基于"火字解"探析新安医家程国彭辨治中风思路OA

Cheng Guopeng,a physician of the Xin'an school during the Qing Dynasty,established the"Theory of Fire"(or"Explanation of the Character'Fire'")in his work"Yixue Xinwu"(Medical Insights).He categorized"Fire"into"Thief Fire"(pathogenic fire)and"child fire"(physiological fire),proposing four corresponding methods for"Ex-pelling the Thief"(inducing diaphoresis,clearing heat,purging,and restraining)and four methods for"nurturing the child"(promoting flow,nourishing,warming,and guiding).This paper systematically explores the application of this theory in the diagnosis and treatment of stroke.For"True Stroke"(ischemic or hemorrhagic stroke),the therapeutic principles established are:expelling the"thief"and resolving stagnation for stroke affecting the Fu organs;differen-tiating between cold and heat for stroke affecting the Zang organs;and nourishing blood to extinguish wind for stroke affecting the blood vessels.For"stroke-like syndromes"(mimics),particular emphasis is placed on"fire-induced stroke",highlighting the importance of meridian-based differentiation and flexible treatment strategies.Cheng's theory integrates the Yin-Yang doctrine from the"Neijing",the Six-Meridian differentiation from the Shanghan Lun(Treatise on Cold Damage),and the theories on fire proposed by various Jin-Yuan dynasty physicians.His academic insights,such as the concept that"methods for nurturing the child can be adapted as strategies for expelling the thief"profound-ly elucidate the dialectical relationship between Fuzheng and Quxie.These insights hold significant academic value and clinical guiding significance for refining the theoretical system of TCM stroke diagnosis and treatment.Centered on the"Theory of Fire"from CHENG Guopeng's"Yixue Xinwu",this paper analyzes his academic approach to diagnosing and treating stroke.It summarizes his unique perspectives on syndrome differentiation regarding stroke affecting Zang organs,Fu organs,and stroke-like syndromes,while also expounding on the theory's guiding value for contemporary clinical practice in treating stroke.