王行宽基于“阴伤内燥”理论辨治围绝经期女性灼口综合征经验

Wang Xingkuan’s Experience in Treating Perimenopausal Women with Burning Mouth Syndrome Based on the Theory of“Yin Injury and Internal Dryness”

本文介绍王行宽教授基于“阴伤内燥”理论辨治围绝经期女性灼口综合征学术思想和临床经验。王老主张“治病求本,多脏调燮”,从围绝经期女性独特生理特性出发,认为该病当责之肾、肝、心、小肠,发病根本是肾精不足、肝血渐衰,发病关键是肾、肝、心、小肠燥。治疗上总以“阴伤内燥”为纲,从肝肾立论,以滋补肝肾为主、清热润燥为辅,采用二冬汤合百合地黄汤为基本方治疗,临床疗效显著。

This article introduced Professor Wang Xingkuan’s academic thoughts and clinical experience in diagnosing and treating burning mouth syndrome(BMS)in perimenopausal women based on the theory of“yin injury and internal dryness”.Professor Wang advocates the principle of“treating the root cause of the disease and harmonizing multiple organs”.Starting from the unique physiological characteristics of perimenopausal women,he believes that the BMS in perimenopausal women should be attributed to the kidneys,liver,heart,and small intestine.The fundamental cause of the disease is the deficiency of kidney essence and the gradual decline of liver blood,and the key to the onset is the dryness of the kidney,liver,heart,and small intestine.In treatment,the overall strategy is to take“yin injury and internal dryness”as the main guideline,focusing on the liver and kidney,with nourishing and replenishing the liver and kidney as the main approach and clearing heat and moistening as auxiliary methods.The basic formula for treating BMS is a combination of Erdong Decoction and Baihe Dihuang Decoction,which has shown significant clinical efficacy.