1.河南中医药大学第一附属医院儿科医院,河南省郑州市金水区人民路19号,450003
2.河南中医药大学儿科医学院
通信作者:15136475669@163.com
收稿:2025-08-31,
修回:2025-11-27,
纸质出版:2026-02-17
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吴宏基,高敏,徐炎等.丁樱从阴火、伏火、火毒辨治系统性红斑狼疮经验[J].中医杂志,2026,67(04):365-369.
WU Hongji,GAO Min,XU Yan,et al.DING Ying's Clinical Experience in Treating Systemic Lupus Erythematosus Based on Differentiation of Yin Fire,Latent Fire,and Fire Toxin[J].Journal of Traditional Chinese Medicine,2026,67(04):365-369.
吴宏基,高敏,徐炎等.丁樱从阴火、伏火、火毒辨治系统性红斑狼疮经验[J].中医杂志,2026,67(04):365-369. DOI: 10.13288/j.11-2166/r.2026.04.004.
WU Hongji,GAO Min,XU Yan,et al.DING Ying's Clinical Experience in Treating Systemic Lupus Erythematosus Based on Differentiation of Yin Fire,Latent Fire,and Fire Toxin[J].Journal of Traditional Chinese Medicine,2026,67(04):365-369. DOI: 10.13288/j.11-2166/r.2026.04.004.
总结丁樱教授从阴火、伏火、火毒三态辨治系统性红斑狼疮的临证经验。认为火邪是贯穿系统性红斑狼疮病程始终的关键病理因素,其病机演变以阴火、伏火、火毒三态为核心,即脾肾亏虚、阴火始生为发病肇端,药毒伤阴、伏火内炽为病情进展之由,瘀热胶结、火毒燔灼为疾病致危之关键。并针对此三态病机演变,分别拟定九味益肾方补益脾肾、升阳散火,滋阴泄火汤滋阴益水、清泄伏火,三藤畅络解毒汤祛瘀畅络、解毒制火,实现标本兼治、整体调和之目标,对临床辨治系统性红斑狼疮具有指导意义。
This paper summarizes Professor DING Ying's clinical experience in the treatment of systemic lupus erythematosus (SLE) through differentiation of three states,
yin
fire, latent fire, and fire toxin. It is proposed that fire pathogenic factors constitute a key pathological element running throughout the entire disease course of SLE. The evolution of its pathogenesis centers on these three states, spleen-kidney deficiency with the initial emergence of
yin
fire as the onset of disea
se, damage to
yin
by medicinal toxicity with internal blazing of latent fire as the driver of disease progression, and the interlocking of blood stasis and heat with intense scorching by fire toxin as the critical factor leading to severe and life-threatening conditions. Corresponding to these three stages, targeted prescriptions are formulated,
Jiuwei Yishen Formulation
(九味益肾方) to tonify the spleen and kidney, raise
yang
, and disperse fire;
Ziyin Xiehuo Decoction
(滋阴泄火汤) to nourish
yin
and fluids while clearing latent fire; and
Santeng Changluo Jiedu Decoction
(三藤畅络解毒汤) to dispel blood stasis, unblock the collaterals, detoxify, and restrain fire. This staged and integrated therapeutic strategy aims to address both root and branch and to achieve overall regulation, providing valuable guidance for the clinical differentiation and treatment of SLE.
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