浅析开阖枢理论在《金匮要略》水气病治疗中的运用  

Application of Open-Close-Pivot theory in the treatment of fluid-retention syndrome in Synopsis of Golden Chamber

作　　者：邢崇溢 张红雨 娄静 王菲 侯留法 XING Chongyi;ZHANG Hongyu;LOU Jing(Henan Integrative Medicine Hospital,Zhengzhou 450004,Chian)

机构地区：[1]河南省中西医结合医院,河南郑州450004

出　　处：《四川中医》2025年第3期69-71,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：河南省中医药传承与创新人才工程(仲景工程)中医药学科领军人才项目(豫中医函[2021] 8号);河南省中医药传承与创新人才工程(仲景工程)中医药学科拔尖人才项目(豫中医函[2021] 15号)。

摘　　要：开阖枢理论来源于《黄帝内经》中阴阳气化思想,它是对人体三阴三阳经生理功能、病理特点及其相互关系的概括,反映了六经经气的传输规律。张仲景将开阖枢理论应用在《金匮要略》水气病的治疗中并将其深化,为水气病的治疗提供了新的思路。文章通过对水气病篇中方证的分析,对太阳开和太阴开、太阳开和少阴枢、太阴开和阳明阖三组开阖枢关系在水气病中的运用进行总结。Open-Close-Pivot theory originated from the yin and yang gasification thought in the Inner Canon of Yellow Emperor. It is a generalization of the physiological functions,pathological characteristics and mutual relations of the human three yin and three yang,reflecting the transmission law of the six meridians. It has been widely used in the treatment offluid-retention syndrome in the “Synopsis of the Golden Chamber” and has been deepened by Zhang Zhongjing,providing new ideas for the treatment of fluid-retention syndrome. Through the analysis of the syndrome in the fluid-retention syndrome,this review summarizes the application of Zhang Zhongjing in the relationship between the Taiyang open and the Taiyin open,Taiyang open and Shaoyin pivot,Taiyin open and the Yangming he in the fluid-retention syndrome.

关 键 词：《金匮要略》 水气病 开阖枢 

分 类 号：R229[医药卫生—中医基础理论]