浅析《内经》"阳明主阖"理论在痿证中的运用
Application of the theory of yangming viscera governing keeping holes closed inHuangdi Neijing in the treatment of flaccidity syndrome
金晶 1周海龙 2林烜宇 3何梅雅 2黄春元1
作者信息
- 1. 辽宁中医药大学,沈阳 110847
- 2. 杭州市富阳区第一人民医院全科医学科,杭州 311400
- 3. 浙江中医药大学附属温州市中医院,浙江 温州 325000
- 折叠
摘要
痿证者,肢体筋脉迟缓,手足痿软无力.痿证在临床中属于疑难杂症,病情病因病机较为复杂,亦有多种原因致筋脉失于濡养而发病,现代医学多见于重症肌无力、多发性硬化、脑血管疾病等.本文基于《黄帝内经》中"阳明主阖"的理论论治痿证,探讨阳明"阖"的功用,即收敛阳气,使得阳气蓄积于体内.从"阳明主阖"功能脏腑出发,梳理相关古代文献以及历代医家名医验案,针对本病病情的发展进行论治:阖阳明之气,祛痿证之基;调阳明之脏,化精血之源;补阳明之本,复先天之元.治疗痿证通过恢复"阳明主阖"的功能,使阳明得阖,湿邪不生,痿证不现,可为临床治疗提供启发.
Abstract
Patients with flaccidity syndrome usually feature rigid limb muscles,impotent or weak hands and feet.The syndrome,as a difficult and complicated disease in clinic,is usually characterized by a complex etiology and pathogenesis,as there are many causes for a failure in nourishing muscles in patients with it.In modern medicine,flaccidity syndrome is more commonly found in myasthenia gravis,multiple sclerosis,cerebrovascular diseases and so on.Based on the theory of yangming viscera governing keeping holes closed in the Huangdi Neijing,this paper discusses its differentiation and treatment,exploring its function of keeping holes closed,that is,to converge yang qi and allow it to accumulate in the body.Based on the function of yangming zang-fu viscera of keeping holes closed,reviewing relevant ancient literature and famous medical cases in the past dynasties,this paper proposes to differentiate and treat this disease in accordance with its development stages:retaining the qi of yangming viscera and eliminating the basis of flaccidity syndrome,regulating the viscera of yangming and transforming the sources of essence and blood,reinforcing the foundation of viscera of yangming and restoring the primordial qi.The treatment of flaccidity syndrome in this manner can restore the function of yangming viscera,so that yangming viscera can stay closed,dampness cannot be produced and flaccidity syndrome will not occur,providing an inspiration for its clinical treatment.
关键词
痿证/阳明主阖/治疗/气血之源Key words
flaccidity syndrome/yangming viscera governing keeping holes closed/treatment/source of qi and blood引用本文复制引用
基金项目
浙江省中医药科技计划项目(2023ZL619)
出版年
2024
国家科技期刊平台
NSTL
万方数据