“开五门”法治疗心血管疾病的临床经验  

Clinical experience in the treatment of cardiovascular diseases by‘opening five doors’therapy

作　　者：沈玲珊 尚宝令 麦喆钘 孙海娇[2,3] 邹旭 姚耿圳[2,3,4] SHEN Lingshan;SHANG Baoling;MAI Zhexing;SUN Haijiao;ZOU Xu;YAO Gengzhen(The Second Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120,China;Higher Education Mega Center Hospital of Guangdong Provincial of Chinese Medicine,Guangzhou 511400,China)

机构地区：[1]广州中医药大学第二临床医学院,广州510405 [2]广东省中医院,广州510120 [3]广州中医药大学第二附属医院,广州510120 [4]广东省中医院大学城分院,广州511400

出　　处：《中华中医药杂志》2024年第12期6503-6507,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局第七批全国老中医药专家学术经验继承工作(No.国中医药人教函[2022]76号);国家中医药管理局重点研究室建设项目:岭南中医学术流派传承(No.国中医药科技发[2012]27号);广东省基础与应用基础研究基金委员会项目(No.2019B1515120040);广东省中医药局项目(No.粤中医办函[2020]1号);广东省中医药局科研项目(No.20215004,No.20223011);广州市科技计划项目(No.202201020290,No.2023A03J0230);广东省中医院中医学术流派传承工作室建设项目(No.中医二院[2013]233号);广州中医药大学中西医结合内科学课程思政示范课堂。

摘　　要：文章总结邹旭教授运用“开五门”法治疗心血管疾病的临证经验。邹教授认为,在心血管疾病的发病过程中,气血津液代谢障碍是其发病的重要因素,而气机升降出入之异常是其根本原因。对此邹教授提出“开五门”的治法,即“开鬼门、开贲门、开幽门、开水门、开魄门”,宣上、畅中、渗下,调理三焦气机,使气血津液代谢恢复正常,以达到治疗心血管疾病的目的。文章举验案一则,以供同道探讨。The paper summarizes the clinical experience of professor ZOU Xu in the treatment of cardiovascular diseases by‘opening five doors’therapy.In the pathogenesis of cardiovascular diseases,the metabolic disorder of qi,blood and body fluid is an important factor,and the root cause is the abnormal movement of qi,including its ascending,descending,exiting and entering.Therefore,professor ZOU proposed the‘opening five doors’therapy.Through the method of‘diaphoresis,opening the cardia,opening the pylorus,promoting urination and defecation’,it promotes the Xuan,Chang and infiltration,regulates the qi movement of Sanjiao,and makes the metabolism of qi,blood and body fluid return to normal,so as to achieve the purpose of treating cardiovascular diseases.The article provides a case study for fellow researchers to discuss.

关 键 词：“开五门”法 心血管疾病 名医经验 邹旭 三焦 气机 加味渗湿和里汤 归一饮 

分 类 号：R24[医药卫生—中医临床基础]