Exploration on the Pathomechanistic Evolution of "<italic style="font-style: italic">Qi </italic>Transforming into Fire" and the Therapeutic Approach to Emotional Disorders

SUN Yongkang; SONG Yanbo; CHEN Junhua; WU Yijun; YUE Liuping; YU Huan; WANG Xinzhi

doi:10.13288/j.11-2166/r.2025.20.013

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Exploration on the Pathomechanistic Evolution of "Qi Transforming into Fire" and the Therapeutic Approach to Emotional Disorders

更新时间：2025-10-14

- Exploration on the Pathomechanistic Evolution of "Qi Transforming into Fire" and the Therapeutic Approach to Emotional Disorders
  增强出版
- Journal of Traditional Chinese Medicine Vol. 66, Issue 20, Pages: 2157-2160(2025)
- 作者机构：
  
  1.河南中医药大学第一附属医院国家区域中医（脑病）诊疗中心，河南省郑州市金水区人民路19号，450000
  2.中西医防治重大疾病河南省协同创新中心
  3.河南省中医药科学院脑病研究所
  4.河南中医药大学第一临床医学院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.20.013
  CLC：
- Received：08 March 2025，
  
  Revised：2025-08-10，
  
  Published：17 October 2025
- 稿件说明：
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孙永康,宋研博,陈俊华等.从“气火从化”病机演变探讨情志病辨治思路[J].中医杂志,2025,66(20):2157-2160.

SUN Yongkang,SONG Yanbo,CHEN Junhua,et al.Exploration on the Pathomechanistic Evolution of "Qi Transforming into Fire" and the Therapeutic Approach to Emotional Disorders[J].Journal of Traditional Chinese Medicine,2025,66(20):2157-2160.
孙永康,宋研博,陈俊华等.从“气火从化”病机演变探讨情志病辨治思路[J].中医杂志,2025,66(20):2157-2160. DOI： 10.13288/j.11-2166/r.2025.20.013.

SUN Yongkang,SONG Yanbo,CHEN Junhua,et al.Exploration on the Pathomechanistic Evolution of "Qi Transforming into Fire" and the Therapeutic Approach to Emotional Disorders[J].Journal of Traditional Chinese Medicine,2025,66(20):2157-2160. DOI： 10.13288/j.11-2166/r.2025.20.013.

摘要

总结情志病“气火从化”病机演变规律，认为心胆动摇为情志病发病关键，情志过极为情志病的重要诱因，肝郁气滞为情志病的初始病机，并可具有从气、从火两种病机演变途径。从气之证的演变规律为：肝郁气滞证→肝郁脾虚证→心脾两虚证→肝肾阴虚证；从火之证的演变规律为：肝郁气滞证→肝郁化火证→肝火上炎证→心肝火旺证→肝肾阴虚证。从火、从气演变后均可归属于肝肾阴虚之证，继而表现为肝肾阴虚证→阴虚火旺证→心肾不交证的转归过程。据此提出情志病辨证应以虚实寒热为统领，以脏腑、气血津液为核心，确立首安心胆、随证治之、扶正祛邪、未变先防的治疗原则，为情志病临床诊疗提供思路。

Abstract

This paper summarizes the evolutionary pattern of the pathomechanism of "

transforming into fire" in emotional disorders. It proposes that vacillation of the heart and gallbladder is the key pathogenic factor， while excessive emotional stimulation serves as an important trigger. The initial pathomechanism is stagnation of liver-

， which may evolve along two pathways： from

or from fire. The progression of the

pathway is： stagnation of liver-

→ liver-

stagnation with spleen deficiency → dual deficiency of heart and spleen → liver and kidney

yin

deficiency. The progression of the fire pathway is： stagnation of liver-

→ liver-

transforming into fire → upward flaming of liver-fire → exuberance of heart and liver-fire → liver and kidney

yin

deficiency. Both pathways eventually converge into liver and kidney

yin

deficiency， which further evolves into

yin

deficiency with hyperactive fire and then disharmony between heart and kidney. On this basis， it is suggested that syndrome differentiation of emotional disorders should be guided by the principles of deficiency-excess and cold-heat， with focus on

zang

organs and

， blood， and body fluids. The therapeutic strategy should emphasize stabilizing the heart and gallbladder， treating according to syndr

ome presentation， strengthening healthy

and eliminating pathogenic factors， and preventing progression at early stages. This provides insights for the clinical diagnosis and treatment of emotional disorders.

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references

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Exploration on the Pathomechanistic Evolution of "Qi Transforming into Fire" and the Therapeutic Approach to Emotional Disorders

DOI：10.13288/j.11-2166/r.2025.20.013

摘要

Abstract

关键词

Keywords

references