摘要
郁火即气机郁滞不通所致之火,首见于《黄帝内经》,在金元时期得到重要发展,玄府、阴火、相火等理论背后都体现了金元医家对郁火的关注。东汉·张仲景已提出“阳气怫郁”是伤寒的重要病机,而刘完素将玄府不通作为郁火产生的机理,以广义之玄府论证郁火的普遍性,使郁火不再局限于外感风寒闭郁之一端。张子和重视痰瘀所致的郁火,李东垣补充气虚运化失司亦可致郁,朱丹溪以“相火失常”总结前人之说,并将郁滞作为生理之火与病理之火的转化条件。火郁当发,而不是一味地寒凉沉降,发越郁火需以风药为主,风药不仅仅能解表更能开通表里玄府,调畅内外气机,在风药的不同配伍中衍生出补气升阳、辛凉透散等治法,在临床各科中运用广泛,并对后世温病学的形成产生影响。
Stagnated fire is mainly caused by the stagnation of the circulation of Qi,which was first reported in Inner Canon of Huangdi and gained important development during Jin and Yuan Dynasties.The theories of Xuan Fu,Yin Fire and Ministerial Fire reflect medical experts’attention to stagnated fire in Jin and Yuan Dynasties.ZHANG Zhong-jing in Han Dynasty had already proposed that stagnated fire is the pathogenesis of exogenous cold diseases.However,LIU Wan-su regarded Xuan Fu obstruction as the generation mechanism of stagnated fire,and demonstrated the universality of stagnated fire through the generalized Xuan Fu theory so that stagnated fire is no longer confined to the field of exogenous cold diseases.ZHANG Zi-he attached importance to stagnated fire caused by phlegm and blood stasis,and LI Dong-yuan added Qi deficiency and abnormal transportation could be another reason.ZHU Dan-xi summarized those theories with the concept of ministerial fire,in which stagnation state is the boundary between normal fire and abnormal fire.Stagnated fire needs to be treated with wind herbs,not cold and cool drugs.Wind herbs can not only relieve exterior syndromes,but also open Xuan Fu and regulate qi activities.The famous therapies,such as tonifying Qi and promoting Yang,dispersing stasis with herbs pungent in flavor and cool in property,are based on the compatibility of wind herbs.Those therapies are widely used in clinical practice,providing enlightenment to the school of epidemic febrile disease.
作者
殷鸣
金钊
张琦
YIN Ming;JIN Zhao;ZHANG Qi(Chengdu University of Chinese Medicine,Chengdu 610075,China)
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2020年第11期1598-1600,F0004,共4页
JOURNAL OF BASIC CHINESE MEDICINE
基金
四川省科技厅重点研发项目(2018SZ0089)-风药调控肠道微生态干预肿瘤恶病质关键技术研究。
关键词
郁火
玄府
阴火
相火
风药
Stagnated Fire
Xuan Fu
Yin Fire
Ministerial Fire
Wind Herbs
