范琳燕基于肺合大肠理论治疗肥胖经验介绍
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Introduction of FAN Linyan's Experience in Treating Obesity Based on the Theory of Lung and Large Intestine in Pair
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    摘要:

    范琳燕认为肥胖的核心病机为脾虚痰湿,同时强调肺气宣降失常、大肠传导失司在肥胖形成中的重要作用。温胆汤源自《三因极一病证方论》,功擅理气化痰、利胆和胃,为治痰湿内阻之基础方。沈氏女科在此基础上化裁出沈氏女科温胆汤,取其调畅气机、化痰浊之功。范琳燕传承沈氏女科流派,立足肺、脾、大肠三脏腑,融燥湿化痰、益气健脾、宣肺通腑、分利二便诸法于一体,使痰湿得化、气机得畅、二便得通。基于沈氏女科温胆汤加减的减重方疗效满意,为中医治疗肥胖提供了“肺-脾-肠”同调的辨治思路与实践经验。

    Abstract:

    Abstract:FAN Linyan believes that the core pathogenesis of obesity lies in spleen deficiency with phlegm-damp, while emphasizing the important roles of dysfunction of lung qi in dispersing and descending and the failure of large intestine in conveyance of waste in the formation of obesity. Wendan Decoction, originating from San Yin Ji Yi Bing Zheng Fang Lun (Treatise on Diseases, Patterns, and Formulas Related to the Unification of the Three Etiologies), excels in regulating qi to resolve phlegm, and normalizing the gallbladder's function and harmonizing the stomach, serving as a basic prescription for treating internal obstruction of phlegm-damp. Based on this,the SHEN's Gynecology School modified the prescription to create the Wendan Decoction to regulate qi movement and resolve phlegm-turbidity. FAN Linyan inherits the academic thoughts of SHEN's Gynecology School. Her treatment approach focuses on the three zang-fu organs of lung, spleen, and large intestine, and integrates therapeutic methods of drying dampness and resolving phlegm, replenishing qi and invigorating spleen, ventilating lung to purge intestines, and promoting urination and defecation. This approach renders the resolution of phlegm-damp,smooth flow of qi,and unobstructed urination and defecation. The weight-loss prescription based on modified Wendan Decoction from SHEN's Gynecology School has satisfactory curative effect, providing theoretical and practical experience for the "lung-spleen-intestine" coordinated regulation in traditional Chinese medicine treatment of obesity.

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闫天浩,范琳燕.范琳燕基于肺合大肠理论治疗肥胖经验介绍[J].新中医,2026,58(19):180-185

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  • 在线发布日期: 2026-10-16
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