从阴火论治多发性硬化

Treatment of Multiple Sclerosis from Perspective of Yin Fire

多发性硬化中医病因主要包括外感六淫、内伤劳倦等病理因素。现代研究多根据发病特点,将多发性硬化病病机概括为肾气亏虚、湿邪浸淫、阴阳两虚等。李东垣《脾胃论》认为,阴火应是脾胃气衰,不能正常推动气的运行,气虚郁而化火。故多发性硬化核心为本虚标实,虚因脾气衰败,实因阴火内生。急性期与缓解期均可见阴火夹杂风湿、血瘀、水饮,阴火贯穿于整个疾病的发展过程。

The TCM etiology of multiple sclerosis(MS) mainly includes six exogenous pathogenic factors, internal injury and fatigue, etc.According to the characteristics of the disease, in modern studies the pathogenesis of MS is generally summarized as deficiency of Kidney Qi, Dampness Evil infiltration, and deficiency of both Yin and Yang.In Li Dongyuan′s Pi Wei Lun,it is believed that Yin fire should be the product of Spleen and Stomach Qi failure, which cannot promote the normal circulation of Qi, and the Qi deficiency and depression would transform into Fire.Therefore, the core etiology of MS is the deficiency in root and excessiveness in symptom, in which deficiency is caused by Spleen Qi declining and excessiveness is caused by internal Yin Fire.Both in the acute phase and the remission phase Fire mixing with rheumatism, blood stasis, and Water-Dampness runs through the entire development process of the disease.