The theory of ministerial fire and its dynamic-static concept constitute vital

components of traditional Chinese medicine. Guided by ZHU Danxi′s dynamic-static concept of ministerial fire

it is proposed that the core pathogenesis of attention deficit hyperactivity disorder（ADHD）in children lies in an imbalance between the dynamic and static states of ministerial fire. Within this framework

insufficiency of the yin-static aspect of ministerial fire represents as the root cause

and unrestrained hyperactivity represents as the manifestation. Ministerial fire is entrusted by the heart and regulated by the lung. The descending function of the lung serves as the foundation of the transformation source

which is essential for the interaction between monarch fire and ministerial fire

while simultaneously governing the static and descending properties of ministerial fire. The lung governs qi and houses the corporeal soul

which is responsible for tranquility and descending. When the corporeal soul is unsettled

the lung fails to regulate ministerial fire

leading to its failure to descend and a disturbance in its dynamic-static states

thereby playing a crucial role in the pathogenesis of ADHD. Consequently

the approach of syndrome differentiation and treatment of this disease by "prioritizing calming techniques and emphasizing lung regulation" is proposed. The root cause should be addressed with the modified combination of

Shengmai

Powder and

Guizhi Jia Longgu Muli

Decoction to regulate the lung and harmonize ying

and stabilize hyperactive ministerial fire. Secondary manifestations should be addressed with the modified combination of

Xiebai

Powder and

Bentun

Decoction to clear metal and restrain wood

and descend counterflow to calm the rush. This approach aims to strengthen the theoretical foundation for treating ADHD by focusing on the lung

thereby providing a theoretical reference for clinical diagnosis and management.