基于中医经典论李东垣阴火的分证病机及其治疗  

Syndrome Differentiation, Pathogenesis and Treatment of LI Dongyuan′s Theory of Yin Fire Based on Traditional Chinese Medicine Classics

作　　者：崔一平 张庆祥[1] CUI Yiping;ZHANG Qingxiang(Shandong University of Traditional Chinese Medicine,Jinan 250014,Shandong,China)

机构地区：[1]山东中医药大学,山东济南250014

出　　处：《辽宁中医杂志》2023年第3期43-45,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81774169);山东省研究生教育质量提升计划项目(SDYKC18037)。

摘　　要：阴火理论是李东垣内伤学说的重要内容,但由于对“阴火”内涵认识有别,故历来争议较多。文章在精研东垣原文基础上,根据《内经》阴阳理论,提出了“阴火是内伤火热总称”的观点;并通过总结东垣“阴火”的相关论述,形成了阴火分证理论体系。认为阴火产生的病理基础是内伤脾胃,中气不足,具体病机可分为“元气不足”“心火乘土”“脾虚湿盛”“相火上冲”“营血亏虚”“土滞木郁”,并提出相应治疗方药,以期对发展阴火理论和临床应用有所裨益。Yin fire theory is an important part of LI Dongyuan′s internal injury theory, but there are many disputes because of the different understanding of the connotation of Yin fire.Based on the careful study of Dongyuan′s original text and the Yin-Yang theory of Neijing,this paper puts forward the viewpoint that “Yin fire is the general name of internal injury fire and heat”.By summarizing the relevant discussion of Dongyuan′s “Yin fire” theory, a theoretical system of Yin fire syndrome is formed.It is considered that the pathological basis of Yin fire is internal injury to spleen and stomach and lack of Qi.The specific pathogenesis can be divided into “lack of vital Qi”,“spleen and stomach weakness caused by exuberant heart fire”,“spleen-stomach deficiency and excess of dampness”,“minsteral fire upward”,“Ying and blood deficiency”,“liver function weakening caused by stagnation of spleen and stomach function”,and it puts forward the corresponding therapeutic prescriptions in order to be beneficial to the development of Yin fire theory and clinical application.

关 键 词：李东垣 阴火 病机 内热 证候分类 中医基础理论 

分 类 号：R22[医药卫生—中医基础理论]