沈涛教授运用升阳益胃汤加减治疗肺脾气虚证自汗的临证举隅

Professor Shen Tao’s Clinical Application of Shengyang Yiwei Decoction with Modifications to Treat Spontaneous Sweating Caused by Lung Spleen Qi Deficiency Syndrome

摘要: 升阳益胃汤首见于《内外伤辨惑论》，功用益气升阳、清热除湿，临床中常用于治疗消化疾病、肿瘤、肾系疾病等。笔者导师沈涛教授根据该方治疗肺之脾胃虚，辨证应用升阳益胃汤治疗肺脾气虚证的自汗，并在临床上取得了一定疗效。本文通过分析肺脾气虚证自汗的病因病机特点，并从方药组成结合病案，更好地认识到升阳益胃汤的功效，以期今后能更好地运用升阳益胃汤治疗汗出症状。

Abstract: Shengyang Yiwei Decoction was first mentioned in the “Discussion on the Differentiation of Internal and External Injuries”. Its functions include nourishing qi and yang, clearing heat and dampness, and it is commonly used in clinical practice to treat digestive diseases, tumors, kidney diseases, etc. Professor Shen Tao, the supervisor of the author, used this formula to treat spleen and stomach deficiency in the lungs, and applied Shengyang Yiwei Decoction to treat spontaneous sweating in lung spleen and stomach deficiency syndrome based on syndrome differentiation, and achieved certain therapeutic effects in clinical practice. This article analyzes the etiology and pathogenesis of spontaneous sweating in patients with lung spleen qi deficiency syndrome, and combines the composition of prescriptions with medical records to better understand the efficacy of Shengyang Yiwei Decoction. It is hoped that in the future, Shengyang Yiwei Decoction can be better used to treat sweating symptoms.