从阳虚论治盗汗浅析

目的浅析阳虚盗汗理论的临床运用。方法首先寻找出从阳虚证论治盗汗的经典中医理论,从"扶阳"角度获得对盗汗的治疗启示,然后从临床诊治中举出两个案例加以佐证,最后谈谈心得体会。结果中医经典理论中虽然多将盗汗的病机归纳为阴虚火旺、营血不足,临床中根据阴虚盗汗的理论指导盗汗的治疗,屡获显效,获益良多,亦不乏其例非温阳益气不能治愈者。结论临床上阳虚盗汗并不少见,临证时当审因辨证,细加详察,视其阴阳属性,不可拘泥于"盗汗必属阴虚"一说。

Analysis on Treatment for Night Sweats from Yang Deficiency

Objective To make a brief analysis on treatment for night sweats from yang deficiency. Method Firstly, we found out the classical theory of night sweats caused by yang deficiency in traditional Chinese medicine. From the perspective of “strengthening yang”, treatment enlightenment of night sweats was achieved. Then we selected two cases from the clinical treatment to prove this theory. Finally we discussed the experience on treatment. Result Although the pathogenesis of night sweats usually attribute to yin deficiency and fire hyperactivity and deficiency of blood in many TCM classical theories, according to the theoretical guidance of night sweats caused by yin deficiency in clinical treatment, good therapeutic effect was obtained. Some of these cases were treated by warming yang and reinforcing qi which received good clinical effect. Conclusion Night sweat caused by yang deficiency is not rare in clinical treatment. When in clinical trial, we should follow syndrome differentiation and treatments, depend on the yin and yang, and not constrained by“night sweats will belong to yin deficiency”.