从“通调五脏安脾胃”辨治多汗症

Syndrome Differentiation and Treatment of Hyperhidrosis from the Perspective of“Regulating the Five Zang Organs(脏)and Calming the Spleen and Stomach”

认为多汗症与五脏功能失常有关,脾胃不和是其关键病机,提出从“通调五脏安脾胃”观点辨治多汗症。临证自拟安脾胃经验方作为基础方以健脾和胃止汗,同时根据多汗症不同的症状表现辨证论治。针对心、肺、肾、肝四脏功能失常所致的多汗症,心病者配合养心清心法以敛汗,常合用桂枝甘草汤或当归六黄汤加减;肺病者配合益肺泻热法以固汗,常合用玉屏风散或泻白散加减;肾病者配合补肾滋阴法以摄汗,常合用金匮肾气丸或都气丸加减;肝病者配合清肝敛肝法以束汗,常合用龙胆泻肝汤或一贯煎加减。使五脏调和,阴平阳秘,肌表得固,多汗症得瘥。

It is considered that hyperhidrosis is related to the dysfunction of the five zang(脏)organs,and the disharmony of the spleen and stomach is the key pathogenesis,therefore,the method of“regulating the five zang organs and calming the spleen and stomach”is proposed to differentiate and treat the hyperhidrosis.Self-made Anpiwei Experience Formula(安脾胃经验方)is basically used to fortify the spleen,harmonize the stomach,and arrest sweating.Simultaneously,according to the symptoms of hyperhidrosis,differentiated treatment is performed.In terms of hyperhidrosis induced by the dysfunction of the heart,lung,kidney,and liver,the method of nourishing and clearing the heart is used to astringe the sweating,and Guizhi Gancao Decoction(桂枝甘草汤)or Danggui Liuhuang Decoction(当归六黄汤)in modifications are usually combined with;the method of boosting lung and draining heat is used to conso-lidate sweating,and modified Yupingfeng Powder(玉屏风散)or Xiebai Powder(泻白散)is recommended;the method of supplementing kidney and enriching yin is used to contain sweating,usually with modified Jingui Shenqi Pill(金匮肾气丸)or Duqi Pill(都气丸加减);the method of clearing and astringing the liver is used to fetter the sweating,commonly with modified Longdan Xiegan Decoction(龙胆泻肝汤)or Yi Guan Decoction(一贯煎).Only when the five zang organs are harmonized,yin is calm and yang is sound,can fleshy exterior be secure and hyperhidrosis be relieved.