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从阴火论治多发性硬化
引用本文:孟冬,周莉,刘博文,莎日娜,邹鸿鑫.从阴火论治多发性硬化[J].中医学报,2022,37(2):267-271.
作者姓名:孟冬  周莉  刘博文  莎日娜  邹鸿鑫
作者单位:北京中医药大学,北京100029;北京中医药大学东直门医院,北京100700
基金项目:北京市重大疑难疾病中西医临床协作能力建设项目(YW082)。
摘    要: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...

关 键 词:多发性硬化  阴火  《脾胃论》  李东垣  风湿  血瘀  血虚水盛

Treatment of Multiple Sclerosis from Perspective of Yin Fire
MENG Dong,ZHOU Li,LIU Bowen,SHA Rina,ZOU Hongxin.Treatment of Multiple Sclerosis from Perspective of Yin Fire[J].China Journal of Chinese Medicine,2022,37(2):267-271.
Authors:MENG Dong  ZHOU Li  LIU Bowen  SHA Rina  ZOU Hongxin
Institution:(Beijing University of Chinese Medicine,Beijing China 100029;Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Beijing China 100700)
Abstract: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.
Keywords:multiple sclerosis  Yin Fire  Pi Wei Lun  Li Dongyuan  rheumatism  blood stasis  blood deficiency and water excess
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