三阴三阳之“开阖枢”与“关阖枢”探析

Exploration of ‘open, close and pivot’ and ‘close, close and pivot’ of three-yin and three-yang

三阴三阳之“开阖枢”与“关阖枢”的争论由来已久,前者因其历史传承的优势更具临床实践意义,而后者多于古籍资料考证上更具说服力;文章首先分别浅溯了三阴三阳“开阖枢”与“关阖枢”的由来,通过阐述三阴三阳经起止穴的位置关系即为“关阖枢”本意,得出阴阳离合为“阴之内门为合,阳之外门为离”与“三阳外门为开,三阴内门为关”的结论,探讨了三阴三阳“开阖枢”与“关阖枢”理论的后继延伸,包括“开阖枢”与“关阖枢”的后世医家解读与拓展,以及两者的常异之辨、枢机理论等内容。

The debate between ‘open, close and pivot’ and ‘close, close and pivot’ of three-yin and three-yang has existed for a long time, the former has more clinical practical significance because of its advantage of historical inheritance,while the latter is often more convincing in the textual research of ancient books. First of all, this paper briefly traces the origin of ‘open, close and pivot’ and ‘close, close and pivot’ of three-yin and three-yang, explaining that the original meaning of ‘open, close and pivot’ is the position relationship of the starting acupoint of three-yin and three-yang meridian, and draws the conclusion that the separation of yin and yang is ‘the inner door of three-yin is closed, and the outer door of three-yang is open’by expounding the original meaning of ‘open, close and pivot’ and ‘close, close and pivot’. This paper probes into the theoretical extension of ‘open, close and pivot’ and ‘close, close and pivot’ of three-yin and three-yang, including the interpretation and expansion of ‘open, close and pivot’ and ‘close, close and pivot’ by doctors of later generations, their similarities and differences,Cardinal theory and so on.