| The Theory of Fire is one of the most characteristic contents of TCM theory.There is abundant record about it in the TCM literature of past dynasties,but it lacks systematic sorting.People use the natural fire as a metaphor to understand the physiology and pathology of the human body,and to guide clinical diagnosis and treatment,which constitutes the main content of TCM fire theory.Objective:Comprehensively and systematically collate and analyze the literature related to fire,and establish a more complete and clear TCM fire theory system,so as to make the connotation of Theory of Fire deeper,more thorough,and easy to understand and inherit.Methods:Combine the longitudinal research and the horizontal research of fire theory,and achieve the optimal purpose of fire research using the methods of philology,logic,history and genesis.Results:①Longitudinal research shows that the Theory of Fire in TCM can be divided into five stages:germination period,foundation period,development period,maturity period and perfect period.Before the "Huangdi Neijing" was in the germination period,the records of the Fire and Huochen in the unearthed literature show that the fire of material turns into a fire of physiology and pathology.The foundation period is from the completion of "Huangdi Neijing" to Tang Dynasty.The fire of Yin and Yang,the fire of the five phases,the fire of the smell of medicine and food,the heart fire,the fire of the five circuits and six Qi,the fire of earth,water,fire,wind,dragon fire,and clearing fire lays the framework for the fire theory.The Song Dynasty was the development period of the fire theory.A large number of fire concept emerged.Fire and heat theory,Yin Fire theory,ministerial fire theory,intercourse between heart and kidney,Real fire,the fire of lust,the fire of the organs,the fire of the meridians,etc.that is very important to the previous theoretical framework.The Ming Dynasty is a mature period.Characterized by the collation and innovation of fire theory.Not only did a large number of fire articles appear,but for the first time,the monograph of fire was created,creating a new concept of nameless fire and tangible fire.The new statement of the renal fire,vital gate fire,sovereign fire,ministerial fire.Pointing out the relationship between blood syndrome and fire,the relationship between pestilence and fire.When the Qi is lowered,the fire is self-declining,and the extra fire is the lack of real water.The Qing Dynasty was the perfect period characterized by the integration and conciseness of fire theory.Blood disease is fire disease,fire rises lead blood rises,fire falls is blood drops,clearing heart is clearing fire,purging fire is hemostasis,treatment sputum should treatment fire first,the fire is the root of the rash,the rash is the seedlings of fire etc.These views have far-reaching implications.② The horizontal research refines the etiology,pathogenesis,diagnosis,and treatment of fire theory.The cause of fire disease is exogenous heat and evil,Five Qi transformation into fire,overeating and overwork,over-emotion,natural environment,social environment and so on.The pathogenesis of fire disease is vital Qi deficiency,Yin-Yang disharmony,disorder of Qi and blood.The fire pathogen is mainly characterized in fire being flaring up,fire pathogen easy to cause sputum,fire pathogen damage clear fluid,fire pathogen hurt soft tissue,fire pathogen hurt blood,fire pathogen often with other pathogenic factors and onset of disease together.The clinical features of fire disease are thin body,face red,ambiguity,palpitations,insomnia,head tremor,dizziness,sore and ulcer,freckles,dark spots,hemorrhage,tinnitus,Suddenly hoarse,asthma,halitosis,ulcerate constipation,poor urine,burning pain.scorching hot.The pulse condition is easy to present rapid pulse,surging pulse,excess pulse,long pulse,abrupt pulse.The tongue condition is easy to present the red tip of the tongue,the tongue is gray,the tongue is slag-free for fire,and the principle of fire disease treatment is to prevention first,coordinating Yin and Yang,adjust emotions,adjust internal organs,and treatment in accordance with patient’s individuality.The treatment methods of fire disease mainly include the clearing,invigorating vital energy method,the nourishing Yin method,the supplemental fire method,the disperse method,and the supplemental and clear combination method.Conclusion:The Theory of Fire in TCM is rich in accumulation through practical exploration and theoretical summary by doctors of past dynasties.This article presents the origin,development and formation process of fire theory in TCM vertically and reveals the etiology,pathogenesis,diagnosis and treatment of fire disease horizontally.The framework of the fire theory system of TCM has been initially constructed to reveal the internal law of the development of the fire theory of TCM.Through the research of this topic,it is of great significance to perfect the basic theoretical system of TCM and guide clinical practice. |