阴平阳秘与格阴格阳

Peaceful Yin and Compact Yang and Repelling Yin and Repelling Yang

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中文摘要："万物负阴而抱阳",阴阳处于互根互用又对立统一的动态平衡中,平衡即阴平阳秘,失衡则可能会出现格阴格阳的病理状态,阳秘不及而阳浮越于外的真寒假热证为格阳,阳秘太过而阳不得透达于外的真热假寒证为格阴.对于阴盛格阳证的治疗,以大、小建中汤类方轻清扶阳,甘草干姜汤、理中汤温养扶阳,四逆汤类方辛温扶阳,总以扶阳为纲.而对于阳盛格阴证之阳气被遏,郁闭于内,不能外透的病机特点,治以汗下清三法,使阳气疏通透达,表实无汗者,用三黄石膏汤;里实不便者,用三承气汤;热盛而无表里证者,用解毒白虎汤,总以透达泻热为纲.

外文摘要："All things in nature bear yin and embrace yang."Yin and yang are in the dynamic balance of mutual rooting and mutual use and unity of opposition,that is,yin is peaceful and yang is compact,which is a description of the homeostasis of the body,including even homeostasis,weak homeostasis and strong homeostasis.If the steady state is broken,there may be a pathological state of repelling yin and repelling yang,mainly related to compact yang.Insufficient compact yang and yang floating outside leads to repelling yang with syndrome of true cold and false heat,while excessive compact yang fails to penetrate outside leads to repelling yin with the syndrome of true heat and false cold.For syndrome of excessive yin repelling yang,classified Major and Minor Center-Fortifying Decoction can be used to strength yang with light and clear properties;Licorice and Rhizoma Zingiberis Decoction,and Center-Regulating Decoction are used to warm,replenish and strength yang;classified Frigid Extremities Decoction is used to strengthen yang with pungent and warm properties.As a whole,strengthening yang is the key line.For the pathogenesis characteristics of syndrome of excessive yang repelling yin marked by blocked yang failing to penetrating outside,sweating,purging and clearing methods are adopted to dredge yang for expel-ling heat through the exterior and removing from the interior.For those with exterior exterior but no sweat,Three Yellows and Gypsum Decoction can be used.For interior excess failing to make a bowel movement,Three Purgative Decoction can be used.For excessive heat without interior-exterior syndrome,White Tiger Decoction is used to remove toxin.As a whole,expelling heat through the exterior and re-moving from the interior is regarded as the key line.

外文关键词：

peaceful yin and compact yangrepelling yinrepelling yangtonifying fire and strengthening yangexpelling heat through the exterior and removing from the interior

作者：

都紫微、都广礼

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作者单位：

上海市嘉定区安亭镇黄渡社区卫生服务中心,上海 201804

上海中医药大学,上海 201203

关键词：

阴平阳秘格阴格阳补火扶阳透达泻热

基金：

上海中医药管理局三年行动计划中医专家社区师带徒项目上海市嘉定区安亭镇黄渡社区卫生服务中心名老中医(流派)工作室项目

项目编号：

ZY2018-2020-JCTS-10012021MLZYLPGZS-08

出版年：

2024

DOI：

10.16367/j.issn.1003-5028.2024.04.0097

河南中医

河南省中医药学会河南中医学院

河南中医

影响因子：0.968

ISSN：1003-5028

年,卷(期)：2024.44(4)

参考文献量18