Pathogenesis and Treatment of Recurrent Acute Exacerbation of Bronchiectasis Based on the Theory of "Yang Floating and Yin Weakness"
10.13288/j.11-2166/r.2026.20.016
- VernacularTitle:基于“阳浮阴弱”探讨支气管扩张症反复急性加重的病机及辨治
- Author:
Guangsen LI
1
;
Bing WANG
1
;
Xia SHI
1
;
Yanxia LIANG
1
;
Wenwen WANG
1
;
Huiying ZHAO
1
;
Tingting XIANG
1
;
Maorong FAN
1
Author Information
1. Xiyuan Hospital，China Academy of Chinese Medical Sciences，Beijing，100091
- Publication Type:Journal Article
- Keywords:
bronchiectasis;
yang floating and yin weakness;
ministerial fire;
true yin
- From:
Journal of Traditional Chinese Medicine
2026;67(20):2245-2248
- CountryChina
- Language:Chinese
-
Abstract:
The pathogenesis of recurrent acute exacerbations of bronchiectasis is considered to be "yang floating and yin weakness". Yin weakness refers to the depletion of the water and fire of true yin in the lower jiao （焦）， which is the root of the disease. Yang floating refers to the ministerial fire floating upward and scorching the lung metal due to the failure of true yin to nourish and constrain yang， which is the manifestation of acute exacerbations. Yin weakness and yang floating interact with each other， forming a vicious cycle of "yin depletion leading to fire floating， and floating fire in turn injuring yin"， which leads to recurrent， prolonged， and refractory acute exacerbations of bronchiectasis. Based on the pathogenesis of yang floating and yin weakness， therapeutic formulas are proposed. Yinhuo Decoction （引火汤） can be used to nourish true yin and anchor floating fire， while a combination of Qianyang Pill （潜阳丹） and Fengsui Pill （封髓丹） is applied to warm the kidneys， subdue yang， and secure true fire， and Quanzhen Yiqi Decoction （全真一气汤） is utilized to drastically supplement the primal origin and rescue both yin and yang simultaneously.
