祛湿方剂组方用药规律探析及临床应用

结合历代治疗水湿病证名方的用药配伍特点,对祛湿方剂的组方配伍规律进行探析。其治疗重在调理脾肺肾功能,配伍健脾药,以培土制水;配伍宣肺药,以通调水道;配伍温肾药,助阳化气以行水,使津液输布正常则湿邪不生。在临床诊疗中应辨证论治,正虚为主者或健脾升阳或养阴祛湿,或温肾以助运化;邪实盛者当配伍利尿、活血化瘀、清热等药物,助邪外出。湿热宜清宜利,寒湿宜温宜燥。外湿宜表散,内湿宜淡渗芳化。临床应根据具体病证,注重辨证论治,随证用药,以期取得满意疗效。

Analysis on Medication Rules of Dampness-dispelling Formula and Clinical Application

To analyze the medication rules of dampness-dispelling formula by combining with the medication characteristics of famous dampness-dispelling formula in past dynasties. Its treatment focuses on regulating the function of spleen,lung and kidney and should be combined with spleen-invigorating medicine to control dampness by cultivating the earth;combined with lung-diffusing medicine to regulate the water passage;combined with kidney-warming medicine to assist yang,transform qi and drain dampness in order to normalize the fluid circulation. Syndrome differentiation should be used in the clinical diagnosis and treatment. Those who are mainly deficient,invigorating spleen,lifting yang or nourishing yin and dispelling dampness,or warming kidneys to assist transportation and transformation should be used. Medicine for promoting urination,invigorating blood and dissolving stasis,clearing heat should be used for excessive pathogens. The ways of clearing and draining should be used for damp-heat,warming and drying for damp-cold,dispersing for external dampness,percolating and resolving dampness with bland and fragrant medicinals for internal dampness. Clinical treatment should be based on the specific syndromes and focused on syndrome differentiation and treatment,medication according to syndromes so as to achieve the satisfied efficacy.