摘要:
The concept of yin fire is firstly found in Differentiation on Endogenous and Exogenous Diseases of Li Dongyuan,detailed records are in Treatise on Spleen and Stomach,but it does not make detailed explanation to the essence of the yin fire,so that there are many different opinions on it from later physicians.It mainly includes fever due to qi deficiency,fever due to yin deficiency,phase displacement of power,yin fire the fire four point of view,but the above views are still don't fully explain yin fire.In this article,through reviewing yin fire of Li Dongyuan,combined with the personal understanding of qi activity cycle,Israel test card was used at the same time,it is concluded that the nature of yin fire is spleen and stomach qi in the tired,hunger inappropriate or medical make the transport and receive a rotten function of the spleen and stomach is damaged,produce a kind of pathological products.Buzhong Yiqi decoction in the treatment of yin fire is dysfunction of middle jiao,thought restoring the normal function of spleen and stomach which causes the deficiency of yin fire.Combined with the wind medicine,primordial qi recovered,and yin fire disappeared.%阴火的概念首见于李东垣的《内外伤辨惑论》,详实于《脾胃论》,但其中并没有对阴火的本质做出详细解释,因此后世医家对其有很多不同见解.主要包括:气虚发热、阴虚发热、相火离位、阴火非火四种观点,但是以上观点仍不能较全面解释阴火.现通过复习李东垣对于阴火的论述,并结合个人对气机循环的理解,同时应用以方测证的方法,得出阴火的本质是脾胃之气在受劳倦,饥饱失宜或七情内伤的情况下,脾胃的运化和受纳腐熟的功能受损,产生的一种病理产物.补中益气汤治疗阴火的原理为健运中焦,恢复脾胃运化谷食的正常功能,使阴火所生乏源,再以风药泻之,则元气复,阴火散.