中医湿热证病因病机内涵与治疗策略探讨

Discussion on the Pathogenesis and Treatment Strategy in the Treatment Dampness and Heat Syndrome in Traditional Chinese Medicine

湿热证是中医最常见且治疗困难的复合证型,但其病因病机内涵及治疗策略仍欠清晰。本文通过文献及临床证据,围绕湿热证的传统认知、病因病机学演化规律,证候形成要素及治疗策略进行探讨,认为湿热证病因各有不同,湿热偏重,热后生湿和湿久化热是主要形成病机,难以自行缓解的慢性炎症状态及其继发的炎症-免疫-水液代谢紊乱状态是湿热证的内涵特征,湿热证的治疗策略应综合考虑病因、体质、当前证候及总体预后进行制定。

Dampness and heat syndrome in traditional Chinese medicine(TCM)is the compound syndrome,most common and difficult to treat,but its etiology,pathogenesis,connotation and treatment strategies are still unclear.Through literature and clinical evidence,the traditional cognition of damp-heat syndrome,etiology and pathogenesis evolution law,syndrome formation elements and treatment strategies are discussed.We believe that the different causes of damp-heat syndrome have different damp-heat biases.Damp-heating and dampness-changing heat after heat are the main pathogenesis,the chronic inflammation state that is difficult to relieve itself and the secondary inflammation-immune-water metabolism disorder are the damp-heat syndrome.The treatment strategy of damp-heat syndrome should be formulated in consideration of the etiology,physical fitness,current symptoms and overall prognosis.