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李东垣《脾胃论》“阴火”理论探讨 被引量:69

Discussion on ‘yin fire’ theory of Treatise on Spleen and Stomach of LI Dong-yuan
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摘要 "阴火"理论是李东垣"脾胃学说"的核心,其基本内容均见于李东垣撰著的《脾胃论》中。因李东垣对"阴火"的概念和病机阐述不甚明确,因此后世对"阴火"的理解也各不相同,且至今莫衷一是。笔者通过对《脾胃论》的深入研究,认为"阴火"其实质是脾胃内伤虚损所产生的一种火热邪气。"阴火"产生的基本病机是内伤脾胃,脾胃气虚,清阳不升。故"阴火"治疗以"益气升阳""甘温除热"为主法,若阴火亢盛,可加少量泻火药为从权施治之计。 Theory of ‘yin fire' is the core of 'theory of spleen and stomach' proposed by LI Dong-yuan, its basic content is all in the book of Treatise on Spleen and Stomach written by LI Dong-yuan. Later generations are also different in the understanding of‘yin fire' because LI Dong-yuan's conception and pathogenesis of‘yin fire' are not very clear, and so far there is no consensus. Through in-depth study of Treatise on Spleen and Stomach, the authors think that the essence of‘yin fire' is a kind of fiery evil which is produced by the deficiency of internal injury of spleen and stomach. The basic pathogenies of ‘yin fire' is internal injury of spleen and stomach, deficiency of spleen and stomach qi, qingyang is not ascending. Therefore, the treatment of ‘yin fire' is mainly based on‘benefiting qi and raising yang', ‘relieving fever with sweet and warm drugs', if ‘yin fire' is excessive, a small amount of fire-purging drugs can be added for the treatment of power.
作者 白建英 张秀芬 杨贵真 徐昭娟 王喜梅 李会敏 李付平 BAI Jian-ying;ZHANG Xiu-fen;YANG Gui-zhen;XU Zhao-juan;WANG Xi-mei;LI Hui-min;LI Fu-ping(Hebei University of Chinese Medicine,Shijiazhuang 050200,China)
机构地区 河北中医学院
出处 《中华中医药杂志》 CAS CSCD 北大核心 2018年第10期4586-4588,共3页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 河北省自然科学基金资助项目(No.H2015423040) 河北省中医药管理局科研计划项目(No.2015004)~~
关键词 李东垣 脾胃论 阴火 火热邪气 脾胃内伤 甘温除热 LI Dong-yuan Treatise on Spleen and Stomach Yin fire Fiery evil Internal injury of spleen and stomach Relieving fever with sweet and warm
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