| 中文摘要 |
李東垣為金元時代著名醫家，元氣陰火學說為其所著脾胃論的重要學術思想。李氏認為，一切疾病的發生與脾胃中焦元氣不充有密切關係，而飲食勞倦情志為引起脾胃氣虛的主要因素。脾氣虛時以消化系統功能障礙為主，多數可見小腸吸收機能減退及營養代謝失調。陰火是脾胃虛衰，元氣不足所引起的，其主要病變在小腸，其治療方法稱為甘溫除熱法，典型治療代表方劑為補中益氣湯。陰火臨床的表現可以為實熱證或虛熱證，虛熱證的表現因長期小腸營養物質的吸收不足，會出現氣虛頭痛、貧血，容易感冒，惡寒發熱等脾肺兩虛症狀，從中醫免疫學的觀點而言，脾主營養的消化吸收與免疫的防衛功能失調，並已影響到肺為免疫屏障的功能。實熱證的表現，其實是在虛熱體質的基礎上演變而來。Li Dong Yuan was a famous physician at Jin-Yuan Dynasty in China. Yuan-Qi-Yin-Fire hypothesis was one part of important thought in Pi-Wei-Lun described by Li’s. Li’s though that all diseases occurred were relationship with middle burner of Yuan-Qi from spleen and stomach. Over of diet, working hard and emotional stress will be main cause of spleen and stomach qi vacuity. When the spleen qi vacuity, G-I function disturbance and small intestine malabsorption as well as nutrition metabolism dysregularity will be present. Yin-Fire is developed from Yuan-Qi insufficiency of spleen and stomach. The histopathological lesion of Yin-Fire is in small intestine. The therapeutic method is called eliminate heat with warmth and sweetness. The classic prescription is Bu-Zhong-Yi- Qi-Tang (BZYQT). The clinic symptoms of Yin-Fire may be repletion or vacuity heat patterns.The symptoms of vacuity heat patterns were Spleen and Lung vacuity patterns, including qi-vacuity, headache, anemia, easily catch a cold, chill and fever. On concept of Chinese Immunology, the spleen governs digestion and absorption of nutrition as well as governs defence mechanism of immunity disorder. On the other hand, the lung governed immunity barrier is also influenced. The symptoms of repletion heat patterns as fact are developed from the foundation of vacuity heat patterns in constitution. |
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