李东垣阴火学说及其现代临床应用探讨  

Discussion on Li Dongyuan's Yin-Fire Theory and Its Modern Clinical Application

作　　者：吴玲玉 宋咏梅 WU Lingyu;SONG Yongmei(College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Institute of Chinese Medical Literature and Culture,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学中医学院,山东济南250355 [2]山东中医药大学中医文献与文化研究院,山东济南250355

出　　处：《南京中医药大学学报》2024年第8期765-770,共6页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：国家中医药管理局《中华医藏》提要编纂项目(KJSZHYZ-2018-014)。

摘　　要：阴火学说是李东垣学术思想的核心内容,具有深刻而广泛的临床指导价值。对阴火学说的内涵及产生背景进行分析,提出阴火证的核心病机为气虚不运,郁而化火;气虚不升,湿热下注;气虚不固,相火上冲;气虚火盛,伤津灼血。通过梳理阴火学说的常用方药和在内科杂病的临床应用,总结各疾病的辨治要点,深化对阴火证内涵的认识。The Yin-Fire theory is the core content of Li Dongyuan's academic thought and has profound and extensive clinical guidance value.This paper analyzes the connotation and background of the Yin-Fire theory,and proposes that the core pathogenesis of Yin-Fire syndrome is qi deficiency without movement,and stagnation turning into fire;qi deficiency without rise,and dampness and turbidity flowing downward;qi deficiency without astringent,and Xiang-Fire rushing upward;qi deficiency and fire hyperactivity,which hurts body fluid and burns blood.This article summarizes the key points of diagnosis and treatment of various diseases by sorting out the commonly used prescriptions and medicines of Yin-Fire theory and its clinical application in miscellaneous internal medicine diseases,and deepens the understanding of the connotation of Yin-Fire syndrome.

关 键 词：李东垣 阴火学说 阴火证 临床应用 糖尿病 慢性胃肠疾病 肿瘤发热 原发性肾小球疾病 心律失常 

分 类 号：R226[医药卫生—中医基础理论]