基于开阖枢理论探讨高血压病的病机与治疗思路  

Disease Mechanism and Treatment Thought of Hypertension based on"Opening-Closing-Pivoting"Theory

作　　者：王天琳 姚魁武[1,3] WANG Tianlin;YAO Kuiwu(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053;Beijing University of Chinese Medicine;Eye Hospital,China Academy of Chinese Medical Sciences)

机构地区：[1]中国中医科学院广安门医院,北京市西城区100053 [2]北京中医药大学 [3]中国中医科学院眼科医院

出　　处：《中医杂志》2024年第12期1230-1234,共5页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81873173);国家重点研发计划(2019YFC1708703);中国中医科学院科技创新工程(CI2021A00906);北京市自然科学基金(7232324)

摘　　要：“开阖枢”理论中借用门户的开阖转枢比喻人体气血的运行状态。开、阖、枢三者功能正常以维持血压稳定,任一环节失常则会导致体内气血阴阳状态失衡,进而引发高血压病。明辨三者功能受损状态,开机不利,治疗以恢复气机的卫外和输布功能;阖机失职,需调控阳气虚实状态和恢复收纳功能;枢机不畅,应以调畅气血枢转运行为关键。结合临床症状,运用汗、温、清、下、补、和等主要治法,恢复开阖枢功能,使机体血脉通畅,气机升降平衡,以达“运枢以开阖”及“开阖以运枢”之效。In the theory of"opening-closing-pivoting",the opening and closing pivot of a portal is used as a metaphor for the operating state of human qi and blood.Opening,closing and pivoting are well functioned together to maintain stable blood pressure,otherwise the imbalance of qi,blood,yin and yang in the body occurs when any of them is abnormal,thereby causing hypertension.During treatment,it is necessary to identify the impaired state of the three functions.If the"opening"is abnormal,it should be treated to restore qi's function of external defense and distribution.If the"closing"is abnormal,it is necessary to regulate the deficiency and excess state of yang qi and restore the storage function.For"pivoting"disorder,it should be the key to regulate the circulation of qi and blood.Combined with clinical symptoms,the main treatment methods such as"sweat promotion","warming","clearing","purgation","supplementation"and"harmonization"are used to restore the function of the"opening-closing-pivoting",making the blood and vessels of the body unblocked,and qi ascending and descending balanced,in order to achieve the effect of"moving pivot to facilitate opening and closing"and"opening and closing to transport pivot".

关 键 词：高血压病 开阖枢理论 温上清下 和解表里 

分 类 号：R259[医药卫生—中西医结合]