开、阖、枢志要
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摘要
文章旨在解清"开""阖""枢"文字原意与医理原旨。解清"开""阖"之原意,之所以太阳太阴为开、阳明厥阴为阖,以及在此基础上的开阖诸气所在的医理和意义。解清"枢"之原意,以及以"少"为枢,稍离为枢,阴阳所枢,以动为枢,以火、热为枢,枢气在中的医理及其现实的临床意义。进一步揭示中医学原貌的三阴三阳之位、阴阳之"坐标"和三阴三阳气化流注,阐述由阖贯入枢、由枢贯入开的气化流注的基本形式,阴气从开气贯入阳气,阳气从开气贯入阴气,开气贯入阴阳相异的阖气等三阴三阳气化流注的全景,并阐发以上阴阳气化流注的临床意义总要之论。
The purpose of this paper is to clarify the original meaning of the characters hai, he and shu and the initial thought of medical science. The primitive idea of kai and he is cleared up, and the reason why Taiyang and Taiyin are kai and Yangming Jueyin are he, as well as on this basis the medical theory and significance of the qi playing the role of opening and closing are described. The original meaning of shu is clarified, such as to less as the pivot, a little away from the pivot, yin and yang by the pivot, to move as the pivot, to fire, heat as the pivot, the pivot in the medical science and clinical importance of reality.It further reveals the original position of three yin and three yang, the ‘coordinate' of yin and yang, and the movements of three yin and three yang. It expounds the basic forms of qi transformation from a state of qi, he into a form, Shu and from a status of qi, Shu into a form, kai, overall perspectives of yin qi flow into yang qi by means of kai qi,yang qi flow into yin qi with the aid of kai qi,kai qi flow into he qi are dissimilar as each other, and explains the general clinical significance of the above qi transformation.
The purpose of this paper is to clarify the original meaning of the characters hai, he and shu and the initial thought of medical science. The primitive idea of kai and he is cleared up, and the reason why Taiyang and Taiyin are kai and Yangming Jueyin are he, as well as on this basis the medical theory and significance of the qi playing the role of opening and closing are described. The original meaning of shu is clarified, such as to less as the pivot, a little away from the pivot, yin and yang by the pivot, to move as the pivot, to fire, heat as the pivot, the pivot in the medical science and clinical importance of reality.It further reveals the original position of three yin and three yang, the ‘coordinate' of yin and yang, and the movements of three yin and three yang. It expounds the basic forms of qi transformation from a state of qi, he into a form, Shu and from a status of qi, Shu into a form, kai, overall perspectives of yin qi flow into yang qi by means of kai qi,yang qi flow into yin qi with the aid of kai qi,kai qi flow into he qi are dissimilar as each other, and explains the general clinical significance of the above qi transformation.
引文
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[10]崔红生,毕伟博.论少阳主枢及其临床意义.中华中医药杂志,2016,31(9):3433-3438
[11]郝云,赵一敏.从小柴胡汤效用探究少阳枢机原理临床意义.中华中医药杂志,2017,32(11):4870-4872
[2]武冰,姜元安.“少阳为半表半里”之我见.环球中医药,2012,5(10):746-747
[3]毕伟博,崔红生,黄飞.“半表半里”及“枢机”理论的证伪.陕西中医,2015,36(6):746-748
[4]熊曼琪.伤寒学.北京:中国中医药出版社,2003:9,15,260,263
[5]冯世纶.经方的半表半里阳证.中国医药学报,2003,18(4):240-243
[6]冯世纶.经方的半表半里阴证.中国医药学报,2003,18(5):308-310
[7]吴敦序.中医基础理论.上海:上海科学技术出版社,2002
[8]毕伟博,崔红生.仲景“和”思想面面观.中华中医药杂志,2015,30(12):4227-4230
[9]贺娟.论“脾胃为人体气机运行的枢纽”的理论与实践意义.北京中医药大学学报,2010,33(4):234-236
[10]崔红生,毕伟博.论少阳主枢及其临床意义.中华中医药杂志,2016,31(9):3433-3438
[11]郝云,赵一敏.从小柴胡汤效用探究少阳枢机原理临床意义.中华中医药杂志,2017,32(11):4870-4872