首页|龙砂开阖六气针法结合24h眼压曲线探析青风内障证治

龙砂开阖六气针法结合24h眼压曲线探析青风内障证治

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龙砂开阖六气针法是在顾植山教授三阴三阳开阖枢理论指导下,结合六经辨证、六脉辨证、脏腑辨证、经络辨证、象态辨证、运气辨证等多种辨证方式进行针刺的一种方法.开阖枢理论是对人体三阴三阳之气升降出入状态的概括,从开阖枢角度,青风内障的病机可概括为开机不利、阖机不利、枢机不利.开机不利,当辨太阳或太阴开机不利;阖机不利,当辨厥阴阖之太过、厥阴阖之不足或阳明阖之太过、阳明阖之不足;枢机不利,当辨少阴枢机不利或少阳枢机不利.此外,导师解晓斌主任医师将24 h眼压曲线与"六经病欲解时"相结合,以眼压峰值的时间节点对应"六经病欲解时"的病变之经来辨时定经.临证以开阖枢理论结合24 h眼压曲线为指导,采用龙砂开阖六气针法,通过辨时定经、辨证定经来明确青风内障所主之经,指导青风内障的临床诊治.
Exploration of the Diagnosis and Treatment of Bluish Wind Glaucoma by Longsha Kaihe Six Qi Acupuncture Method Combined with 24-Hour Intraocular Pressure Curve
The Longsha Kaihe Six Qi Acupuncture Method was developed under Professor Gu Zhishan's theory of Three Yin and Three Yang"Opening-Closing-Pivot,"This method was developed by integrating various pattern differentiation,including six-meridian pattern differentiation,six-pulse pattern differentiation,visceral pattern differentiation,meridian and collateral pattern differentiation,Xiangtai pattern differentiation,and Circuits-Qi pattern differentiation.The opening-closing-pivot theory summarizes the body's Three Yin and Three Yang states of ascending,descending,exiting,and entering.For bluish wind glaucoma,the pathogenesis can generally be characterized as dysfunctions in opening,closing,or pivot mechanisms.Specifically,dysfunction in opening may relate to the opening of Taiyang or Taiyin channels,closing dysfunction may be due to excess or deficiency in the Jueyin or Yangming channels,and pivot dysfunction may stem from issues in the Shaoyin or Shaoyang channels.Furthermore,professor Gu Zhishan combined the 24-hour intraocular pressure curve with the"time of resolution in Six Channels Disease"—a significant diagnostic principle in Six Channels Diagnosis—to correlate intraocular pressure peaks with Six Channels pathologies at specific time points.Guided by the theory of opening-closing-pivot and the 24-hour intraocular pressure curve,the Longsha Kaihe Six Qi Acupuncture Method utilizes time-and pattern-based diagnosis to identify the dominant pathological channel and guide the clinical treatment of bluish wind glaucoma.

Bluish wind glaucomaLongsha Kaihe Six Qi Acupuncture MethodOpening-closing-pivot24-hour Intraocular pressure curveSix channels disease time of resolution

孙文英、杨薇、张丽霞、陈曦、张丰、李雪菲、师宜鹏、解晓斌

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中国中医科学院眼科医院,北京 100040

中国中医科学院,北京 100700

青风内障 龙砂开阖六气针法 开阖枢 24h眼压曲线 六经病欲解时

2025

中医药学报
中华中医药学会,黑龙江中医药大学

中医药学报

影响因子:1.169
ISSN:1002-2392
年,卷(期):2025.53(1)