自《中华中医药学会标准·中医体质分类与判定》颁布实施以来,在临床应用过程中经常出现湿热体质与湿热证混淆问题,从而导致两者遣药用方指向性并不明确。鉴于此首先从辨识内容、调治目的、主药及其配伍3个方面对湿热体质与湿热证进行辨析,并以临床中常见的湿热体质与湿热证并见为例强化两者的区别与联系。重点介绍湿热体质主药主方的筛选方法,通过对湿热体质调体主药黄芩、黄连、茵陈、滑石以及湿热体质调体主方甘露消毒丹深入细致的探析,明确湿热体质遣药用方的专属特点。对于湿热体质调理方案的规范化制定和实施具有较高的临床指导价值。
Since the publication of the Standard for Classification and Determination of TCM Constitution by China Association of Chinese Medicine,differentiation between damp-heat constitution and damp-heat pattern has been obscure and thus caused confusion over the medicinal prescriptions selection for some practitioners in clinical practice. This paper,therefore,tries to distinguish damp-heat constitution and damp-heat pattern diagnosis from three aspects: essentials for identification,therapeutic purpose,core medicinal and their combination. Moreover,the differentiation and relationship of those two are further elaborated by describing the case of damp-heat constitution combined with damp-heat pattern in clinical practice. The method of selecting core medicinals and chief formula is then introduced as the major topic of this paper. Characteristics of medicinal combination on damp-heat body constitution are analyzed through analyzing the properties of core medicinals including Radix Scutellariae( Scutellaria Root,Huangqin), Rhizoma Coptidis( Coptis Rhizome, Huanglian), Herba Artemisiae Scopariae( Virgate Wormwood Herb,Yinchen),and Talcum( Talcum,Huashi),and the chief formula Ganlu Xiaodu Dan( Sweet Dew Toxin-Removing Elixir). This paper could be of clinical guidance in the standardizatm and implementation of treatment protocol for damp-heat constitution.