摘要
“阴火”理论由李东垣提出,阴火有“心火”“肾火”之别,本质实为相火,其本源由脾胃虚弱所致,其病机有阴火损耗元气、阴火致升降失调、阴火生内热。阴火与情志疾病关系密切,阴火亢盛影响心神,升降失调致心神烦乱、由热生烦,七情郁滞亦可致阴火亢盛。补脾胃泄阴火升阳及甘温除热、甘温生血、重镇降逆是从阴火辨治情志障碍的重要治法。现代“阴火”致病因素明显增多,从“阴火”论治情志障碍尤其是烦躁等阳性病症是一条合理思路,值得深入探讨。
‘Yin fire’theory was put forward by LI Dong-yuan.Yin fire is divided into‘heart fire’and‘kidney fire’.Its essence is phase fire.Its origin is caused by weakness of spleen and stomach.Yin fire has the pathogenesis of wasting vitality,causing abnormal rise and fall and internal heat.Yin fire is closely related to emotional disorder,which can directly affect the mind and spirit,cause the mind and spirit to be upset due to the imbalance of rise and fall,and generate annoyance from heat.The depression of seven emotions can also cause the hyperactivity of yin fire.Tonifying the spleen and stomach,relieving yin fire and ascending yang,removing heat with sweet warming,generating blood with sweet warming and reducing stress are important methods to treat emotional disorders from yin fire.The pathogenic factors of modern‘yin fire’have increased significantly.It is a reasonable idea to treat emotional disorders,especially positive diseases such as irritability from‘yin fire’,which is worthy of indepth discussion.
作者
李成
姚魁武
段锦龙
张晴
操蕾
朱爱松
LI Cheng;YAO Kui-wu;DUAN Jin-long;ZHANG Qing;CAO Lei;ZHU Ai-song(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;College of Basic Medicine,Zhejiang Chinese Medical University,Hangzhou 310053,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2022年第5期2463-2466,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家重点研发计划(No.2019YFC1708703)
国家自然科学基金面上项目(No.81873173)
首都卫生发展科研专项项目(No.2018-2-4153)。
关键词
李东垣
阴火
情志障碍
烦躁
脾胃论
相火
LI Dong-yuan
Yin fire
Emotional disorders
Irritability
Treatise on the Spleen and Stomach
Ministerial fire
作者简介
通信作者:姚魁武,北京市西城区北线阁5号中国中医科学院广安门医院,邮编:100053,电话:010-88001241,E-mail:yaokuiwu@126.com。
