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

WANG Tianlin; YAO Kuiwu

doi:10.13288/j.11-2166/r.2024.12.006

您当前的位置：

首页 >

文章列表页 >

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

更新时间：2024-06-12

- Disease Mechanism and Treatment Thought of Hypertension based on "Opening-Closing-Pivoting" Theory
- Journal of Traditional Chinese Medicine Vol. 65, Issue 12, Pages: 1230-1234(2024)
- 作者机构：
  
  1.中国中医科学院广安门医院，北京市西城区北线阁5号，100053
  2.北京中医药大学
  3.中国中医科学院眼科医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.12.006
  CLC：
- Received：23 September 2023，
  
  Revised：2023-11-17，
  
  Published：17 June 2024
- 稿件说明：
移动端阅览
王天琳,姚魁武.基于开阖枢理论探讨高血压病的病机与治疗思路[J].中医杂志,2024,65(12):1230-1234.

WANG Tianlin,YAO Kuiwu.Disease Mechanism and Treatment Thought of Hypertension based on "Opening-Closing-Pivoting" Theory[J].Journal of Traditional Chinese Medicine,2024,65(12):1230-1234.
王天琳,姚魁武.基于开阖枢理论探讨高血压病的病机与治疗思路[J].中医杂志,2024,65(12):1230-1234. DOI： 10.13288/j.11-2166/r.2024.12.006.

WANG Tianlin,YAO Kuiwu.Disease Mechanism and Treatment Thought of Hypertension based on "Opening-Closing-Pivoting" Theory[J].Journal of Traditional Chinese Medicine,2024,65(12):1230-1234. DOI： 10.13288/j.11-2166/r.2024.12.006.

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。

Abstract

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

and blood. Opening， closing and pivoting are well functioned together to maintain stable blood pressure， otherwise the imbalance of

， 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

’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

and blood. Combined with clinical symptoms， the main treatment methods such as "sweat promotion"， "warming"， "clearing"， "purgation"， "suppleme

ntation" and "harmonization" are used to restore the function of the "opening-closing-pivoting"， making the blood and vessels of the body unblocked， and

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

Keywords

references

刘涛，赵械雄，付如，等 . 高血压患者药物依从性影响因素的研究进展［J］. 中华高血压杂志， 2023 ， 31 （ 8 ）： 785 - 790 .

GAO W ， LIU H ， GE C ， et al . A clinical prediction model of medication adherence in hypertensive patients in a Chinese community hospital in Beijing ［J］. Am J Hypertens ， 2020 ， 33 （ 11 ）： 1038 - 1046 .

中华中医药学会心血管病分会 . 高血压中医诊疗专家共识［J］. 中国实验方剂学杂志， 2019 ， 25 （ 15 ）： 217 - 221 .

汤笑尘，张久亮，李琳，等 . 高血压病中医病机探析［J］. 中华中医药杂志， 2022 ， 37 （ 8 ）： 4619 - 4621 .

靳利利，王丽莹，李莹鸿，等 . 从“血脉”论治高血压的理论探析［J］. 中华中医药学刊， 2019 ， 37 （ 5 ）： 1039 - 1041 .

周强，张效科 . 浅析阴阳开、阖、枢理论的临床意义及其在杂病治疗中的应用［J］. 中医杂志， 2019 ， 60 （ 11 ）： 939 - 942 .

陈明 . 六经“开、阖、枢”解读［J］. 北京中医药大学学报， 2021 ， 44 （ 9 ）： 789 - 795 .

周世雄，雒晓东 . 论开阖枢理论在《伤寒论》六经气化学说中的作用［J］. 中国中医基础医学杂志， 2019 ， 25 （ 11 ）： 1496 - 1498，1507 .

毕伟博，刘圣康，姜旻，等 . 开、阖、枢志要［J］. 中华中医药杂志， 2019 ， 34 （ 5 ）： 1969 - 1974 .

曾瑾，杨雨婷，王梦雷，等 . 经典名方小续命汤的历史沿革及临床应用考证［J］. 中国实验方剂学杂志， 2022 ， 28 （ 6 ）： 182 - 191 .

张俊修，李绍旦，杨明会 . 浅谈《内经》“开、阖、枢”理论在《伤寒论》阳明病与太阴病中的运用［J］. 环球中医药， 2017 ， 10 （ 8 ）： 943 - 946 .

姚睿祺，陈颖，李玲玲，等 . 通降阳明法在高血压病中的应用探析［J］. 中医杂志， 2022 ， 63 （ 6 ）： 584 - 587 .

郭怡婷，袁源，罗斌 . 基于“开阖枢”理论浅析乌梅丸通利枢机之用［J］. 环球中医药， 2022 ， 15 （ 7 ）： 1232 - 1234 .

崔红生，毕伟博 . 论少阳主枢及其临床意义［J］. 中华中医药杂志， 2016 ， 31 （ 9 ）： 3433 - 3438 .

毛妍，梁慧慧，朱俊平，等 . 真武汤的方证解析与现代研究概况［J］. 中国实验方剂学杂志， 2020 ， 26 （ 1 ）： 217 - 225 .

吴云霞，梁永林 . 基于开阖枢理论解读四逆散［J］. 中医临床研究， 2021 ， 13 （ 23 ）： 25 - 27 .

杜松，赵凯维，刘寨华，等 . 经典名方“温胆汤”研究进展及相关思考［J］. 中国中医基础医学杂志， 2019 ， 25 （ 12 ）： 1764 - 1768 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Differentiation and Treatment of Hypertension Comorbidities from the Perspective of "Constitution-Syndrome-Disease Location Correlation"

Hypertension Chronic Disease Management Platform-Assisted Traditional Chinese Medicine Comprehensive Antihypertensive Regimen for the Treatment of Primary Hypertension： A Prospective Cohort Study

Syndrome-Based Treatment Strategy for Hypertension Using the Method of Raising Yang and Promoting Descent

A Review of Researches on Traditional Chinese Medicine for Prevention and Treatment of Common Cardio-vascular Diseases during 2021 to 2023

CHENG Choufu's Experience in Treating Hypertension based on “Ascending and Descending of Qi Movement”

Related Author

GAO Mengqi

WANG Anlu

XU Hao

ZHAO Lin

DING Shuchen

XUE Mei

XU Hao

LYU Xiaotong

Related Institution

Suzhou Hospital of Xiyuan Hospital，China Academy of Chinese Medical Sciences

Xiyuan Hospital，China Academy of Chinese Medical Sciences

Postdoctoral Research Station，China Academy of Chinese Medical Sciences

National Clinical Research Center for Chinese Medicine Cardiology，Xiyuan Hospital，China Academy of Chinese Medical Sciences

Graduate School，Beijing University of Chinese Medicine

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰