邓奕辉治疗单纯性肥胖症验案举隅

Case Examples of DENG Yihui’s Treatment of Simple Obesity

中国肥胖人数近年来比例日益攀升,肥胖作为高血压、冠心病、糖尿病等疾病的独立危险因素,给个人生理健康带来巨大威胁。西医目前对于该病仍以饮食管理及生活干预为主,疗效欠佳。中医治疗单纯性肥胖症具有独特优势,邓奕辉教授认为该病从脾出发,病位可涉及肺、肾、心、肝多脏,病性总属本虚标实,虚以健脾益气为本,实以祛邪为标,注重痰湿、瘀血、寒热兼顾,随症用药。文章主要通过介绍单纯性肥胖症的病因病机、辨证要点、治疗法则、用药经验等方面阐述邓奕辉教授治疗该病的临床思路与方法,并举例验案一则,为临床工作者提供借鉴。

The proportion of obese people in my country has been increasing in recent years.Obesity,as an independent risk factor for hypertension,coronary heart disease,diabetes and other diseases,poses a huge threat to personal physical health.Western medicine currently still focuses on dietary management and life intervention for this disease,but the curative effect is not good.Traditional Chinese medicine has unique advantages in treating simple obesity.Professor DENG Yihui believes that the disease starts from the spleen,and the location of the disease can involve the lungs,kidneys,heart,and liver.The nature of the disease is always deficiency in origin and excess in excess.Deficiency is based on strengthening the spleen and replenishing Qi,which is actually aimed at eliminating evil,paying attention to both phlegm and dampness,blood stasis,cold and heat,and using medicine according to the symptoms.This article mainly explains Professor DENG Yihui’s clinical ideas and methods for treating simple obesity by introducing the etiology and pathogenesis,key points of syndrome differentiation,treatment rules,medication experience,etc.,and provides an example to verify the case,in order to provide reference for clinical workers.