肥胖温阳治法“壮火散气、少火生气”理论刍议

Discuss the Theory of Big Fire Running Qi and Small Fire Producing Qi for Enhancing Yang on Obesity Treatment

从《内经》“壮火散气、少火生气”理论角度分析肥胖“肌肤壅盛,阴柔盛而阳刚损”病机,根据该病各阶段标本虚实程度,确立“壮火散气、少火生气”治法不同阶段侧重要点,提出“同病同药、同病异药”方药选择规律。然“壮火散气”用辛温大热之品,用量宜轻且贯穿始终,重剂大热之品重用不利膀胱气化。“少火生气”辨证施治当分阶段辨虚实病机主次,遣方用药须辨温阳药之“壮火”“少火”之品性,完善了肥胖病温阳化气治法临床证治规律体系。

This article from the Neijin of“Big fire running Qi,small fire producing Qi”pathogenesis theory of perspective obesity“the skin is manifested as Yin being excessive and Yang being weak”.According to the disease in different stages of the specimens of the actual situation,to establish“Enhance Yang”obesity treatment at different stages,we put forward“The same disease with the same medicine,the same disease with different drugs”selection on the formulas.However,“Big fire running Qi”using Xinwen hot herbs,dosage is small and throughout the whole treatment process.The reuse of hot products is not conducive to bladder gasification.The prescription must distinguish the characteristics of“big fire”and“small fire”of enhance-yang drugs,which has improved the rule system of clinical syndrome treatment of obesity.