北京中医药大学学报2026，Vol.49Issue(7)：895-900,6.DOI:10.3969/j.issn.1006-2157.2026.07.002
基于相火动静观"突出调肺"辨治儿童注意缺陷多动障碍
Treating attention deficit hyperactivity disorder in children by"emphasizing lung regulation"based on the dynamic-static concept of ministerial fire
摘要
Abstract
The theory of ministerial fire and its dynamic-static concept constitute vital components of traditional Chinese medicine.Guided by ZHU Danxi's dynamic-static concept of ministerial fire,it is proposed that the core pathogenesis of attention deficit hyperactivity disorder(ADHD)in children lies in an imbalance between the dynamic and static states of ministerial fire.Within this framework,insufficiency of the yin-static aspect of ministerial fire represents as the root cause,and unrestrained hyperactivity represents as the manifestation.Ministerial fire is entrusted by the heart and regulated by the lung.The descending function of the lung serves as the foundation of the transformation source,which is essential for the interaction between monarch fire and ministerial fire,while simultaneously governing the static and descending properties of ministerial fire.The lung governs qi and houses the corporeal soul,which is responsible for tranquility and descending.When the corporeal soul is unsettled,the lung fails to regulate ministerial fire,leading to its failure to descend and a disturbance in its dynamic-static states,thereby playing a crucial role in the pathogenesis of ADHD.Consequently,the approach of syndrome differentiation and treatment of this disease by"prioritizing calming techniques and emphasizing lung regulation"is proposed.The root cause should be addressed with the modified combination of Shengmai Powder and Guizhi Jia Longgu Muli Decoction to regulate the lung and harmonize ying,and stabilize hyperactive ministerial fire.Secondary manifestations should be addressed with the modified combination of Xiebai Powder and Bentun Decoction to clear metal and restrain wood,and descend counterflow to calm the rush.This approach aims to strengthen the theoretical foundation for treating ADHD by focusing on the lung,thereby providing a theoretical reference for clinical diagnosis and management.关键词
相火/动静观/注意缺陷多动障碍/突出调肺Key words
ministerial fire/dynamic-static concept/attention deficit hyperactivity disorder/emphasizing lung regulation分类
医药卫生引用本文复制引用
叶志华,李蕙,张来英,张端秀,方芳,王俊宏..基于相火动静观"突出调肺"辨治儿童注意缺陷多动障碍[J].北京中医药大学学报,2026,49(7):895-900,6.基金项目
福建省自然科学基金项目(No.2024J011375) （No.2024J011375）
北京中医药大学儿科研究所建设项目(京中校发[2022]113 号) （京中校发[2022]113 号）
国家中医优势专科项目(国中医药医政函[2024]90 号) Natural Science Foundation of Fujian Province(No.2024J011375) （国中医药医政函[2024]90 号）
