中华中医药杂志(原中国医药学报)2023年2月第38卷第2期CJTCMP,February2023,Vol.38,No.2•584•·论著·通信作者：吕萍，浙江省台州市黄岩区东城横街路218号浙江省台州市第一人民医院，邮编：318020，电话：0576-84016852E-mail：loveclub98@163.com从石寿棠《医原》探讨燥湿的纲领性辨证及临床意义吕萍，牟重临（浙江省台州市第一人民医院，台州318020）摘要：清代名医石寿棠《医原》提出“燥湿二气为百病之纲领”，以燥湿二气统天地阴阳之气，将外感、内伤等诸多疾病归纳为燥湿二因，并以燥湿的不同表现解释病机。文章阐发石寿棠的燥湿理论及其临床实用意义，论述燥湿之病证的形成及其临床主要表现特征，探讨了燥湿之证的相互夹杂与相互转化的表现，并对燥湿真假证的辨识提出见解，同时阐述了燥湿之证与脾燥胃湿的密切关联，对燥湿病证的临床治疗大法作了要述。燥湿内容牵涉非常广泛，燥湿的临床辨证与八纲的寒热、虚实辨证有着密切的关系，从理论分析及实践表明，燥湿辨证列入八纲辨证，对临床更有纲领性的指导意义。关键词：医原；燥湿；寒热；虚实；八纲辨证；石寿棠基金资助：国家中医药管理局牟重临全国名老中医药专家传承工作室建设项目（No.国中医药人教函〔2022〕75号）ExplorationontheprogrammaticsyndromedifferentiationofdrynessanddampnessanditsclinicalsignificancefromYiyuanbySHIShou-tangLYUPing,MOUChong-lin(TheFristPeople’sHospitalofTaizhouCity,ZhejiangProvince,Taizhou318020,China)Abstract:SHIShou-tang,afamousdoctorintheQingdynasty,putforward‘twoqiofdrynessanddampnessaretheoutlinesofalldiseases’inhisbookYiyuan.Thetwoqiofdrynessanddampnessunifytheqiofheavenandearth,yinandyang.Manydiseasessuchasexternalsensationandinternalinjuryareclassifiedasdrynessanddampness,andthedifferentmanifestationsofdrynessanddampnessexplainthepathogenesis.Thisarticleexpoundsonthenewtheoryofdrynessanddampnessanditsclinicalpracticalsignificance,thispaperdiscussesthedrynessofdampnessdiseaseformationanditsmainclinicalfeatures,discussesthedrynessanddampnessoftheinclusionsandtheperformanceofthemutualtransformationbetweeneachother,andputforwardopinionstodrynessanddampnessfalseevidenceidentification,andexpoundsthedrynessanddampnesscloselyrelatedwithspleenandstomachwet,andth...
