| 摘要: |
| 通过分析汗与五脏、营卫的关系，探讨自汗证的病因病机，概括为五脏皆有汗，汗之本为心，汗之化为肾，汗之出为肺，汗之源为脾胃，汗之调为肝。又必以营卫调和为要，汗出方能有节。五脏功能失调、营卫失和均可致自汗。故提出“调畅五脏、调和营卫”的自汗证治则及处方用药，通过典型临床病案，进一步阐释诊疗思路及用药规律。 |
| 关键词: 自汗 五脏 营卫 治则 |
| DOI：10.11656/j.issn.1672-1519.2023.07.04 |
| 分类号: |
| 基金项目:国家中医药管理局第五批全国中医临床优秀人才研修项目（国中医药人教函[2022]1）；天津市中医经典传承高级人才研修项目[津卫中便函（2021）642号]；天津市武清区名医工作室建设项目[津武人才〔2020〕5号]。 |
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| Clinical experience in treating spontaneous sweat by regulating the five internal organsand harmonizing the yingwei |
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CUI Junbo1,2, CHEN Baogui1,2
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1.Famous Traditional Chinese Medicine Studio/Brain Disease Department, Wuqing Traditional Chinese Medicine Hospital Affiliated to Tianjin University of Traditional Chinese Medicine, Tianjin 301700, China;2.Institute of Internal Medicine of Integrated Traditional and Western Medicine, Tianjin Academy of Integrated Traditional and Western Medicine, Tianjin 301700, China
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| Abstract: |
| Through the analysis of the relationship between sweat and the five internal organs and yingwei，discusses the etiology and pathogenesis of spontaneous sweating syndrome. It can be summarized as follows，all the five internal organs have sweat，the root cause of sweat is heart，the variety of sweat is kidney，the exit of sweat is lung，the source of sweat is spleen and stomach and the regulation of sweat is liver. It will also be necessary to reconcile the yingwei，so that the sweat can be rhythmical. Dysfunction of the five internal organs or disharmony of the ying-wei can cause spontaneous sweating. Therefore，the rules of treatment and prescription of spontaneous sweating of “regulating the five internal organs and harmonizing the yingwei” are proposed. Through typical clinical cases，the diagnosis and treatment ideas and medication rules are further explain. |
| Key words: spontaneous sweat five internal organs yingwei rules of treatment |
