郑钦安阴火论与临床应用

Zheng Qinan's Yin-Fire Theory and Its Clinical Application

郑钦安指出阴火产生的本质就是肾中之虚阳向上或向外飞越,阴盛而虚阳外越,导致阴火上潮,阴火上潮最主要的临床症状是发热、午后发热和手脚大热。此发热为阳虚虚阳外越之发热,不可按外感阳证发热治之,须抓住"舌青,欲饮极热者"等一系列阴证之实据来判断。认准阴证阳虚后,以扶阳抑阴为治疗大法。郑钦安以四逆汤扶阳为本,以封髓丹引火归元,以附子甘草汤、附子理中汤或桂附理中汤补土伏火。

Zheng Qinan pointed out that the essence of the yin fire is the upper or out side manifestation of the deficient yang in the kidney.Excessive yin leads to the deficient yang extending outward,resulting in flaring up of yin fire.Yin fire is clinically characterized by fever,fever in the afternoon and fever in hands and feet.The fever is caused by deficient yang extending outward,it can not be treated as the fever of yang syndrome caused by external contraction.Diagnosis should be given based on a series of yin syndromes,such as blue tongue,parched and extremely heat.The therapeutic method of strengthening yang to suppress yin should be applied after the determination of yin syndrome.Zheng Qinan selected Sini Decoction to strengthen yang,and Fengsui Dan to conduct fire back to the origin,and chose Fuzi Gancao Decoction,Fuzi Lizhong Decoction or Guifi Lizhong Decoction to reinforce earth to suppress fire.