《黄帝内经》“汗”理论的临床应用

本文在系统挖掘《黄帝内经》(以下简称《内经》)“汗”相关理论的基础上,结合后世医家的发挥和临床实践,将出汗的机理归结为“阳加于阴”,也就是说出汗必须以阴液为原料、阳气为动力、汗孔为通道。但凡影响阴液、阳气、汗孔者皆可使出汗量发生改变,甚至造成病理性出汗即汗病。根据病因病机的不同,汗病可分为炅汗、魄汗、漏泄、偏风、寝汗等。鉴于出汗的机理在于“阳加于阴”,故汗病的调治总以调和阴阳为法则,具体则应根据汗病类型的不同分别论治。

Clinical application of"Sweat"theory in the Inner Canon of Huangdi

Based on theory about sweat in"the Inner Canon of Huangdi"and elaboration and clinical practice of practitioners of later generations,this article attributes the mechanism of sweat to the evaporation of Yin-fluid by Yang-Qi,that is to say,Yin-fluid,Yang-Qi and sweat pore are used as material source,power supply and path in the process of sweat.Any factors affecting Yin-fluid,Yang-Qi and sweat pore will change the amount of sweat and even cause abnormal sweating.According to etiology and pathogenesis,sweat can be divided into profuse sweating,po-sweat,dripping perspiration,hemilateral wind,night sweating and so on.In view of the mechanism of sweat,coordinating Yin and Yang is the key to the treatment of abnormal sweating.More specifically,it should be treated according to the type of abnormal sweating.