浅谈阴火、相火产生的机理及证治特点

Discuss on Pathogenesis and Patterns Treatment of Yin Fire and Ministerial Fire

李杲认为"阴火"产生的机理为脾胃元气不足,气火失调;其临床表现主要为脾胃气虚和火热亢盛两大证候群,并根据其证候特点创制出甘温除热大法,主方为补中益气汤。而朱震亨则对"相火"一证有独特的见解,指出其病机为"相火"妄动,煎熬阴精,其临床表现主要为肝肾阴虚和火热亢盛两大证候群,治法以滋阴为本,泻火为标,主方为大补阴丸。

Li Gao thought yin fire resulted from the insufficiency of original qi and the disturbance of qi fire in spleen and stomach. Its clinical symptoms include spleen - stomach qi vacuity and hyperactive heart fire. The method of eliminating heat with warmth and sweet- ness is created in line with the symptoms. The typical prescription is Buzhongyiqi Tang. ZHU Zhen - heng had a unique understanding of ministerial fire and put forward that frenetic stirring of the ministerial fire as well as boiling reversal and sex fluids, which has the two major symptoms including liver - kidney yin vacuity and hyperactive heart fire. The therapeutic method is to treat root and superficiality through enrichingyin and downbearing fire respectively. The typical prescription is Dabuying Pills.