【摘要】：目的:本文主要總結(jié)了王鎂教授從脾虛濕盛的角度對肥胖癥進(jìn)行辨證施治的經(jīng)驗(yàn),為中醫(yī)治療肥胖癥提供臨床思路。材料與方法:收集自2014年6月至2016年1月期間王鎂教授治療的肥胖癥門診病例,對病例資料進(jìn)行分析,總結(jié)王鎂教授對肥胖癥病因病機(jī)的認(rèn)識(shí)與闡釋,治療肥胖癥的遣方用藥特點(diǎn),針對不同伴隨癥狀的藥物加減方法。結(jié)果:王鎂教授認(rèn)為肥胖的形成主要責(zé)之于脾,其并發(fā)癥狀與腎、肝有所關(guān)聯(lián)。先天稟賦與后天起居失宜、過食肥甘、情志失常均可導(dǎo)致脾失健運(yùn),水谷之精不得輸布于周身四肢,聚而生痰,瘀結(jié)于腰腹肢體發(fā)為肥胖。其中以痰濕、氣郁為實(shí),以腎中陽氣不足、脾失健運(yùn)為虛。女性若患肥胖癥可出現(xiàn)月經(jīng)稀少、經(jīng)期延長甚至閉經(jīng)。王鎂教授在倡導(dǎo)健康的中醫(yī)養(yǎng)生方式基礎(chǔ)上,配合健脾益氣、燥濕化痰為主,補(bǔ)腎疏肝、活血祛瘀為輔的治法,采用六君子湯作為基礎(chǔ)方,擬定減重基本方,結(jié)合患者兼證和舌脈,辨證論治,隨證加減,有效減輕患者脾虛濕盛所致的腹瀉、自汗和乏力等癥狀,減重效果良好。結(jié)論:王鎂教授提倡以健康的中醫(yī)養(yǎng)生方式配合健脾益氣、燥濕化痰為主要治療方法,采用六君子湯加減治療脾虛濕盛型肥胖癥收效明顯。
[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.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R259;R249
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本文編號(hào)：2342023