从三焦气化失常分析“上火”的病因病机

Analysis of etiology and pathogenesis of‘shanghuo’from the perspective of sanjiao qi transformation disorder

“上火”属于中医“火热证”范畴。“上火”病因病机复杂,与人体多个脏腑气机失调密切关联。笔者试从三焦气化失常角度阐明“上火”的病因病机。上焦六气上受、中焦中气下降、下焦元气虚越是“上火”的主要原因,火气通过三焦通道上逆于头面。从三焦气化失常角度阐明“上火”的病因病机,可为辨证论治“上火”提供一定的理论依据。

‘Shanghuo’belongs to the category of‘fire-heat syndrome’in TCM.The etiology and pathogenesis of‘Shanghuo’are complex,which is closely related to disorder of qi movement in different viscera.The author explores the etiology and pathogenesis of‘Shanghuo’in TCM from the perspective of sanjiao qi transformation.The attack on upper-jiao by six climates,the decline of middle qi in middle-jiao,the deficiency of promordial qi are main reasons of‘Shanghuo’.The fire retrogrades up to head and face through the access of sanjiao.This paper clarifies the etiology and pathogenesis of‘Shanghuo’from the perspective of disorder of sanjiao qi transformation,which provides theoretical basis for the treatment of‘Shanghuo”based on syndrome differentiation.