从脾胃气机升降角度探析李杲之＂阴火＂病机和治则

Analyze pathogenesis and rules of treatment of ＂yin fire＂ from the perspective of qi activity of spleen and stomach of ascending and descending

＂阴火＂一词在金元之前医学著作中鲜有提及,而在金元四大家之一李杲的著作中反复出现并强调其成因和治疗的重要性.由于该词在李的著作中论述不甚明确,所包含内容复杂繁多,对其具体涵义及形成原因历代医家众说纷纭.通过阅读分析相关文献资料,笔者认为,阴火的形成与元气虚衰、脾胃气虚等原因致脾胃气机升降失调关系密切,治疗在补益元气和脾胃之气的同时应注重脾胃气机的调理使得其升降功能恢复正常.本文从这个角度切入探讨,以期进一步阐明阴火的涵义和成因,不揣冒昧,罗列于下,以飨同道.

The word ＂yin tire＂ was lew mentioned before din and Yuan Dynasty in TCM literature, but was appeared repeatedly and emphasized its importance in the literature of Li Gao who was one of the ＂four famous physicians in the Jin and Yuan Dynasty＂. The word in literature was discussed uncertainty and the content included was complicated, so physicians in past dynasties had their own opinions in specific meaning and its origin. From reading and analyzing literature related to it, we think the origin of yin fire has close relationship with qi activity of spleen and stomach lose bal- ance of ascending and descending which is caused by declination of primordial qi and deficiency of qi of spleen and stomach, so we should turn to nor- mal of qi ascending and descending of spleen and stomach when invigorate primordial qi and qi of the spleen and stomach in therapy. This paper is written to discuss the meaning and origin of yin fire from this perspective and your comments and suggestions are welcome.