基于心汗相关性探析调心法在汗证中的运用*

作者：王子硕，卢志远，陈晓虎

单位：南京中医药大学附属医院，江苏 南京 210029

引用：引用：王子硕，卢志远，陈晓虎.基于心汗相关性探析调心法在汗证中的运用[J].中医药导报,2025,31(6):197-200.

DOI：10.13862/j.cn43-1446/r.2025.06.038

PDF： 下载PDF

摘要：“阳加于阴谓之汗”，汗为心之液，心为汗之枢，心汗相关。从心与汗的关系出发，探析汗证的病因病机，提出“调心止汗”的治疗大法，调心之气血阴阳以缓图治本，止汗之外出以急则治标。具体当随证施治：心神不宁，治以宁心安神止汗；心气亏虚，治以益气养心敛汗；心阳不足，治以温阳补心固汗；心阴不足，治以养心调营止汗；心血不足，治以养血补心敛汗；心火亢盛，治以清心泻火止汗；心脉痹阻，治以通心活络止汗；湿热侵心，治以清心祛湿止汗。并总结相关经典方药，以期为临床诊疗汗证提供新的思路。

关键词：汗证；多汗症；汗为心之液；心为汗之枢；调心止汗法

Abstract："Yang added to Yin being called sweat". Sweat is the fluid of the heart, and the heart is the pivot of sweat, and the heart and sweat is related. Basing on the relationship between the heart and sweat, this paper analyzes the etiology and pathogenesis of sweating syndrome, and proposes the treatment method of "adjusting the heart to stopping sweating". Adjust the Qi and blood, Yin and Yang to alleviate the root cause, and stopping excessive sweating as a symptomatic measure. Specific treatment should be based on the symptoms. If the mind is restless, the treatment is to calm the mind to stop sweating. If the heart-Qi is deficient, the treatment is to nourish the heart to stop sweating. If the heart-Yang is insufficient, the treatment is to warm and replenish the heart to fix sweating. If the heart-Yin is insufficient, the treatment is to nourish the heart and regulate the ying (camp) to stop sweating. If the heart-blood is insufficient, the treatment is to nourish the blood and replenish the heart to stop sweating. If heart fire is exuberant, the treatment is to clear the heart and reduce fire to stop sweating. If the heart meridian is obstructed, the treatment is to dredge the heart and activate the meridians to stop sweating. If dampness and heat invade the heart, the treatment is to clear the heart and dispel dampness to stop sweating. This paper summarizes the relevant classic prescriptions to provide new ideas for the clinical diagnosis and treatment of sweating syndromes.

Key words：sweating syndrome; hyperhidrosis; sweat is the fluid of the heart; the heart is the pivot of sweat; heart-regulating and sweat-stopping method

发布时间：2026-01-04

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