Treatment of Sjögren's Syndrome of Yin-Deficiency and Heat-Toxin Type based on the Theory of Exuberance of Shaoyang Ministerial Fire Accumulating to Heat Toxin
10.13288/j.11-2166/r.2025.01.015
- VernacularTitle:从少阳相火亢盛、蕴酿热毒论治阴虚热毒型干燥综合征
- Author:
Wei LIU
1
;
Qingyun YUE
1
;
Meijiao ZHOU
1
Author Information
1. The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,300381
- Publication Type:Journal Article
- Keywords:
sjögren's syndrome;
dry arthralgia;
yin deficiency and heat toxin;
ministerial fire exuberance;
enrich yin and resolve toxins
- From:
Journal of Traditional Chinese Medicine
2025;66(1):93-97
- CountryChina
- Language:Chinese
-
Abstract:
This article aimed to summarize the clinical experience of treating sjögren's syndrome of yin-deficiency and heat-toxin type based on the theory of exuberance of shaoyang ministerial fire accumulating to heat toxin. It is believed that sjögren's syndrome of yin-deficiency and heat-toxin type is attributed to dysfunction of shaoyang gallbladder, disruption in the circulation of sanjiao, stagnation of qi leading to fire, and prolonged accumulation of toxins causing damage. The core disease mechanism involves shaoyang dysfunction, hyperactivity of ministerial fire, and accumulation of heat toxins. In clinical practice, the therapeutic principles focus on regulating shaoyang, stabilizing and subduing ministerial fire, enriching yin and resolving toxins. For shaoyang dysfunction with internal stagnation of heat toxins, treatment should aim to unblock shaoyang, clear fire and expel toxins, using modified Sangchai Decoction (桑柴饮); for shaoyang transformation into fire with symptoms of wood (the gallbladder) disease, the approach involves soothing and regulating gallbladder, clearing heat and resolving toxins, using modified Chaihu Shaoyao Decoction (柴胡芍药汤); for disordered ministerial fire with excessive heat toxins, the strategy is to rescue the sovereign fire and stabilize the ministerial fire, employing modified Xinshen Liangjiao Decoction (心肾两交汤); for unregulated ministerial fire with disordered distribution, treatment focuses on increasing body fluids and nourishing yin, stabilizing the ministerial fire, using modified Buyin Decoction (补阴汤).