“阴火”论在慢性萎缩性胃炎中的运用探析

Analysis of the Application of “Yin Fire” Theory in Chronic Atrophic Gastritis

摘要: 通过查阅相关文献和资料，发现李东垣的“阴火”理论与慢性萎缩性胃炎病理演变过程中的病因病机、临床表现、治法方药等存在相通之处，“阴火”的本质是由于饮食失节、劳倦过度、情志不调等损伤脾胃，元气亏虚所致的内伤之火，对“阴火”之“火”的理解不应该局限在发热这一症状上，凡元气不足所致的龙雷之火上冲皆可视为“阴火”，以补脾胃、升清阳、泻阴火为治疗大法，且不忘调畅情志、活血散瘀。本文从“阴火”论概述、“阴火”论下慢性萎缩性胃炎病机、“阴火”论与慢性萎缩性胃炎的关系、“阴火”论治慢性萎缩性胃炎四方面分析，以期为临床治疗本病提供新的思路与方法。

Abstract: Through consulting relevant literature and data, it is found that Li Dongyuan’s theory of “yin fire” has similarities with the etiology, pathogenesis, clinical manifestations, treatment and medicine in the pathological evolution of chronic atrophic gastritis. The essence of “yin fire” is the fire of internal injury caused by the deficiency of vital energy and the damage of the spleen and stomach due to improper diet, excessive fatigue, and irregular mood. The understanding of “fire” of “yin fire” should not be limited to the symptom of fever. The fire rising of dragon and thunder caused by insufficient vitality can be regarded as “yin fire”, which can be treated by tonifying the spleen and stomach, raising yang, and purging yin fire, without forgetting to regulate emotions, promote blood circulation and dissipate blood stasis. This article analyzes from four aspects: the overview of “yin fire” theory, the pathogenesis of chronic atrophic gastritis under “yin fire” theory, the relationship between “yin fire” theory and chronic atrophic gastritis, and the treatment of chronic atrophic gastritis under “yin fire” theory, in order to provide new ideas and methods for clinical treatment of this disease.