基于三角互证的《脾胃论》阴火理论现代诠释

王占荣; 杨涛; 费宇彤; 李国菁; 丁金芳; 冯兴中

doi:10.16025/j.1674-1307.2026.02.023

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基于三角互证的《脾胃论》阴火理论现代诠释

学术探讨 | 更新时间：2026-04-08

- 基于三角互证的《脾胃论》阴火理论现代诠释
- Yin fire theory in Treatise on Spleen and Stomach: A triangulation approach to modern interpretation
- 北京中医药 2026年45卷第2期页码：266-271
- 作者机构：
  
  1.首都医科大学附属北京世纪坛医院中医内科，北京 100038
  2.北京中医药大学中医学院，北京 102488
  3.清华大学玉泉医院中医内科，北京 100040
- 作者简介：
  
  王占荣，男，44岁，硕士，副主任医师。研究方向：中医内科疾病的诊治。
  冯兴中，E-mail：Fengxz9797@sina.com
- 基金信息：
  
  基本中医药循证能力建设项目(2019XZZX-JB004);首都医科大学附属北京世纪坛医院青年基金项目(2017-q15)
- DOI：10.16025/j.1674-1307.2026.02.023
  中图分类号：
- 收稿：2024-11-20，
  
  纸质出版：2026-02-25
- 稿件说明：
移动端阅览
王占荣,杨涛,费宇彤,等.基于三角互证的《脾胃论》阴火理论现代诠释[J].北京中医药,2026,45(2):266-271.

WANG Zhanrong,YANG Tao,FEI Yutong,et al.Yin fire theory in Treatise on Spleen and Stomach: A triangulation approach to modern interpretation[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):266-271.
王占荣,杨涛,费宇彤,等.基于三角互证的《脾胃论》阴火理论现代诠释[J].北京中医药,2026,45(2):266-271. DOI： 10.16025/j.1674-1307.2026.02.023.

WANG Zhanrong,YANG Tao,FEI Yutong,et al.Yin fire theory in Treatise on Spleen and Stomach: A triangulation approach to modern interpretation[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):266-271. DOI： 10.16025/j.1674-1307.2026.02.023.

摘要

目的

通过三角互证混合研究方法，系统挖掘《脾胃论》中“阴火”理论的现代内涵，构建“古籍文本挖掘-现代文献综述-实验验证”证据链，推动中医古籍研究的范式创新。

方法

①理论解构：基于图论构建《脾胃论》病机网络，通过跨文本对齐（《类经》《伤寒论》）和图同构分析验证其与现代生理机制的结构相似性；②诊断转化：运用范围界定文献综述三级编码（开放→主轴→选择）确定阴火的现代替代证型；③实验互证：量化比较脾胃湿热证与非湿热证患者的额/手汗出比及舌下体温差异。

结果

①文本挖掘显示，阴火与湿热共享“脾胃失运→津液障碍→清阳不升”病机网络（Degree=15），且与现代“蒸发散热障碍”结构匹配；②现代文献研究确定“湿热证”为阴火核心替代诊断（占比58%）；③脾胃湿热证患者额/手汗出比及舌下体温更高（

0.01）。

结论

通过混合方法构建闭环验证体系，揭示阴火形成与脾胃湿热证（蒸发散热障碍）的关联机制，为中医古籍理论的现代化诠释提供了可推广的研究范式。

Abstract

Objective

To systematically explore the modern implications of the theory of "

yin

fire" in the

Treatise on Spleen and Stomach

（

Pi Wei Lun

） using a triangulation-based mixed research method， constructing an evidence chain of "ancient text mining–modern literature review–experimental validation" to promote paradigm innovation in traditional Chinese medicine （TCM） classical text research.

Methods

① Theoretical deconstruction： A pathogenesis network of the

Treatise on Spleen and Stomach

was constructed based on graph theory， and its structural similarity with modern physiological mechanisms was verified through cross-text alignment ［

Classified Classic

（

Lei Jing

），

Treatise on Febrile Diseases

］ and graph isomorphism analysis； ② Diagnostic translation： A scoping review using three-level coding （open → axial → selective） was conducted to determine the modern alternative syndrome corresponding to yin fire； ③ Experimental verification： Quantitative comparisons were made of forehead-to-hand sweat output ratios and sublingual temperature differences between patients with spleen-stomach dampness-heat syndrome and those without.

Results

① Text mining indicated that yin fire and dampness-heat share the pathogenesis network of "spleen-stomach dysfunction → fluid disorder → failure of clear

yang

to ascend" （Degree

=15）， which structurally corresponds to modern "impaired evaporative heat dissipation"； ② Modern literature review identified dampness-heat syndrome as the core alternative diagnosis for

yin

fire （accounting for 58%）； ③ Patients with spleen-stomach dampness-heat syndrome showed significantly higher forehead-to-hand sweat ratios and sublingual temperatures compared with controls （

0.01）.

Conclusion

By constructing a closed-loop validation system through a mixed research approach， this study reveals the association between yin fire formation and spleen-stomach dampness-heat syndrome （impaired evaporative heat dissipation）， providing a generalizable research paradigm for the contemporary interpretation of classical TCM theories.

关键词

Keywords

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