白术随证施量策略在腐腻苔治疗中运用

Application of largehead atractylodes rhizome in the treatment of the greasy and rotten tongue fur based on the strategy of determining dosage according to syndromes

舌诊是中医临床指导辨证和疗效评价的重要依据,舌苔的腐腻程度是体内湿浊消长的外在表现,可将其作为调整方药用量的指征。通过分享仝小林教授治疗2型糖尿病脾虚湿阻夹瘀证验案1则,探讨白术随证施量策略在腐腻苔治疗中的应用。根据患者舌苔腐腻程度的变化,灵活调整白术用量,运用了“病重药重、病轻药轻”“中病即减”的随证施量策略。

Tongue diagnosis is an important basis for clinical guidance of syndrome differentiation and curative effect evaluation of Chinese medicine.The greasiness and rot degree of tongue fur is an external manifestation of the increase or decrease of dampness and turbidity in the body,which can be used as an indication for adjusting the dosage of prescription drugs.By sharing one case of Tong Xiaolin's treatment of type 2 diabetes mellitus with the syndrome of spleen deficiency,dampness obstruction complicated by blood stasis,this paper discusses the application of the dosage-determining strategy of largehead atractylodes rhizome in the treatment of greasy and rotten tongue coating.In this case,Professor Tong Xiaolin flexibly adjusted the dosage of largehead atractylodes rhizome according to the changes in the degree of greasiness and rot of the patient's tongue fur,applying the strategy of determining dosage according to syndromes,i.e.,"treating severe diseases with high dose while treating mild diseases with low dose",and"ceasing medication or reducing dosage once a prescription taking effect".