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Yin fire theory inTreatise on Spleen and Stomach : A triangulation approach to modern interpretation- Beijing Journal of Traditional Chinese Medicine Vol. 45, Issue 2, Pages: 266-271(2026)
- 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：
- 基金信息：
DOI：10.16025/j.1674-1307.2026.02.023
CLC：Received：20 November 2024，
Published：25 February 2026
- 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
2
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
2
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
2
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（
P
<
0.01）。
结论
2
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
2
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
2
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
2
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 （
P
<
0.01）.
Conclusion
2
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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