“通阳不在温,而在利小便”理论及其临床应用探讨

“Activating Yang is not Warm,But in Disinhibiting Urine”Profound Theoretical Exploration

“通阳不在温,而在利小便”是治疗湿温的理论方法,适用于湿温初中期、以湿重于热的实证。该证湿热并重,或热重于湿,利小便恐伤阴,后期湿盛则阳微,阳气不足,则重在温阳,而非通阳。然阳气不通与三焦中的上焦肺气不化关系最为密切。肺主一身之气,气化则湿化矣。“不在温”不是不用温药,而是不用温补之药,湿为阴邪,加以温药可助阳化湿。利小便即是达到通阳的手段,亦是目的。因为小便利则无湿阻,故阳气通。然单纯的利小便无法达到通阳的目的,需配以芳香行气,气行则湿去,无湿阻则阳气通。探讨“通阳不在温,而在利小便”理论的临床价值。

“Activating Yang is Not Warm,But in Disinhibiting Urine”is a major principle in treating damp-warm disease.Suitable for early and middle damp-warm syndrome,and dampness-heat syndrome with predominant dampness.damp heat combined sickness,or dampness-heat syndrome with predominant heat.inducing urination,Fear of damaging yin.predominant dampness causing weak yang,Deficiency of Yang,The emphasis is on tempering Yang,Rather than activating yang.yang barrier is most closely related to the triple energizer of Stagnation of the upper energizer lung qi.The lung operates the qi of the whole body,Vaporization is humidification.“Not Warm”Not without warm medicine,but doesn’t need warm tonic medicine.Dampness is Yin evil,use warm medicine can help Yang dissipate dampness.Diuresis is the means to achieve Yang,It’s also the purpose.Because of unobstructed urination,there is no dampness stagnation,so it is unobstructed of Yang Qi.However,simple diuresis can not achieve the purpose of Activating Yang,needs to be accompanied with fragrance herbs,Promoting qi and removing dampness,there is no dampness,Then Yang Qi is free.