胡爱民教授从肝脾肾论治肥胖症经验

Professor Hu Aimin’s Experience in Treating Obesity from Liver, Spleen and Kidney

肥胖症为临床常见病,多发病。本文对胡爱民教授关于肥胖症病因病机的见解,治疗本病的辨证思路和谴方用药等方面探析。胡教授认为肥胖当责“肝脾肾”,三脏功能失调致痰浊、湿热、瘀血、膏脂等病理产物堆积是本病的关键病机。临证多抓其主证,化繁为简,结合现代医学检查辅助分析。选方用药上主以疏肝清肝、健脾清胃、补肾化浊之类以调节脏腑功能,使有形之邪消散。常加清热燥湿之黄芩、黄连;善用益气活血之黄芪、党参、丹参、当归;巧用合欢花、月季花等花类中药物平衡气机。总结胡爱民教授治疗肥胖症的经验,望为同道肥胖症临床治疗提供思路。

Obesity is a common and frequently occurring disease in clinic. Professor Hu Aimin has been en-gaged in clinical practice for many years and has rich experience in the diagnosis and treatment of obesity. In this paper, Professor Hu Aimin’s opinion on the etiology and pathogenesis of obesity, the treatment of this disease and the treatment of medicine and other aspects are analyzed. Hu athogenesis of the disease is the accumulation of phlegm turbid, damp heat, blood stasis and paste fat caused by the dysfunction of the three viscera. Clinical syndrome grasp its beliefs that obesity should be blamed on the “liver, spleen and kidney”, and the key pmain syndrome, four diagnosis combined with the comprehensive analysis of modern medical examination. The main prescription is to clear the liver, stomach, and tonifying kidney, spleen and cleaning turbidity to regulate the function of the Zang fu organs, so that the visible evil dissipates. Often add heat dry dampness of scutellaria, coptis;Flexibility in the use of Astragalus, Codonopsis, Danshen, Chuanxiong;Use the flowers of acacia and Chinese rose skillfully to balance the Qi movement. Summarize the experience of Professor Hu Aimin in the treatment of obesity and hope to provide ideas for the clinical treatment of obesity.