浅谈开阖枢理论在《金匮要略》疟病治疗中的运用

Discussion on the application of open-close-pivot theory in the treatment of malaria in the Synopsis of golden chamber

开阖枢理论源自《黄帝内经》中的三阴三阳气化思想,张仲景继承发展了开阖枢理论,并将其运用在《金匮要略》疟病的治疗中,使之能结合具体疾病展现出来,为疟病的治疗开拓了新的思路。通过对条文中方证的分析,总结张仲景在疟病中对太阳开、少阳枢和阳明阖,阳明阖和太阳开,太阳开和太阴开这3组开阖枢关系的精湛运用。

The theory of open-close-pivot originated from the gasification thought of three yin and three yang in The Inner Canon of The Yellow Emperor.ZHANG Zhongjing inherited and developed the theory of open-close-pivot,and applied it to the treatment of malaria in the Synopsis of Golden Chamber.Combined with specific diseases,it has opened up new ideas for the treatment of malaria.Through the analysis of prescriptions and symptoms,this paper summarized ZHANG Zhongjing’s exquisite use of the three groups of open-close-pivot relations between taiyang open,shaoyang pivot and yangming close,yangming close and taiyang open,taiyang open and taiyin open in the treatment of malaria.