北京中医药大学学报2025，Vol.48Issue(3)：330-335,6.DOI:10.3969/j.issn.1006-2157.2025.03.006
基于"包络-三焦-胆"相火轴论瘀热辨治
Treating stasis-heat based on the ministerial fire axis of"pericardium-sanjiao-gallbladder"
摘要
Abstract
Stasis-heat is a pathological factor associated with numerous exogenous and internal injuries,representing a pivotal mechanism in disease progression.Its primary cause is fire-heat toxicity.Based on the theory of qi and the holistic perspective of traditional Chinese medicine,this concept emphasizes that the biochemistry of all natural phenomena relies on the dynamic movement of qi ascending,descending,exiting,and entering.Within six qi,"fire"includes sovereign and ministerial fires.While physiological ministerial fire is the source power of life,pathological ministerial fire manifests as violent,intense energy that readily interacts with blood,leading to the formation of stasis-heat.Therefore,this article examines the formation and treatment of stasis-heat resulting from ministerial fire dysfunction.From the perspectives of ministerial fire gasification,the shape and quality of meridians,and the elevation of ministerial fire,it elucidates why the"pericardium-sanjiao-gallbladder"axis is regarded as pivotal.Furthermore,when the"pericardium-sanjiao-gallbladder"ministerial fire axis is unfavorable,and the stagnation of ministerial fire elevation and blockage is crucial to stasis-heat formation.Additionally,the depletion of essence and blood in the liver and kidneys,preventing the proper storage of ministerial fire,forms the pathological foundation.Drawing upon The Inner Canon of Yellow Emperor,this article explores therapeutic principles based on the rules of odor treatment:"when fires in the interior,the treatment of salty and cold,accompanied by bitter and pungent,acid to astringe,bitter to disperse."These principles are applied to achieve specific therapeutic goals:tempering the excess of ministerial fire to cool the nutritive level and transform stasis;adjusting the imbalance of elevation and depression to vent heat and unblock stasis;and restoring the misplaced fire by nourishing blood to expel stasis.Through these approaches,the article aims to reestablish the proper circulation of ministerial fire,dissipate blood stasis,and ultimately eliminate stasis-heat,thereby offering an integrated perspective on its pathogenesis and treatment.关键词
瘀热/相火/包络/三焦/胆Key words
stasis-heat/ministerial fire/pericardium/sanjiao/gallbladder分类
中医学引用本文复制引用
李纳川,吕凯,刘子旺,张红晓,张萌,丁璐..基于"包络-三焦-胆"相火轴论瘀热辨治[J].北京中医药大学学报,2025,48(3):330-335,6.基金项目
国家自然科学基金项目(No.82205075) National Natural Science Foundation of China(No.82205075) （No.82205075）
