1. 上海中医药大学附属曙光医院,上海,200021
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蒋健. 郁证发微(十六)——郁证自汗、盗汗论[J]. 上海中医药杂志, 2016,50(11):5-9.
JIANG Jian. Spontaneous sweating and night sweating due to depression syndrome[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(11):5-9.
探讨属于郁证范畴自汗、盗汗的病脉证治。自汗病机除表卫不固、肺脾气虚外,亦可由郁证引起,举凡惊恐、嗔怒、胆怯、忧思、抑郁皆可致使心神失守而发为自汗。盗汗病机除阴虚火旺、心血不足外,亦可由郁证引起,举凡喜怒惊恐、忧思过度等皆可致七情耗伤阴血而发为盗汗。剖析并论证阴虚火旺、心血不足盗汗的常见证治本身就可以是郁证的证治范畴。在临床上,自汗、盗汗有可能是披着汗证外衣的“披衣郁证”,伴随广泛而多样的临床表现,呈现出隐性郁证和(或)广义郁证的形态特征。治疗郁证性自汗、盗汗应从郁论治,包括疏肝理气解郁、滋阴清热泻火、益气补血养心、镇静安神定志以及交通心肾、补肝养心、疏肝健脾、健脾补心等多种治疗方法。现代医学证实,郁证性自汗、盗汗因受精神心理因素影响,多由自主神经功能紊乱所致。
This paper discussed the syndrome and therapy of spontaneous sweating and night sweating due to depression syndrome. It indicates that apart from the insecurity of defense-exterior Qi and Qi deficiency of lung-spleen syndrome,depression syndrome can also lead to spontaneous sweating by disturbing the heart spirit,including panic,angry,timidity,worry and depression. Another,as yin deficiency with effulgent fire and heart-blood deficiency syndromes do,depression syndrome can also cause night sweating by the overconsumption of yin-blood induced by seven emotions such as joy,anger,panic,fear and excessive worry and thought. This article analyzed and demonstrated the common syndrome and treatments of spontaneous sweating caused by yin deficiency with effulgent fire and heart-blood deficiency,which could belong to the category of syndrome differentiation for depression syndrome. Spontaneous sweating and night sweating due to depression syndrome is concealed by the general sweating,which accompanied by a wide variety of clinical manifestation and presented the characteristics of masked depression syndrome and/or general depression syndrome. The treatment of spontaneous sweating and night sweating due to depression syndrome should be based on depression,including soothing liver and regulating qi to relieve depression,enriching yin and clearing heat to purge fire,tonifying qi and blood to nourish heart,sedation and tranquilization to stable mind,coordinating heart and kidney,tonifying liver and nourishing heart,soothing liver and strengthening spleen,tonifying spleen and heart,and other multiple treatment principles and methods. Modern medicine has confirmed that spontaneous sweating and night sweating due to depression syndrome are affected by psychological factors and mostly caused by dysfunction of autonomic nervous system.
郁证自汗盗汗自主神经功能紊乱从郁论治
depression syndromespontaneous sweatingnight sweatingautonomic nervous system dysfunctiontreatment from the aspect of depression
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