摘要
《黄帝内经》首次提出了“壮火食气,少火生气”的概念,历代医家对此见解各异。“壮火”既可指纯阳辛热之物的特性,也可指阳气过于亢盛的状态,或者指损耗人体元气的病理之火。“少火”既可指温和甘辛之物的特性,也可指温煦平和的阳气,抑或指人体内滋养元气的生理之火。头痛作为神经科门诊中较为常见的疾病或伴随症状,给患者带来很大痛苦。在临床诊疗过程中,现代医家愈发重视“少火壮火”理论的运用,许多疾病的治疗效果因此显著提升,头痛患者也从中获益。基于“少火壮火”理论,对头痛的中医病机进行探讨,可将其分为“壮火亢盛”和“少火不足”两大类,旨在为头痛的辨证分型提供更充分的理论依据,从而更好指导临床用药。
Huangdi Neijing first introduced the concept of“excessive fire consumes Qi,proper fire nourishes Qi”.Throughout history,various medical experts have held differing opinions on this matter.“Excessive fire”may refer to the characteristics of purely Yang and hot substances,an overly abundant Yang Qi,or even a pathological fire that depletes the body’s essential Qi.Conversely,“proper fire”can represent the qualities of gentle,sweet-spicy substances,a warm and harmonious Yang Qi,or the physiological fire that nourishes the body’s essential Qi.Headaches,being a relatively common condition or symptom encountered in neurology clinics,impose significant mental and financial burdens on patients.In clinical practice,modern medical practitioners increasingly emphasize the application of the“proper fire and excessive fire”theory,leading to notable improvements in the treatment of various diseases,including headaches.Based on this theory,the present paper explores the Traditional Chinese Medicine(TCM)pathogenesis of headaches,categorizing them into two primary types:“excessive fire hyperactivity”and“insufficient proper fire.”The aim is to provide a more robust theoretical foundation for the differentiation and classification of headaches,thereby offering better guidance for clinical medication.
作者
王力苇
赵永烈
Wang Liwei;Zhao Yonglie(The Third Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《亚太传统医药》
2025年第7期196-199,共4页
Asia-Pacific Traditional Medicine
基金
首都卫生发展科研专项项目(2024-2-7033)
国家重点研发计划“中医药现代化研究”重点专项项目(2019YFC1709702)。
关键词
《黄帝内经》
少火
壮火
头痛
中医病机
Huangdi Neijing
Proper Fire
Excessive Fire
Headache
Pathogenesis of Traditional Chinese Medicine
