从“气”的角度防治“上火”探析
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摘要
[目的]探索导致上火的现象、原因、机制及上火的防治方法。[方法]从临床及理论的角度考察上火的机制,并分析上火现象产生的种类。同时,以脏腑虚实为主要参考,辨证治疗上火现象。[结果]1."气有余便是火"是出现"上火"现象的根本原因,而之所以会出现气有余,主要原因还是人体气机不畅。2.火热病的原因分两种,因为邪气甚导致全身性的气有余则出现实火,主要表现在大肠火、胃火、胆火等阳性的脏腑之中;如果因为气机不通畅,气结于局部,则导致局部上火。3.上火分实火、虚火。实火主要是因为五脏六腑气盛化火,即所谓的"气有余便是火",主要从胃、心、大肠、肝、胆等脏腑加以考虑;虚火主要是脾、肾、肺等脏腑加以考虑。4.在治疗上,实火采取的是苦寒泄火法,只需要用苦寒之药即可得到很好的疗效,可以使用黄芩、黄连、栀子、大黄、龙胆草等苦寒之品;虚火则需要从虚火上炎、脾失运化等角度加以考虑,必要时可用茯苓、白术、泽泻等除湿之品,也可用黄柏、知母、地黄等滋阴之品,适时也可以用附子、肉桂、砂仁等辛温之药。[结论]上火作为生活中及临床上常见的现象,通过中医的辨证论治不仅可以治疗,还能够根据患者的现状事先进行预防。
[Objective] To explore the phenomena,causes,mechanisms,and prevention and control methods that lead to excessive internal heat. [Method]Analyze the type of excessive internal heat phenomenon generated;To examine the mechanism of excessive internal heat from the clinical and theoretical perspectives. [Results] 1. "More gas leads to excessive internal heat" is the root cause of the "excessive internal heat" phenomenon,and the reason why there will be more than one Qi,the main reason is that the human Qi function is not smooth. 2. There are two reasons for fire fever. Because evil spirits cause more than one full-body Qi,it is a real fire. It is mainly manifested in positive organs such as colorectal fire,stomach fire and bile fire. If the Qi engine is not smooth,the Qi knot in the part will cause local fire. 3. The excessive internal heat is divided into real fire and virtual fire. The real fire is mainly because the five organs and six spirits are full of fire,that is,the so-called "gas is more than fire",mainly from the stomach,heart,large intestine,liver,bile and other viscera to consider;The virtual fire is mainly considered by the spleen,kidneys,lungs and other viscera. 4. In terms of treatment,the real fire adopts the bitter cold fire discharge method. It only needs to use bitter cold medicine to obtain a good curative effect. You can use bitter cold products such as Astragalus,Astragalus,Gardenia,rhubarb and Gentiana;The virtual fire needs to be considered from the perspective of the virtual fire,the loss of spleen,etc.. If necessary,it can be used as a dehumidifying product such as Poria,Baishu,Alisma,etc.,or it can be used as a nourishing product such as cypress Zhimu,and Rehmannia. In due course,you can also use herbs such as aconite,cinnamon,and granola. [Conclusion] As a common phenomenon in life and clinic,it can not only be treated through the dialectical treatment of Chinese medicine,but also be prevented in advance according to the status of the patient.
[Objective] To explore the phenomena,causes,mechanisms,and prevention and control methods that lead to excessive internal heat. [Method]Analyze the type of excessive internal heat phenomenon generated;To examine the mechanism of excessive internal heat from the clinical and theoretical perspectives. [Results] 1. "More gas leads to excessive internal heat" is the root cause of the "excessive internal heat" phenomenon,and the reason why there will be more than one Qi,the main reason is that the human Qi function is not smooth. 2. There are two reasons for fire fever. Because evil spirits cause more than one full-body Qi,it is a real fire. It is mainly manifested in positive organs such as colorectal fire,stomach fire and bile fire. If the Qi engine is not smooth,the Qi knot in the part will cause local fire. 3. The excessive internal heat is divided into real fire and virtual fire. The real fire is mainly because the five organs and six spirits are full of fire,that is,the so-called "gas is more than fire",mainly from the stomach,heart,large intestine,liver,bile and other viscera to consider;The virtual fire is mainly considered by the spleen,kidneys,lungs and other viscera. 4. In terms of treatment,the real fire adopts the bitter cold fire discharge method. It only needs to use bitter cold medicine to obtain a good curative effect. You can use bitter cold products such as Astragalus,Astragalus,Gardenia,rhubarb and Gentiana;The virtual fire needs to be considered from the perspective of the virtual fire,the loss of spleen,etc.. If necessary,it can be used as a dehumidifying product such as Poria,Baishu,Alisma,etc.,or it can be used as a nourishing product such as cypress Zhimu,and Rehmannia. In due course,you can also use herbs such as aconite,cinnamon,and granola. [Conclusion] As a common phenomenon in life and clinic,it can not only be treated through the dialectical treatment of Chinese medicine,but also be prevented in advance according to the status of the patient.
引文
[1]李冠仙.知医必读[M].王新华,点校.南京:江苏科学技术出版社,1984:35.
[2]包洁,汪琴静,李思敏,等.上火诱导因素的病例对照研究[J].中华中医药杂志,2015,30(4):1013.
[3]汤阳,朱晓云,刘喜明.“上火”论治[J].江苏中医药,2018,63(7):71-73.
[4]朱星瑜,赵婷,王耀东,等.上火从郁论治思路浅析[J].新中医,2016,47(7):264-266.
[5]苏鑫,孙大中.服用人参“上火”之理论释析[J].中华中医药杂志,2015,33(2):494-495.
[6]黄元御.黄元御医学全书[M].北京:中国中医药出版社,1999:657.
[2]包洁,汪琴静,李思敏,等.上火诱导因素的病例对照研究[J].中华中医药杂志,2015,30(4):1013.
[3]汤阳,朱晓云,刘喜明.“上火”论治[J].江苏中医药,2018,63(7):71-73.
[4]朱星瑜,赵婷,王耀东,等.上火从郁论治思路浅析[J].新中医,2016,47(7):264-266.
[5]苏鑫,孙大中.服用人参“上火”之理论释析[J].中华中医药杂志,2015,33(2):494-495.
[6]黄元御.黄元御医学全书[M].北京:中国中医药出版社,1999:657.