Exploration on Applying Shengyang Yiwei Decoction in Treating Summer Endogenous Fever Based on Yin-Fire Theory
10.13359/j.cnki.gzxbtcm.2025.09.035
- VernacularTitle:从阴火理论探讨升阳益胃汤治疗夏季内伤发热
- Author:
Ruichen SHI
1
;
Wanyi XIE
;
Shunli ZHENG
;
Chunyan XIAO
;
Haibin WU
Author Information
1. 广州中医药大学第四临床医学院,广东 深圳 518033
- Keywords:
summer endogenous fever;
yin-fire;
Li Dongyuan;
boosting qi and raising yang;
clearing heat and resolving dampness;
Shengyang Yiwei Decoction
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(9):2337-2341
- CountryChina
- Language:Chinese
-
Abstract:
The prevalence of summer endogenous fever is closely related to the climate of summer.Based on Li Dongyuan's yin-fire theory,this article proposed that summer-heat,irregular diet,excessive consumption of cold foods,poor living habits,and summer damp-heat internal invasion damaging the spleen can all lead to the generation of yin-fire,thereby causing endogenous fever.The core pathogenesis of summer endogenous fever lies in spleen deficiency with yang collapse,which results into the blockage of qi movement and the production of yin-fire.The yin-fire persists throughout the entire course of the disease.Treatment of summer endogenous fever should focus on eliminating yin-fire,primarily by addressing the spleen via boosting qi and raising yang to restore the spleen's ascending and stomach's descending functions,thereby dispersing yin-fire.Clearing heat and resolving dampness can purge yin-fire and then the spleen qi's circulation is restored.By analyzing the pathological changes of dampness accumulation into phlegm,fire-heat damaging yin and liver stagnation with kidney deficiency,the disease progression can be predicted.Correspondingly,comprehensive therapy of resolving phlegm,nourishing yin,soothing liver,and tonifying kidney can be employed to prevent further deterioration.Based on Li Dongyuan's yin-fire theory,Shengyang Yiwei Decoction(mainly composed of Astragali Radix,Pinelliae Rhizoma,Ginseng Radix et Rhizoma,Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,Angelicae Pubescentis Radix,Saposhnikoviae Radix,Paeoniae Radix Alba,Notopterygii Rhizoma et Radix,Citri Reticulatae Pericarpium,Poria,Bupleuri Radix,Alismatis Rhizoma,Atractylodis Macrocephalae Rhizoma,and Coptidis Rhizoma)can be used as a fundamental prescription to treat summer endogenous fever caused by yin-fire,with modifications tailored to specific clinical presentations.This theoretical exploration may provide a reference for the clinical management of summer endogenous fever.
