国医大师颜正华诊疗水肿辨证思路与典型医案探析

Experience of TCM master YAN Zheng-hua in treating edema

国医大师颜正华教授治验甚众,尤擅长消化系统、呼吸系统等内科杂病的诊疗。水肿是因体内水液潴留,泛滥肌肤,而表现为以头面、眼睑、四肢、腹背,甚至全身浮肿为特征的一类病证。颜教授论治水肿一病,辨证严谨,认为其乃全身气化功能障碍之表现,发病与肺、脾、肾三脏关系尤为密切,其中以肾为本,以肺为标。多从风水相搏、湿热蕴结、水湿浸淫型、脾阳虚衰和肾阳虚衰等方面论治,常用药物包括白术、茯苓、赤小豆、怀牛膝、益母草、大腹皮、冬瓜皮、生薏苡仁等,收效甚佳。

Professor YAN Zheng-hua is a TCM Master.He is good at and skilled in digestive and respiratory system diseases.Edema is a syndrome characterized by edema of the performance on the head,limbs,eyelid,front and back which is due to water retention.Professor YAN Zheng-hua thinks edema is the manifestation of dysfunction of qi transformation,and the incidence of edema is particularly close related with lung,spleen and kidney.He believes that fighting of wind with water,HeatDamp accumulation,spreading water-dampness,deficiency of spleen-yang and deficiency of kidney-yang are the basic syndromes of edema.Commonly used drugs include Atractylodes,Tuckahoe,Red bean,Achyranthes bidentata Blume,Motherwort,Pericarpium Arecae,Wax gourdpeel,Coix seed,et al.