基于玄府气液宣通学说探讨开宣玄府在牙周炎治疗中的运用

Discussion on the Application of Opening Xuanfu in Periodontitis Based on the Theory of Xuanfu-Qi-Fluid Circulation

中医学理论认为,玄府不仅存在于皮肤腠理,而且广泛存在于脏腑肌肉筋膜骨髓之中,万物皆有,是气机升降出入的通道。玄府开合失常为百病之源,是疾病发生的根本。玄府郁闭可导致气血津液运行失调、升降出入活动障碍。故在疾病治疗中应首当遵循"开宣玄府"为其治疗大法。牙周炎的病机可分为虚实两端,实证多见于胃火上炎证,虚证多见于肾阴亏虚证和气血不足证。此三证均涉及玄府闭而不开的过程。故对于牙周炎的论治也当"开宣玄府",如开郁泻火、开郁补虚等,可作为治疗牙周炎的常用治法。

According to the theories in Chinese medicine,xuanfu(sweat pore)exists not only in the skin and interstices but in zangfu-organs,muscle,fascia and bone marrow,universally without exception,which equals the channel of such qi movements as ascending,descending,exiting and entering.The disorder of opening and closing xuanfu is the origin of all diseases as well as the root in the occurrence of diseases.Pent-up xuanfu may lead to the imbalance in transportation of qi,blood and body fluid and the obstacles in such movements as ascending,descending,exiting and entering.Consequently,opening xuanfu should be initially conformed to as the fundamental therapeutic method during treatment.The pathogenesis of periodontitis includes both deficiency and excess,among which excess syndrome appears more in stomach fire flaming-up syndrome,deficiency syndrome appears more in kidney yin deficiency syndrome and qi-blood deficiency syndrome.Those three syndromes are all concerned in the process of closing rather than opening xuanfu.Therefore,the treatment of periodontitis should also follow the method of"opening xuanfu",such as relieving depression with purging fire and relieving depression with tonifying deficiency,which can become the therapeutic method for treating periodontitis.