首页|基于"厥阴为阖"理论探讨《伤寒论》厥阴病本证

基于"厥阴为阖"理论探讨《伤寒论》厥阴病本证

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"厥阴为阖"理论是《黄帝内经》中六经"开阖枢"理论之一,而《伤寒论·辨厥阴病脉证并治》是对该理论的临证发挥.以溯源"厥阴为阖"之文理与医理为基础,根据手足厥阴经脏系统具有固摄阴血而不溢、潜藏阳气而不逆的生理特性,得出该理论有以受纳阴气为主、疏泄欲升之阳气为辅之意,其中"体阴"是"厥阴为阖"的物质基础,体现了涵纳极盛之阴气的生理特性,而"用阳"是基于"体阴"的功能表现,体现了阳气蕴蕴而生以助气机运化的生理特性,是为"阖中有开"之机,即"厥阴为阖"理论的实质所在.病理上分别就厥、利、呕哕诸证探讨厥阴内阖阴血与欲升之阳气不利之证,当辨明二者孰轻孰重,详辨治气与治血之主次,以复厥阴"阖中有开"之机,以期更好地理解厥阴病本证的病机内涵.
Analysis on Fundamental Syndrome of Jueyin Disease in Treatise on Cold Pathogenic Diseases Based on Theory of"Jueyin as Closure"
"Jueyin as closure"was one of the theories of"opening,closing and pivoting"of the six meridians in Inner Canon of Huangdi,and Treatise on Cold Pathogenic Diseases·Differentiation of Pulse and Syndrome Related to Jueyin Disease and Treatment improved clinical application of this theory.Based on the theory of literature and medicine of"Jueyin as closure",and according to the physiological characteristics of consolidating yin blood from overflowing,and subduing yang qi from reversing in the visceral system of hand Jueyin and foot Jueyin,it was concluded that this theory is mainly to receive yin qi,and is supplemented by soothing and reducing the ascending yang qi."Yin in property"is the material basis of"Jueyin as closure",which reflects the physiological characteristics of moistening and receiving extreme yin qi.However,"yang in function"is the functional manifestation based on"yin in property",which reflects the physiological characteristics of promoting yang qi production and assisting qi movement and transformation.It is the mechanism of"opening in closing",that is,the essence of the theory of"Jueyin as closure".Pathologically,this paper discussed the syndrome of Jueyin closing yin blood and syndrome of disturbance of yang qi rising from the syndromes of cold limbs,diarrhea and vomiting.We should distinguish which of the two syndromes is more important,and differentiate the primary and secondary of treating qi and blood in detail,so as to restore the mechanism of"opening in closing"of Jueyin,as well as better understand the pathogenesis of fundamental syndrome of Jueyin disease.

Jueyin as closurefundamental syndrome of Jueyin diseasecold limbsdiarrheavomitingInner Canon of HuangdiTreatise on Cold Pathogenic Diseases

鲁瑶、陈明、李立

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中国中医科学院中医临床基础医学研究所,北京 100010

北京中医药大学中医学院,北京 100029

厥阴为阖 厥阴病本证 厥 利 呕哕 《黄帝内经》 《伤寒论》

中国中医科学院科技创新工程项目北京中医药大学2020年度重点攻关项目

CI2021B0032020-JYB-ZDGG-002

2024

10.16294/j.cnki.1007-659x.2024.04.003

山东中医药大学学报
山东中医药大学

山东中医药大学学报

CSTPCD
影响因子：0.52
ISSN：1007-659X
年,卷(期)：2024.48(4)
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