1.北京中医药大学东方医院 北京 100078
2.北京中医药大学第三附属医院
王羽侬,女,在读博士生,医师
# 张丰川,男,博士,主任医师,博士生导师,E-mail:bjzfc@sina.com
纸质出版日期:2023-05-30,
收稿日期:2022-03-28,
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王羽侬, 王莹, 郭丽媛, 等. 从邪火论治唇炎探微[J]. 现代中医临床, 2023,30(3):67-71.
WANG Yunong, WANG Ying, GUO Liyuan, et al. Discussion and analysis on treating cheilitis from the perspective of pathogenic fire[J]. Modern Chinese Clinical Medicine, 2023,30(3):67-71.
王羽侬, 王莹, 郭丽媛, 等. 从邪火论治唇炎探微[J]. 现代中医临床, 2023,30(3):67-71. DOI: 10.3969/j.issn.2095-6606.2022.06.013.
WANG Yunong, WANG Ying, GUO Liyuan, et al. Discussion and analysis on treating cheilitis from the perspective of pathogenic fire[J]. Modern Chinese Clinical Medicine, 2023,30(3):67-71. DOI: 10.3969/j.issn.2095-6606.2022.06.013.
本文从邪火的不同方面阐述唇炎的病机和证治。中医诊治唇炎的基本病机为心、脾、胃积热,导致邪火上攻。本文基于唇炎病机特点及患者临床表现,提出唇炎邪火之源可分为壮火、相火、阴火,并从这三种邪火的角度出发阐述唇炎的相关病机:心脾积热,壮火上冲;阴虚血燥,相火妄动;脾胃亏虚,阴火上炎。同时,提出在临证中运用泻黄散或双解通圣散以清心脾、泻壮火;用清心莲子饮或三才封髓丹以滋气阴、化相火;以补脾胃泻阴火升阳汤或补中益气汤以补脾胃、散阴火;以求达到祛除“邪火”之效。
This study explains the pathogenesis
syndrome differentiation and treatment of cheilitis from different kinds of pathogenic fire. The basic pathogenesis process of cheilitis in Traditional Chinese medicine (TCM) is heat brimming in the heart
spleen and stomach followed by fire-pathogen invading upwards. Based on the clinical manifestations and pathological features of cheilitis
this paper puts forward that the source of pathogenic fire can be divided into sthenic fire
ministerial fire and yin fire. The TCM pathology of cheilitis is explained from the perspective of pathogenic fire
including brimming heat in the heart
spleen and uprush of sthenic fire; yin deficiency and blood dryness and frenetic stirring of ministerial fire; spleen and stomach deficiency and upward flaming of yin fire. Some treatment method are also proposed here
which include the use of Xiehuang Powder (Yellow-Draining Powder) or Shuangjie Tongsheng Powder (Double-Resolving Sage-Inspired Powder) to clear the heart and spleen and drain the sthenic fire; Qingxin Lianzi Beverage (Heart-Clearing Lotus Seed Beverage) or Sancai Fengsui Pellet (Heaven
Human
and Earth Marrow-Retaining Elixir) to nourish yin and benefit qi and clear ministerial fire; Bupiwei Xieyinhuo Shengyang Decoction (Stomach-Spleen-Supplementing
Yin-Fire-Draining
and Yang-Raising Decoction) or Buzhong Yiqi Decoction (Center-Supplementing and Qi-Boosting Decoction) to supplement the spleen and stomach and disperse yin fire. These are designed to achieve its desired effect of eliminating pathogenic fire.
唇炎中医疗法邪火壮火相火阴火
cheilitisTCM therapypathogenic firesthenic fireministerial fireyin fire
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