黄琴从三焦论治湿热病经验

Huang Qin's Experiences in Treating Dampness-heat Diseases from Three Energizers

湿热为病虽以中焦脾胃为病变中心,但因湿性弥漫,可蒙上流下,波及三焦。故辨清湿热偏于上焦、中焦、下焦是诊治湿热病的关键:湿热初犯,病多偏上焦,治当芳香辛散,宣肺化湿;上焦病不解,病渐趋于中焦,脾胃升降失常,治当辨清湿与热孰重孰轻而分别施治;湿热浊邪犯及下焦,病变主要影响大肠及膀胱,治疗当宣通阳气,淡渗利湿。湿热为病,易兼瘀血及食滞,故治疗湿热病适当佐以活血化瘀及消食导滞之品,可收佳效。

Although dampness-heat diseases are mainly centered in the middle energizers the spleen and stomach,they may spread to the upper and lower energizers.Differentiating whether dampness-heat exists in the upper,middle or lower energizers is the key to diagnose and treat disease.When dampness-heat first attacks,the disease is mostly located in the upper energizers,drugs with aromatic and pungent flavors should be used to remove the dampness to disperse the lung;if the disease in the upper energizer is not cured,it tends to the middle energizers,the spleen and stomach may get disorders.The degree of dampness and heat should be distinguished respectively;if dampness and heat continue to attack the lower energizers,the large intestine and bladder may be affected.Yang-qi should be freed and dampness be drained with bland-tasting diuretics.Dampness-heat diseases should be treated by drugs with the functions of promoting blood circulation to remove blood stasis and promoting digestion to remove food stagnation.