogens will lead to “repeated attacks”. Combined with the characteristics of RAS， the treatment methods of attack and complement， therapy combined cooling and warming are used. According to the law of six meridians and changes， the pathogen is shown from the inside， and the disease is controlled and truncated， for recovery. In the medical case mentioned， evils remained dormant in Shaoyin and Taiyin in patient， then symptoms appeared in Yangming. The patient was classified as the syndrome of liver and kidney deficiency， turbidity and phlegm stasis blockage， and the main treatment methods were strengthening Shaoyin and Taiyin， together with supporting and detoxification， and the clinical effect was obvious. [Conclusion] This paper discusses the treatment of RAS from the theory of “originated from three-Yin， pathogenic three-Yang”， reexamines complex diseases from the perspective of holistic view of TCM， and provides new ideas and methods for clinical treatment of RAS. |
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