Re: [问卦] 中医说的“体内湿气”到底是啥?

楼主: lepputte (华英成秀)   2022-06-03 22:56:57
※ 引述《LukeSkywaker (路克天醒者)》之铭言:
: “体内湿气重”
: 还有什么“肾气不足”“肾虚”的
: 有什么比较实体化的叙述吗?
版上讨论过很多次像湿气这类的术语,
听不懂但又不想沟通的人说再多也是沟通不了,
所以我想,就丢丢SCI论文,他山之石可以攻错,
想了解的就自己看看。至少可以想想怎么沟通中医与西医术语,
以肥胖为例,中医简单的分有寒湿跟湿热型
其中湿热型
(Dampness - heat syndrome : dampness + Nei Re "内热")
Frontier Pharmacology(2020 IF 5.811 Rank 1)
有篇review试着去找跟西医能沟通,比较实体化的内容
Front Pharmacol
. 2021 Mar 8;12:615895. doi: 10.3389/fphar.2021.615895. eCollection 2021.
Mechanism and Basis of Traditional Chinese Medicine Against Obesity:
Prevention and Treatment Strategies
Abstract
In the last few decades, the incidences of obesity and related metabolic
disorders worldwide have increased dramatically. Major pathophysiology of
obesity is termed "lipotoxicity" in modern western medicine (MWM) or
"dampness-heat" in traditional Chinese medicine (TCM). "Dampness-heat" is a
very common and critically important syndrome to guild clinical treatment in
TCM. However, the pathogenesis of obesity in TCM is not fully clarified,
especially by MWM theories compared to TCM. In this review, the mechanism
underlying the action of TCM in the treatment of obesity and related
metabolic disorders was thoroughly discussed, and prevention and treatment
strategies were proposed accordingly. Hypoxia and inflammation caused by
lipotoxicity exist in obesity and are key pathophysiological characteristics
of "dampness-heat" syndrome in TCM. "Dampness-heat" is prevalent in chronic
low-grade systemic inflammation, prone to insulin resistance (IR), and causes
variant metabolic disorders. In particular, the MWM theories of hypoxia and
inflammation were applied to explain the "dampness-heat" syndrome of TCM, and
we summarized and proposed the pathological path of obesity: lipotoxicity,
hypoxia or chronic low-grade inflammation, IR, and metabolic disorders. This
provides significant enrichment to the scientific connotation of TCM theories
and promotes the modernization of TCM.
肥胖湿热型的很多会开中药像黄连解毒汤、黄芩黄连黄柏这类清热燥湿的中药去治疗。
: 有怎么正确理解中医用语的八卦吗?
寒湿型是另外一类的,
把中医的证型分类一类一类的去看西医的对应,这是一种中西沟通模式。
之前其实我有提过另外一种方式就是把西医已经诊断好的疾病,
再用中医的分类方法看,这是第二种模式,还有很多种沟通方式。

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