潘远根

    (湖南中医药大学，湖南长沙410208)

    ·理论探讨·

    阳虚生风论

    潘远根

    (湖南中医药大学，湖南长沙410208)

    中医论风证的辨证治疗，向来仅注重火热、阳亢、阴虚、血虚等引起的风证，绝少论及阳虚动风。本文从阳虚生风的理论、病证类型、辨证要点等方面简要论述了阳虚阴盛同样引起动风证，并例举临床病例以详解辨证关键。

    阳虚/阴盛；阳虚生风；风证；温阳益气

    〔Abstract〕The treatment of Feng-syndrome in TCM frequently focused on the wind syndromes caused by the strong hot，the hyperactivity of Yang，the Yin deficiency and the blood deficiency，but the Feng syndrome rarely deals with Yang deficiency. In this paper，we puts forward the Feng syndromes also caused by Yang deficiency and briefly discusses on it in the theory，the type of diseases and the syndrome differentiation，and then，to break down the syndrome differentiating keys with some clinical cases.

    〔Keywords〕Yang deficiency/Yin overabundancy；wind caused by Yang deficiency；wind syndrome；warming Yang to tonify qi

    风证是中医学中的重要病证，通常分为外风证与内风证。外感风邪引起的证候称为外风证，因脏腑阴阳气血失调而致动风的证候称为内风证。本文主要论内风证。

    内风证是指人体内阴阳不和，气血逆乱，脏腑功能失调引起动摇不定，变化迅速，痉挛瘙痒等的证候。历代医家和现代中医高校教科书对内风证的成因和辨证，认为主要是邪热亢盛和阴血亏虚，引起高热动风、血虚生风、血燥生风、肝阳化风等，很少论及阳虚生风，仅仅论小儿慢脾风，谓因脾阳虚，筋脉失于温煦而虚风内动者。那么，除小儿慢脾风之外，虚风内动没有阳虚生风吗？其实不然 ......