开阖枢冶理论在伤寒论阳明病与太阴病中的运用-环球中医药.PDFVIP

环球中医药2017年8月第10卷第8期摇 Global Traditional Chinese Medicine,August2017,Vol郾10,No郾8 摇摇 843 ·理论探讨 · 摇浅谈《内经》“开、阖、枢冶理论在《伤寒论》 阳明病与太阴病中的运用 张俊修摇 李绍旦摇 杨明会 揖摘要铱摇 文章以《素问 ·天元纪大论》中三阴三阳理论为基础,详细论述了《素问 ·阴阳离合 论》与《灵枢 ·根结篇》中三阴三阳的生理病理特点,结合《伤寒论》阐述阳明病与太阴病在疾病六 经传变中的重要作用。 重点以“阖冶“开冶理论理解《伤寒论》阳明病与太阴病的治则治法。 阳明病 以“阖冶的功能太过为主要表现,也存在“阖冶的功能不及的病证,治法以恢复“阳明主阖冶的功能为 主,配合对“开冶“枢冶功能的调节。 太阴病主要以“开冶的功能不及为特点,也存在“阖冶与“枢冶功能 紊乱的病机,治法以恢复“太阴主开冶的功能为主,配合对“阖冶“枢冶功能的调节。 揖关键词铱摇 开、阖、枢;摇 三阴三阳;摇 阳明病;摇 太阴病;摇 脾胃病 揖中图分类号铱摇 R22摇 揖文献标识码铱摇 A摇 doi:10郾3969/ j郾issn郾1674鄄1749郾2017郾08郾010 Discussion on the application of “open,close,pivot冶 theory of Neijing in Yangming disease and Taiyin disease of Treatise onFebrileDiseases摇 ZHANGJunxiu,LI Shaodan,YANGMinghui.摇 People爷s LiberationArmy General Hospital,Department of Traditional Chinese Medicine,Beijing 100853,China. Corresponding author:YANGMinghui,E鄄mail:ymh9651@ 揖Abstract铱摇 Based on the theory of three鄄yin andthree鄄yang inNeijing,wefurther discussedpatho鄄 physiologic characteristic of three鄄yin and three鄄yang theory, combined with the changes of Yangming diseases and Taiyin diseases in Treatise on Febrile Diseases. Focusing on the “open冶 and “close冶 theory to understand the treatment principle of Yangming disease and Taiyin disease in Treatise on Febrile Diseases. The main performance of Yangming diseaseswere thefunction of “close冶 was too much. There were also some syndrome of the function of “close冶 was deficient,the treatment should be focused on recovering thefunctionof “close冶 andregulatingthefunctionof “open,pivot冶. Taiyindiseaseswerechar鄄 acterized mainly by the insufficiency of thefunction of “open冶 ,and dysfunction of “close,pivot冶 was also existed.The treatment shouldbefocusedonrecoveringthefunctionof “open冶 andregulatingthefunctionof “close,pivot冶. 揖Key words铱摇 Open,close,pivot;摇 Yin and yang;摇 Yangming diseases;摇 Taiyin diseases;摇 S