五心烦热辨证论治之我见

My Opinion on Syndrome Differentiation and Treatment of Feverish Sensation in Five Centers

五心烦热之因,多归结于阴虚火旺。但因血虚得之者,亦屡见不鲜。阴虚与血虚,无论于病因病机抑或诊断治疗,可谓差异诸多。血虚者,多责之于肝脾胃;而阴虚者多责之于肺胃肝肾。血虚者,多舌淡;阴虚者,多舌红。血虚者用药偏于甘温,偏于温补;阴虚者用药偏于凉润,偏于清补。故实有必要鉴别论治。力求阐明五心烦热症的常见病机,并进一步开拓五心烦热症的辨治思路。

Feverish sensation in five centers is usually due to yin deficiency and excessive fire,but blood deficiency is also a common cause. There are many differences between yin deficiency and blood deficiency on disease cause,disease mechanism,diagnosis and treatment. Blood deficiency is usually due to the disease of liver,spleen and stomach,while yin deficiency is usually due to disease of lung,stomach,liver and kid- neys. Blood deficiency often manifests as pale tongue,while yin deficiency often manifests as red tongue. Warm and sweet herbs are often used for blood deficiency,which is warm tonification,while cool and mois- ture herbs are used for yin deficiency,which is clear tonification. Therefore it is necessary to give treatment after differentiating the syndrome types. The common disease mechanism should be studied to explore the differentiation paradigm for feverish sensation in five centers.