基于“相火气机学说”论治肝病源流溯洄

A Review of the Treatment of Hepatopathy Based on the Ministerial Fire and Qi Activity Theory

秉承朱丹溪相火学说,遵循黄元御气机理论,融汇王新午、麻瑞亭学术经验,结合临床实践,首倡相火气机学说,旨在研究人体生命之火及其运动变化,是中医对人体生理、病理探讨的一种全新认识模式。基于"相火气机学说"论治肝病,提出"六型相火"病机理论,即郁热相火、血热相火、湿热相火、瘀热相火、阴虚相火、相火虚衰;并归纳总结出"治肝十法",提倡临床上多用"和法",仿黄元御治病之法,选用仲景"四逆散"畅达气机,调理肝脾,以达到"调整阴阳,以平为期"。

This paper aims to make a research on the human body’s life fire and its evolution in accordance with Zhu Danxi’s Ministerial Fire Theory and Huang Yuanyu’s Qi Activity Theory as well as Wang Xinnian and Ma Ruiting’s academic experiences,which is a totally new model of recognizing the human physiology and pathology from the perspective of TCM.This paper proposes the pathology of Six Types of Ministerial Fire,including the ministerial fire caused by depression heat,the ministerial fire caused by blood heat,the ministerial fire caused by dampness heat,the ministerial fire caused by Yin deficiency and the decline of the ministerial fire based on the Ministerial Fire and Qi Activity Theory.In addition,this paper makes a summary of the Ten Methods of Treating Hepatopathy,and advocates the constant use of Harmonizing Method in clinical practice to achieve the aim of adjusting the Yin and Yang to keep balance by use of Zhang Zhongjing’s Sini Powder,which can smooth the Qi activity and regulate the liver and spleen on the basis of Huang Yuanyu’s treatment.