附子引火归元机理探析

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火不归元的原因有三:一是阴寒侵袭下焦,逼迫元阳外越,即“阴盛格阳”;二是“下焦阳虚,津不上承,虚阳不敛”;三是阴亏阳亢。附子引火归元之理:一是祛下焦盘踞之阴寒,畅阳气下行之道路,此法是针对“下焦阴盛,格阳于上,阳气不潜”而设;二是温下焦不化之顽阴,促心肾水火之交媾;三是化“阴药”以上济于阳,引阳火以下交于阴。凡下焦凝结不畅,阳气下行受阻均可导致火不归元,畅通下焦即可达到引火归元之目的,具体方法则须“观其脉证,知犯何逆,随证治之”。
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