Article(id=1305171208664801809, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, articleNumber=null, orderNo=null, doi=10.19664/j.cnki.1002-2392.260172, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1747497600000, receivedDateStr=2025-05-18, revisedDate=1764777600000, revisedDateStr=2025-12-04, acceptedDate=null, acceptedDateStr=null, onlineDate=1789106665053, onlineDateStr=2026-09-11, pubDate=1789833600000, pubDateStr=2026-09-20, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1789106665053, onlineIssueDateStr=2026-09-11, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1789106665053, creator=13701087609, updateTime=1789106665053, updator=13701087609, issue=Issue{id=1305171206701871960, tenantId=1146029695717560320, journalId=1302318977290174537, year='2026', volume='54', issue='9', pageStart='1', pageEnd='133', issueExtLink='null', onlineDate='null', pubDate='1789833600000', pubDateStr='2026-09-20', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1789106664586, creator='13701087609', updateTime=1789106805687, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1305171798593663109, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1305171798593663110, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=1, endPage=6, ext={EN=ArticleExt(id=1305171210241860114, articleId=1305171208664801809, tenantId=1146029695717560320, journalId=1302318977290174537, language=EN, title=Exploration of the Theoretical Connotations of "Dampness-Turbidity-Phlegm-Fluid Retention Diseases", columnId=null, journalTitle=Acta Chinese Medicine and Pharmacology, columnName=null, runingTitle=null, highlight=null, articleAbstract=

This paper elaborates on the theoretical connotations of Professor Zhang Boli's "Dampness-Turbidity-Phlegm-Fluid Retention Diseases". These disorders often arise from modern lifestyle changes that cause dysfunction in spleen transportation, impaired regulation of the Triple Burner (Sanjiao), and obstacles in lipid metabolism, leading to abnormal body fluid metabolism. Given that dampness, turbidity, phlegm, and fluid retention often intertwine and are difficult to resolve, simply differentiating a single pathogen is insufficient for guiding complex clinical practice. Therefore, it is necessary to explore the nuanced pathological mechanisms where multiple factors intersect. This study focuses on elucidating four complex pathological patterns: the coexistence of dryness and dampness, the intermingling of clear and turbid, the simultaneous pathology of blood and water, and the divergent transformation of qi and fluids. For the coexistence of dryness and dampness, treatment should prioritize nourishing Yin and moistening dryness without aggravating dampness, while resolving phlegm and drying dampness without damaging Yin. In cases of intermingling of clear and turbid, simultaneous ascending of the clear and descending of the turbid is essential. For blood-water co-pathology, therapeutic strategies should follow the principle of "harmonizing with warm-natured medicinals." In scenarios of divergent Qi-fluid transformation, methods to fortify the spleen and uplift Yang are warranted. This study refines the theoretical framework of these disorders, revealing the laws governing their complex pathogenesis, and provides novel insights for the precise diagnosis and treatment of related refractory diseases.

, authors=Longrong HUANG1, Dan GAO2, Meijuan LU2, Xiaoyu WEI1, Qiang XU2, *, authorsList=Longrong HUANG, Dan GAO, Meijuan LU, Xiaoyu WEI, Qiang XU, authorCompany=null, correspAuthors=Qiang XU, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1305171210787119635, articleId=1305171208664801809, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=“湿浊痰饮类病”理论内涵探微, columnId=1303760927581561416, journalTitle=中医药学报, columnName=学术探讨, runingTitle=null, highlight=null, articleAbstract=

本文详论张伯礼教授“湿浊痰饮类病”的理论内涵。“湿浊痰饮类病”多因现代生活方式改变,导致人体脾运失司、三焦决渎不利以及膏脂转运障碍,津液代谢乖常而发。鉴于湿、浊、痰、饮四者常胶结难解,单纯辨析单一病邪难以指导复杂临床,故需深入探究其多因素交织的病理微观内涵。本文着重阐述了该类病证深层的复杂病机表现,即燥湿相混、清浊相干、血水同病、气津异化。针对燥湿相混,治疗当以滋阴润燥而不助湿、燥湿化痰而不伤阴为则;清浊相干需升清降浊并重;血水同病宜从“温药和之”而治;气津异化则当行健脾升阳之法。本文细化了“湿浊痰饮类病”的理论框架,揭示了其复杂的发生发展规律,为临床精准辨治相关疑难病证提供了新思路。

, authors=黄栊瑢1, 高丹2, 路美娟2, 魏晓玉1, 徐强2, *, authorsList=黄栊瑢, 高丹, 路美娟, 魏晓玉, 徐强, authorCompany=null, correspAuthors=徐强, authorNote=

黄栊瑢(1999-),女,博士研究生,从事中西医结合治疗心血管病研究。

, correspAuthorsNote=
* 徐强(1973 -),男,博士,教授,从事中西医结合治疗心血管病研究。
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黄栊瑢(1999-),女,博士研究生,从事中西医结合治疗心血管病研究。

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黄栊瑢(1999-),女,博士研究生,从事中西医结合治疗心血管病研究。

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“湿浊痰饮类病”理论内涵探微
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黄栊瑢 1 , 高丹 2 , 路美娟 2 , 魏晓玉 1 , 徐强 2, *
中医药学报 | 学术探讨 2026,54(9): 1-6
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中医药学报 |学术探讨 2026 , 54 (9) : 1 -6
“湿浊痰饮类病”理论内涵探微
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黄栊瑢1, 高丹2, 路美娟2, 魏晓玉1, 徐强2, *
作者信息
  • 1.天津中医药大学研究生院,天津 301617
  • 2.天津中医药大学第二附属医院,天津 300151
通讯作者:
* 徐强(1973 -),男,博士,教授,从事中西医结合治疗心血管病研究。
作者简介:

黄栊瑢(1999-),女,博士研究生,从事中西医结合治疗心血管病研究。

Exploration of the Theoretical Connotations of "Dampness-Turbidity-Phlegm-Fluid Retention Diseases"
Longrong HUANG1, Dan GAO2, Meijuan LU2, Xiaoyu WEI1, Qiang XU2, *
Affiliations
  • 1.Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
  • 2.The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300151, China
出版时间: 2026-09-20 doi: 10.19664/j.cnki.1002-2392.260172
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本文详论张伯礼教授“湿浊痰饮类病”的理论内涵。“湿浊痰饮类病”多因现代生活方式改变,导致人体脾运失司、三焦决渎不利以及膏脂转运障碍,津液代谢乖常而发。鉴于湿、浊、痰、饮四者常胶结难解,单纯辨析单一病邪难以指导复杂临床,故需深入探究其多因素交织的病理微观内涵。本文着重阐述了该类病证深层的复杂病机表现,即燥湿相混、清浊相干、血水同病、气津异化。针对燥湿相混,治疗当以滋阴润燥而不助湿、燥湿化痰而不伤阴为则;清浊相干需升清降浊并重;血水同病宜从“温药和之”而治;气津异化则当行健脾升阳之法。本文细化了“湿浊痰饮类病”的理论框架,揭示了其复杂的发生发展规律,为临床精准辨治相关疑难病证提供了新思路。

湿浊痰饮类病  /  张伯礼  /  名医经验  /  湿浊  /  痰饮

This paper elaborates on the theoretical connotations of Professor Zhang Boli's "Dampness-Turbidity-Phlegm-Fluid Retention Diseases". These disorders often arise from modern lifestyle changes that cause dysfunction in spleen transportation, impaired regulation of the Triple Burner (Sanjiao), and obstacles in lipid metabolism, leading to abnormal body fluid metabolism. Given that dampness, turbidity, phlegm, and fluid retention often intertwine and are difficult to resolve, simply differentiating a single pathogen is insufficient for guiding complex clinical practice. Therefore, it is necessary to explore the nuanced pathological mechanisms where multiple factors intersect. This study focuses on elucidating four complex pathological patterns: the coexistence of dryness and dampness, the intermingling of clear and turbid, the simultaneous pathology of blood and water, and the divergent transformation of qi and fluids. For the coexistence of dryness and dampness, treatment should prioritize nourishing Yin and moistening dryness without aggravating dampness, while resolving phlegm and drying dampness without damaging Yin. In cases of intermingling of clear and turbid, simultaneous ascending of the clear and descending of the turbid is essential. For blood-water co-pathology, therapeutic strategies should follow the principle of "harmonizing with warm-natured medicinals." In scenarios of divergent Qi-fluid transformation, methods to fortify the spleen and uplift Yang are warranted. This study refines the theoretical framework of these disorders, revealing the laws governing their complex pathogenesis, and provides novel insights for the precise diagnosis and treatment of related refractory diseases.

Dampness-turbidity-phlegm-fluid retention diseases  /  Zhang Boli  /  Distinguished physician's experience  /  Dampness-turbidity  /  Phlegm-fluid retention
黄栊瑢, 高丹, 路美娟, 魏晓玉, 徐强. “湿浊痰饮类病”理论内涵探微. 中医药学报, 2026 , 54 (9) : 1 -6 . DOI: 10.19664/j.cnki.1002-2392.260172
Longrong HUANG, Dan GAO, Meijuan LU, Xiaoyu WEI, Qiang XU. Exploration of the Theoretical Connotations of "Dampness-Turbidity-Phlegm-Fluid Retention Diseases"[J]. Acta Chinese Medicine and Pharmacology, 2026 , 54 (9) : 1 -6 . DOI: 10.19664/j.cnki.1002-2392.260172
  • 国家自然科学基金项目(82374195)
  • 国家重点研发计划(2018YFC1704102)
  • 天津市卫生健康委员会中医中西医结合科研项目(2023074)
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2026年第54卷第9期
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doi: 10.19664/j.cnki.1002-2392.260172
  • 接收时间:2025-05-18
  • 首发时间:2026-09-11
  • 出版时间:2026-09-20
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  • 收稿日期:2025-05-18
  • 修回日期:2025-12-04
基金
国家自然科学基金项目(82374195)
国家重点研发计划(2018YFC1704102)
天津市卫生健康委员会中医中西医结合科研项目(2023074)
作者信息
    1.天津中医药大学研究生院,天津 301617
    2.天津中医药大学第二附属医院,天津 300151

通讯作者:

* 徐强(1973 -),男,博士,教授,从事中西医结合治疗心血管病研究。
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2种不同金属材料的力学参数

Family
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Number of
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种数
Number of
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Genus
种数
Number of
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Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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