纪云西湿火证治经验  

JI Yunxi's experience in diagnosis and treatment of damp fire

作　　者：赵轩 楼毅杰 吴欣玥 纪云西[2] ZHAO Xuan;LOU Yijie;WU Xinyue(The first Clinical College of Zhejiang Chinese Medical University,Zhejiang Hangzhou Zhejiang 310053,China)

机构地区：[1]浙江中医药大学第一临床医学院,浙江杭州310053 [2]浙江省中医院,浙江杭州310006

出　　处：《四川中医》2024年第1期18-20,共3页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:论述湿火证的证候特点、病因病机、治法用药,总结纪云西教授针对湿火证的诊疗规律。方法:以扶阳理论为基础,通过研读《医理真传》《内外伤辨惑论》《温病条辨》等著作,查阅与阴火、扶阳、湿热相关文献,记录和整理纪云西教授治疗湿火证的相关医案,分析湿火证之独特性,总结湿火证的诊疗经验,并列举医案一则加以阐述。结果:纪教授认为湿火证属广义“阴火”,其与李东垣提出的“阴火”可资鉴别。湿火证的病因为饮食劳倦、情志内伤,病机为寒湿内生、真阳浮越,可与传统湿热证相鉴别。湿火证的治疗重在清浮火、畅三焦、固中土、潜真阳、滋肾水。结论:纪教授认为湿火证本质为阳不入阴、浮越于外,以扶阳抑阴法治之,颇具疗效。Objective:To discuss the syndrome characteristics,etiology,pathogenesis,treatment and medication of dampfire syndrome,and summarize Professor JI Yunxi's rules of diagnosis and treatment of damp-fire syndrome.Methods:Based on the theory of supporting Yang,through the study of“True Biography of Medical principles”,“differentiation of Internal and external injuries”,“differentiation of febrile Diseases and other works”,consult the literature related to“yin-fire”,“supporting yang”and“dampness-heat”,record and sort out the relevant medical records of Professor JI Yunxi's treatment of damp-fire syndrome,analyze the uniqueness of damp-fire syndrome,summarize the diagnosis and treatment experience of damp-fire syndrome,and list a medical case to elaborate.Results:Professor Ji believes that the syndrome of damp fire belongs to“yin fire”in a broad sense,which can be distinguished from the“yin fire”put forward by Li Dongyuan.Damp-fire syndrome is due to poor diet,loss of work and rest and emotional injury.The pathogenesis is cold-dampness endogenesis,real yang floating,which can be distinguished from the traditional damp-heat syndrome.The treatment of damp-fire syndrome focuses on clearing floating fire,smooth Sanjiao,solidifying soil,latent true yang and nourishing kidney water.It is treated by warming yang to dissipate cold,dissolving dampness and regulating qi,and introducing yang to kidney.Conclusion:Professor Ji believes that the essence of dampness and fire is that Yang does not enter Yin and floats outside,so the rule of supporting Yang and suppressing Yin is quite effective.

关 键 词：湿火证 湿热证 寒湿 阴火 阴阳 

分 类 号：R249[医药卫生—中医临床基础]