“郁燥”理论发微

Discussion of“Dryness Depression”Theory

燥证既可单独成病又可见于其他疾病的不同阶段,故于临床较为常见,而现代医学缺乏有效治疗方案及药物,中医药在燥证治疗上具有较好的临床疗效等优势,但理论体系尚未完善。基于《金匮方论衍义》“郁燥”理论基础,结合文献研究及临床,认为气郁、血郁、痰郁、火郁、湿郁、食郁、虚郁均能影响气机之调畅、津液之敷布而发为燥证,提出治疗燥证当注重气机之调畅、津液之盈亏的观点,确定“理郁润燥”为其基本治则,并枚举方药或可裨益于临床。

Dryness syndrome can be alone,and it can be found in different stages of other diseases.Therefore,it is more common in clinical practice,modern medicine lacks effective treatment programs and drugs,Chinese medicine has better clinical efficacy in the treatment of dryness syndromes,but the theoretical system has not yet been perfect.Based on Extension of Synopsis of Golden Chamber,"depression and dryness"theory,combined literature research and clinical experience,considered that Qi-depression,lood-depression,phlegm-depression,fire-depression,wet-depression,food-depression and deficiency-depression can all affect the patency of Qi and the movement of body fluid and develop into dryness syndrome.It is proposed that the treatment of dryness syndrome pay attention to regulated Qi and nourishing body fluid,and determine the treatment principle of"regulating Qi and moistening dryness",and list the prescriptions,which may be helpful to the clinic.