基于“六气皆从火化”探讨缺血性中风急性期的病机与证治  

Pathogenesis,Diagnosis and Treatment of Acute Ischemic Stroke Based on Theory of"Six Qi being transformed from Fire"

作　　者：吴艺帆 傅晨[2] 刘雪梅[2] WU Yifan;FU Chen;LIU Xuemei(Luoyang Branch of Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine/Luoyang Hospital of Traditional Chinese Medicine,Luoyang Henan China 471000;Dongfang Hospital Affiliated to Beijing University of Chinese Medicine,Beijing China 100078)

机构地区：[1]北京中医药大学东直门医院洛阳医院/洛阳市中医院,河南洛阳471000 [2]北京中医药大学东方医院,北京100078

出　　处：《中医学报》2024年第8期1622-1625,共4页Acta Chinese Medicine

基　　金：国家自然科学基金项目(82374405)。

摘　　要：“六气皆从火化”理论包含六气化火、火化六气和六气互化,指风、寒、燥等诸气既可被火裹挟而在人体中传化,也可依从火的盛衰而发生转化,还可在火的作用下相互化生,该理论着重强调“火热”是众多疾病的病机。“火热”是缺血性中风的关键致病因素,亦是其加重恶化、迁延难愈的重要因素;西医认为,过度激活的炎症反应是引发、加重急性缺血性卒中的主要因素,故“火热”与炎症反应关系密切,除了体现在缺血性中风的病因病机动态变化上,还反映在临床治疗原则上。缺血性中风急性期的治疗以清热泻火为基本治法,其可能是通过干预过度激活的炎症反应起到治疗作用。The theory of"six Qi being transformed with Fire"includes six Qi transform into Fire,six Qi being transformed by Fire and interconversion of six Qi.It means that the Wind,Cold,Dryness and other types of Qi can be transformed from one to another with Fire in the body,and they can be transformed according to the rise and fall of Fire and can also be transformed into one another with the action of Fire.The theory emphasizes that Fire-Heat may be the pathogenesis of many diseases,which is the key pathogenic factor and an important factor for aggravation and prolongation of ischemic stroke.It is believed in western medicine that the over-activated inflammatory response is the main factor that induces and aggravates the acute ischemic stroke.From this prospect,the Fire-Heat is closely related with inflammation,not only reflected on the dynamic change of etiology and pathogenesis of ischemic stroke,but also reflected in the principle of clinical treatment.The treatment of acute ischemic stroke is focused on clearing Heat and purging Fire,which may play a therapeutic role by interfering with excessive activation of inflammatory response.

关 键 词：缺血性中风急性期 “六气皆从火化” 炎症反应 清热泻火类中药 

分 类 号：R255.2[医药卫生—中医内科学]