Exploration of Zhang Zhenxian's experience in treating negative emotions of chronic fatigue syndrome based on yin fire， sovereign fire and ministerial fire

WANG Jinghan; TANG Wei; CUI Kongjiao; SHI Jianing; GE Wenjin; ZHANG Zhenxian

doi:10.16305/j.1007-1334.2025.z20240515015

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Exploration of Zhang Zhenxian's experience in treating negative emotions of chronic fatigue syndrome based on yin fire， sovereign fire and ministerial fire

更新时间：2024-12-31

- Exploration of Zhang Zhenxian's experience in treating negative emotions of chronic fatigue syndrome based on yin fire， sovereign fire and ministerial fire
- Shanghai Journal of Traditional Chinese Medicine Vol. 59, Issue 1, Pages: 36-40(2025)
- 作者机构：
  
  1.上海中医药大学附属岳阳中西医结合医院（上海 200437）
  2.上海交通大学医学院附属瑞金医院（上海 200025）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2025.z20240515015
  CLC：
- Published：10 January 2025，
  
  Received：15 May 2024，
- 稿件说明：
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王靖涵,唐暐,崔孔蛟,等.基于阴火、君火及相火探析张振贤辨治慢性疲劳综合征伴负性情绪经验[J].上海中医药杂志,2025,59(1):36-40.

WANG Jinghan,TANG Wei,CUI Kongjiao,et al.Exploration of Zhang Zhenxian's experience in treating negative emotions of chronic fatigue syndrome based on yin fire， sovereign fire and ministerial fire[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(1):36-40.
王靖涵,唐暐,崔孔蛟,等.基于阴火、君火及相火探析张振贤辨治慢性疲劳综合征伴负性情绪经验[J].上海中医药杂志,2025,59(1):36-40. DOI： 10.16305/j.1007-1334.2025.z20240515015.

WANG Jinghan,TANG Wei,CUI Kongjiao,et al.Exploration of Zhang Zhenxian's experience in treating negative emotions of chronic fatigue syndrome based on yin fire， sovereign fire and ministerial fire[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(1):36-40. DOI： 10.16305/j.1007-1334.2025.z20240515015.

摘要

慢性疲劳综合征（CFS）属于中医学“虚劳”“郁病”范畴。负性情绪主要包括焦虑、抑郁等状态，为CFS的重要伴随症状，也是促使CFS发生不良转归的重要因素。张振贤教授认为，CFS的病机根源为脾胃气虚，病机核心为君火受扰。气虚日久清阳下陷，纵容下焦阴火以下犯上，侵扰君火；同时气虚日久转为气郁，气郁化火则相火妄动，向下煎熬真阴，向上扰动君火，造成CFS伴随负性情绪的产生并促进CFS病程的不良转归。从阴火、君火及相火角度，探析张振贤教授辨治CFS伴负性情绪的临床经验，并附验案1则。

Abstract

Chronic fatigue syndrome （CFS） belongs to the categories of "consumptive disease" and "depression" in traditional Chinese medicine. Negative emotions mainly include anxiety， depression and other states， which are important accompanying symptoms of CFS and important factors promoting the adverse outcome of CFS. Professor Zhang Zhenxian believes that the pathogenic root of CFS is qi deficiency of spleen and stomach， and the pathogenesis core is the disturbance of sovereign fire. Qingyang depression due to qi deficiency for a long time， conniving at the lower energizer yin fire below the attack， intruding on sovereign fire， while qi deficiency for a long time to qi depression， stagnant qi transforming into fire leads to frenetic stirring of the ministerial fire， downward torment true yin， upward disturbance sovereign fire， result in CFS accompanied by negative emotions and promot the adverse outcome of CFS disease course. This article explores and analyzes Professor Zhang's clinical experience in the differential diagnosis and treatment of CFS with negative emotions from the perspective of yin fire， sovereign fire and ministerial fire. One proven case is presented.

关键词

慢性疲劳综合征负性情绪抑郁焦虑病机中医药疗法

Keywords

chronic fatigue syndromenegative emotiondepressionanxietypathogenesistraditional Chinese medicine treatment

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