从气乖与气郁论治手足心热
Treatment of Palms and Soles Fever Based on Yin and Yang Disorders of Qi and Qi Depression
摘要: 手足心热是临床患者的常见症状,中医在其治疗中有着良好的疗效,因此其辨证治疗对临床诊断有着指导意义。但其病机多样,尤以阴虚致手足心热的观点最为深入人心。深入剖析手足心热的发病机理,可以发现该病的病机关键在于气的功能及状态失调,大致可分为气乖与气郁,治疗可以平调阴阳和解郁除热为治疗大法,使发热自平,临证时更不应局限思维,只将其与阴虚联系在一起。
Abstract: Palms and soles fever is a common symptom of clinical patients, traditional Chinese medicine has a good effect in its treatment. Therefore, its syndrome differentiation treatment has guiding significance for clinical diagnosis. The pathogenesis of palms and soles fever is diverse, and the view of palms and soles fever caused by yin deficiency is still deeply rooted in the hearts of the people. By analyzing its pathogenesis, we can find that the crux to the pathogenesis of the disease is the imbalance of qi function and state, we can classify them as Yin and Yang disorders of Qi, and Qi depression. Patient with a status of Yin and Yang disorders of Qi should be treated with the method of regulating Yin and Yang. Besides that, patient with Qi depression, should be treated by relieving depression and removing heat. We should not limit thinking in clinical practice, just connect yin deficiency with the palms and soles fever.
文章引用:李安诺, 岳仁宋. 从气乖与气郁论治手足心热[J]. 中医学, 2023, 12(2): 465-469. https://doi.org/10.12677/TCM.2023.122070

参考文献

[1] 黄宁斌. 手足心热从脾胃论治浅谈[J]. 四川中医, 2007, 25(11): 26.
[2] 洪海都, 王蕴涵. 从血瘀发热论治手足心热[J]. 中国民族民间医药, 2016, 25(6): 76-77.
[3] 肖相如. “畏寒而手足心热”的临床研究[J]. 中医药学报, 1993(4): 13-15.
[4] 中华中医药学会. 中医体质分类与判定[J]. 中华养生保健(上半月), 2009(9): 38-39.
[5] 李灿东. 中医诊断学[M]. 北京: 中国中医药出版社. 2016: 143.
[6] 何梦瑶. 医碥[M]. 北京: 中国中医药出版社, 2009: 44.
[7] 周晓伟, 魏保庆, 包国祥, 等. 成年男尸的皮神经分布[J]. 南京军医学院学报, 2000(1): 22-24.
[8] 黄献, 资小宏. 60例正常人不同部位皮肤的温度觉差异[J]. 临床神经电生理学杂志, 2002, 11(4): 224-226.
[9] Filingeri, D., Zhang, H. and Arens, E.A. (2018) Thermosensory Micromapping of Warm and Cold Sensitivity across Glabrous and Hairy Skin of Male and Female Hands and Feet. Journal of Applied Physiology, 125, 723-736. [Google Scholar] [CrossRef] [PubMed]
[10] 周鸿飞, 李丹, 点校. 灵枢经[M]. 郑州: 河南科学技术出版社, 2017.
[11] 赵春江, 常文静, 张舒晨, 等. 从火辨手足心热[J]. 北京中医药, 2018, 37(2): 159-161.
[12] 周鸿飞, 范涛, 点校. 黄帝内经素问[M]. 郑州: 河南科学技术出版社, 2017: 82-83.
[13] 王焘. 外台秘要[M]. 北京: 人民卫生出版社, 1955: 1078.
[14] 张景岳. 景岳全书系列之一: 传忠录[M]. 北京: 中国医药科技出版社, 2017: 14.
[15] 朱丹溪, 撰, 田思胜, 校注. 丹溪心法[M]. 北京: 中国中医药出版社, 2008: 157.
[16] 张仲景. 金匮要略[M]. 北京: 中国医药科技出版社, 2018: 17-20.
[17] 李东垣. 兰室秘藏[M]. 北京: 中国中医药出版社, 2007: 112-113.
[18] 张彦忠. 李东垣“阴火论”探析[J]. 四川中医, 2021, 39(9): 30-33.
[19] 谢莲波. 从脾胃、肝胆论治手足心热临证经验[J]. 中国民族民间医药, 2018, 27(4): 122-123.
[20] 彭子益. 圆运动的古中医学[M]. 北京: 中国中医药出版社, 2007: 19-21.
[21] 孙明友, 任潞雪, 靳祥, 金太吉. 手足心热初探[J]. 中医药学报, 1983(2): 21-25.
[22] 周鸿飞, 范涛, 点校. 黄帝内经素问[M]. 郑州: 河南科学技术出版社, 2017: 55.
[23] 黄元御, 原著, 赵文举, 吕宇剑, 校注. 四圣心源校注与验案[M]. 沈阳: 辽宁科学技术出版社, 2017: 68.