伏阳辨析及其临床意义

Clinical differentiation and analysis of"insidious yang"

"伏阳"一词常见于古代文献中,但其概念、成因、临床意义未见系统阐述。文章挖掘古代文献并结合现代临床应用,归纳了"伏阳"为内热、火郁证候,其成因由中热格阴、或由伏邪从化、或由表及里转化、或是有形及无形邪气,闭遏阳气;可以表现为伏阳、伏热、伏火程度的不同。辨证时当因地因时,四诊合参;治疗时应结合病因加以清泄。目前临床上"伏阳"证候并不少见,加用清泄之品每获良效,值得重视。

As a medical terminology, ＂insidious yang＂ is commonly seen in ancient medical literatures of TCM, but the concept, reason and clinical significance of this term has not been illustrated comprehensively. By reviewing the ancient medical literatures and the application in modem clinic, this paper brings to light that ＂insidious yang＂ has the syndromes of interior heat and fire stagnation; and the reasons include excess yang in the interior keeping yin externally, insidious pathogenic factor in the interior transforming into heat and yang qi blocked by either visible or invisible pathogenic factors. In general, interior heat can manifest as insidious yang, insidious heat and insidious fire, according to the degree of the illness. Diagnosis must be based on the 4 diagnostic methods,and the area, the season and the condition of patient should be taken into account. Treatment of insidious yang is to clear and purge against the cause of disease. At present, the syndromes of insidious yang is commonly seen. Better therapeutic effect can be achieved when the clearing and purging herbs are applied.