摘要
慢性疲劳综合征的发生多与情志内伤、饮食不节、烦劳过度、禀赋薄弱等因素相关,基本病机在于脏腑失调、气血阴阳亏虚。临证应从整体出发,以脾、肝、肾三脏为着眼点,阴阳虚实兼顾,寒温补泻统筹。针对脾阳受损,脾气不健引发的疲劳,立涤浊之法,自拟经验方“涤浊汤”加减治疗,寓补于泻,运脾于通;对于肝郁气虚血弱造成的疲劳,立达郁之法,采用逍遥散为主方加减治疗,疏肝解郁,养血健脾;对于肾亏元气虚损所致虚劳诸证,立固元之法,以六味地黄丸为主方加减治疗,填精补肾,常加桂圆肉、桑椹以培固元气。在药物治疗的同时,提倡劳逸结合、饮食有节、作息规律,锻炼养生,振奋精神,舒畅情志,促进疾病康复。
The occurrence of chronic fatigue syndrome is mostly related to emotional injury,improper diet,overwork,weak endowment and other factors,and the basic pathogenesis lies in the imbalance of Zang and Fu functions and the deficiency of Yin and Yang in Qi and blood.In clinical practice,the condition of the disease should be considered as a whole,by taking the Spleen,Liver and Kidney as the handle,the deficiency or excessive of Yin and Yang should also be considered in use of drugs with cold,warm characters.In view of the fatigue caused by the damage of Spleen Yang,we should adopt the method of removing turbid and use the prescription of"Dizhuo Decoction".In treating the fatigue caused by Liver depression,Qi deficiency and blood deficiency,Xiaoyao Powder should be used as the main prescription to soothe the Liver and relieve depression,to nourish blood and invigorate the Spleen.For Kidney deficiency and energy deficiency syndrome,reinforcing Yuan Qi method should be used with modified Liuwei Dihuang Pill being the main prescription to fill Essence and tonify the Kidney,in which Guiyuan(dried Longan pulp)and Sangshen(mulberry)can be added to improve Yuan Qi.At the same time of drug treatment,we should promote the combination of work and rest,diet,regular work and rest,exercise,invigorate the spirit,relax the mood,and promote the recovery of the disease.
作者
赵敏
陈召起
罗天帮
曹珊
张磊
ZHAO Min;CHEN Zhaoqi;LUO Tianbang;CAO Shan;ZHANG Lei(Henan University of Chinese Medicine,Zhengzhou Henan China 450046;Henan Provincial People′s Hospital,Zhengzhou Henan China 450003;ZHANG Lei′s Traditional Chinese Medicine Master Inheritance Studio of the Third Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450008)
出处
《中医学报》
CAS
2023年第5期1021-1026,共6页
Acta Chinese Medicine
基金
全国名老中医药专家传承工作室建设项目{国中医药人教函[2022]75号}
河南省科技攻关项目(192102310429)
河南省中医药科学研究重大专项课题项目(2022ZYZD20)。
关键词
慢性疲劳综合征
涤浊法
达郁法
固元法
国医大师
张磊
chronic fatigue syndrome
dispelling turbid method
depression relieving method
reinforcing Yuan Qi method
Traditional Chinese Medicine Master
Zhang Lei
