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针对《中医内科学》教材中水肿的治疗原则,丁元庆教授提出不同认识.通过对治则、治法基本概念的深刻理解,认为发汗、利尿、泻下逐水属于治法的范畴,不适合作为水肿病的治则.结合《黄帝内经》对水肿的认识,丁元庆教授认为,水肿的病机有邪阻致肿与正虚致肿两端,故治应分虚实,在此基础上提出水肿治则可概括为祛邪补虚,宣通阳气,恢复脏腑气化,通利水道,其中尤应重视宣发通畅阳气,以升发、鼓舞津液,使水肿尽消.“,”Professor DING Yuanqing puts forward different understanding of the therapeutic principle for edema compared with Internal Medicine of Traditional Chinese Medicine. Through the profound understanding of the basic concepts of “therapeutic principle” and “therapeutic method”,sweating,dieresis,and purging to eliminate water belong to the category of the therapeutic method ,which are not the therapeutic principle for edema. Combined with the understanding of edema in the Yellow Emperor's Internal Cannon,Professor DING Yuanqing holds that the pathogenesis of edema can be divided into pathogenic factors leading to edema and deficiency of healthy qi leading to edema. Therefore ,deficiency and excess should be differentiated before the treatment. The therapeutic principle of edema can be summed up as eliminating pathogenic factors ,toni-fying deficiency,dispersing and unblocking yang qi,restoring the qi transformation in the viscera and regulat-ing the water passage. In order to raise and invigorate the metabolism of fluid,and get rid of edema,the dispersion of yang qi should be emphasized.