王镁教授从脾虚湿盛论治肥胖症经验总结
发布时间：2018-11-19 10:27
【摘要】：目的:本文主要总结了王镁教授从脾虚湿盛的角度对肥胖症进行辨证施治的经验,为中医治疗肥胖症提供临床思路。材料与方法:收集自2014年6月至2016年1月期间王镁教授治疗的肥胖症门诊病例,对病例资料进行分析,总结王镁教授对肥胖症病因病机的认识与阐释,治疗肥胖症的遣方用药特点,针对不同伴随症状的药物加减方法。结果:王镁教授认为肥胖的形成主要责之于脾,其并发症状与肾、肝有所关联。先天禀赋与后天起居失宜、过食肥甘、情志失常均可导致脾失健运,水谷之精不得输布于周身四肢,聚而生痰,瘀结于腰腹肢体发为肥胖。其中以痰湿、气郁为实,以肾中阳气不足、脾失健运为虚。女性若患肥胖症可出现月经稀少、经期延长甚至闭经。王镁教授在倡导健康的中医养生方式基础上,配合健脾益气、燥湿化痰为主,补肾疏肝、活血祛瘀为辅的治法,采用六君子汤作为基础方,拟定减重基本方,结合患者兼证和舌脉,辨证论治,随证加减,有效减轻患者脾虚湿盛所致的腹泻、自汗和乏力等症状,减重效果良好。结论:王镁教授提倡以健康的中医养生方式配合健脾益气、燥湿化痰为主要治疗方法,采用六君子汤加减治疗脾虚湿盛型肥胖症收效明显。
[Abstract]:Objective: to summarize the experience of professor Wang mg in treating obesity from the point of spleen deficiency and dampness, and to provide clinical thinking for the treatment of obesity by traditional Chinese medicine. Materials and methods: from June 2014 to January 2016, the outpatient cases of obesity treated by Professor Wang mg were collected, and the data of the cases were analyzed, and the understanding and explanation of the etiology and pathogenesis of obesity were summarized. The characteristics of prescription for treatment of obesity, drug addition and subtractive methods for different accompanying symptoms. Results: professor Wang mg believes that the formation of obesity is mainly attributed to the spleen, and its complications are associated with kidney and liver. Congenital endowment and acquired life is not appropriate, excessive food fat, emotional disorders can lead to spleen health, the essence of the valley can not be lost around the body and limbs, gathering phlegm, blood stasis in the waist and abdomen limbs for obesity. Phlegm and dampness, qi stagnation as solid, kidney yang-qi deficiency, spleen loss of health for asthenia. If women are obese, menstruation is rare, menstrual periods are prolonged and even amenorrhea. Professor Wang mg, on the basis of advocating a healthy way of preserving health in traditional Chinese medicine, combined with the treatment of invigorating the spleen and supplementing qi, dampening and resolving phlegm, reinforcing the kidney and soothing the liver, activating blood and removing blood stasis, adopted the six Superior decoction as the basic prescription, and worked out the basic formula for weight loss. Combined with syndromes and tongue pulse, syndrome differentiation and treatment, plus or minus with the syndrome, effectively alleviated the diarrhea, self-sweating and fatigue caused by dampness due to spleen deficiency, and the weight loss effect was good. Conclusion: professor Wang mg advocates healthy traditional Chinese medicine combined with invigorating spleen and tonifying qi and removing dampness and phlegm as the main treatment method. The effect of Liujunzi decoction on spleen deficiency and dampness is obvious.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259;R249
，
本文编号：2342023
[Abstract]:Objective: to summarize the experience of professor Wang mg in treating obesity from the point of spleen deficiency and dampness, and to provide clinical thinking for the treatment of obesity by traditional Chinese medicine. Materials and methods: from June 2014 to January 2016, the outpatient cases of obesity treated by Professor Wang mg were collected, and the data of the cases were analyzed, and the understanding and explanation of the etiology and pathogenesis of obesity were summarized. The characteristics of prescription for treatment of obesity, drug addition and subtractive methods for different accompanying symptoms. Results: professor Wang mg believes that the formation of obesity is mainly attributed to the spleen, and its complications are associated with kidney and liver. Congenital endowment and acquired life is not appropriate, excessive food fat, emotional disorders can lead to spleen health, the essence of the valley can not be lost around the body and limbs, gathering phlegm, blood stasis in the waist and abdomen limbs for obesity. Phlegm and dampness, qi stagnation as solid, kidney yang-qi deficiency, spleen loss of health for asthenia. If women are obese, menstruation is rare, menstrual periods are prolonged and even amenorrhea. Professor Wang mg, on the basis of advocating a healthy way of preserving health in traditional Chinese medicine, combined with the treatment of invigorating the spleen and supplementing qi, dampening and resolving phlegm, reinforcing the kidney and soothing the liver, activating blood and removing blood stasis, adopted the six Superior decoction as the basic prescription, and worked out the basic formula for weight loss. Combined with syndromes and tongue pulse, syndrome differentiation and treatment, plus or minus with the syndrome, effectively alleviated the diarrhea, self-sweating and fatigue caused by dampness due to spleen deficiency, and the weight loss effect was good. Conclusion: professor Wang mg advocates healthy traditional Chinese medicine combined with invigorating spleen and tonifying qi and removing dampness and phlegm as the main treatment method. The effect of Liujunzi decoction on spleen deficiency and dampness is obvious.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259;R249
，
本文编号：2342023
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