肾虚所致口苦论治
wf（2022）
Abstract
口苦常见于肝胆、脾胃及心系疾病,传统中医理论对于口苦多从肝胆、脾胃论治,病机多为湿热弥漫三焦,热邪犯脾胃、肝胆,心火上炎引起口中泛苦.通过分析口苦的病因病机、处方用药规律、现代实验研究,发现部分患者的口苦可由肾气亏虚所致,肾气亏虚则唾液分泌减少,致口干、口苦.肾阴虚口苦治以补益肾阴,可选用既济汤、醴泉饮等方;肾阳虚口苦,当以温补肾阳为主,可选用天雄散、附子理中汤.临床不能凡见口苦即断热证.需四诊合参,辨清其本质,方能获得良效.
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