Abstract:The Yin fire theory put forward by Li Dongyuan, a famous physician in the Jin Dynasty
, takes “damage to the qi of the spleen and stomach, malfunction of the rising of qi; deficiency of primordial qi, and internal flourishing of yin fire” as the fundamental pathogenesis, which can explain the pathogenesis of perimenopausal syndrome more completely. Based on the analysis of yin fire theory, the basic pathogenesis of perimenopausal syndrome includes “deficiency of primordial qi, yin fire flaming upward”, “malfunction of the rising of qi, stagnation of fire and internal knot”, and “internal flourishing of yin fire, depletion of kidney water”. Li Dongyuan creates the removing heat with sweet-warm natured medicine method for treating yin and fire syndrome, which uses pungent-warm natured medicine for dispersing and penetrating, sweet-warm and sweet-calm natured medicine to benefit qi for tranquillization, and sweet-cold natured medicine to nourish yin for clearing fire, which is important for the treatment of perimenopausal syndrome, and can be used flexibly in the clinical treatment of perimenopausal syndrome according to this method.
孔令源 韩欣园 吴越 宋晓宾. 李东垣基于阴火理论治疗围绝经期综合征的经验[J]. 中国医药导报, 2023, 20(17): 149-152.
KONG Lingyuan HAN Xinyuan WU Yue SONG Xiaobin. Li Dongyuan’s experience in treating perimenopausal syndrome based on Yin fire theory. 中国医药导报, 2023, 20(17): 149-152.