李晓红

[摘要] 湿邪为病，其性重浊黏腻，胶着难祛，所以湿邪为患，多呈现出症状缠绵、迁延不愈、变化较缓的慢性病特征。内湿证是机体由于脏腑功能失调导致湿邪积聚于体内的证候，可见于人体各个系统。笔者在临床中发现内生湿邪已成为许多临床常见病尤其是内分泌疾病中的首要致病因素，主导着这些疾病发生、发展和转归，只是感邪途径少异，受侵脏腑不同而已。该文亦旨在使用中医辨证和辨病相结合的方法探讨部分临床常见病从“湿”论治的治法和用药。

[关键词] 内生湿邪；代谢性疾病；结石类疾病；慢性肾脏疾病；内分泌疾病；慢性脾胃疾病

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0193-03

Application of the Theory of Endoscopic Pathogenesis in the Diagnosis and Treatment of Clinical Common Diseases

LI Xiao-hong

Endocrinology Department， Beijing Tongrentang TCM Hospital， Beijing， 100051 China

[Abstract] Dampness evil disease， that its nature is thick sticky and too adhesive to dispel difficultly. So dampness evil for disease mostly shows lingering， delayed healing， slow changes symptoms in chronic disease characteristics. The internal moisture syndrome is the syndrome of the body due to the dysfunction of the viscera， which results in the accumulation of dampness in the body， which can be found in various systems of the body. The author found that endogenous origin in clinical has become the primary pathogenic factor in many clinical common disease， especially the endocrine disease， dominated the occurrence， development and outcome of these diseases， just feeling less evil ways， invaded viscera is different. This paper also aims to investigate the treatment for clinical common diseases using the method of TCM syndrome differentiation and disease combined from the theory of endogenous dampness.

[Key words] Endogenous dampness； Metabolic diseases； Calculous diseases； Chronic kidney diseases； Endocrine diseases； Chronic spleen and stomach disease

“湿”邪为六淫致病邪气，既可为外邪侵袭，也可由内而生。内湿证是机体由于脏腑功能失调导致湿邪积聚于体内的证候。湿为阴邪，其性濡润，有来缓去迟的特点。湿邪的积浸与聚集，隐匿性强，人多不觉，内湿的蕴积多数在脏腑功能失调或阳气不足之后，渐渐汇集，初起无明显不适，往往要经年累月才会出现较严重的症状，患者经常无法说出准确的发病时间。内湿证可见于人体各个系统，在内、外、妇、儿各科均可遇见，内湿的形成与发病在现代研究中早已证实[1-2]。

1 内湿产生的病因病机

①饮食不节，脾运失调：内湿的发生与饮食习惯和生活方式有着密切关系。脾胃为仓廪之本，消化水谷，谷消则脉道乃行，水化则其血乃成，四旁得以灌溉。如若饮食不节，过食肥甘，嗜食厚味，食滞难化，或过饮寒凉，损伤脾胃，脾运失司，清浊不泌；……