The theory of " evil fire and physical fire" in Classic of Internal Medicine expounds the attributes of "water, fire,qi,flavor" , the relationship of mutual transformation,the law of movement and the impact on the human body. "Qi" and "fire" are interchangeable in physiological state, and cause illness in pathological state. The essay elaborates the diagnosis and treatment of adult onset Stills disease with the theory of "evil fire and physical fire" from four aspects. First, "evil fire exhausting qi" is the key for pathogenesis of adult onset Stills disease;second,clearing away heat to reduce evil fire and invigorating qi to increase physical fire should be both taken in treatment; third, " evil fire exhausting qi" is the main reason of toxic side effects of hormone and also the main reason for hormone dependence. All the points above are illustrated with clinically proved cases in this essay.%《内经》“壮火、少火”理论主要论述了“水、火、气、味”的属性和相互转化关系、运动规律以及对人体的影响.在生理状态时“气”与“火”可以相互转化,在病理状态时“气”与“火”相因为病.本文从“壮火食气”是成人斯蒂尔病病机转化的关键,治疗宜清热泻壮火与补气益少火并举,“壮火食气”是激素产生毒副作用以及对其依赖的主要原因和验案举例等几方面论述了《内经》“壮火、少火”理论在成人斯蒂尔病诊疗中的应用.
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