基于开阖枢理论从肝脾肾论治眩晕

Treatment of Vertigo from Liver,Spleen and Kidney Based on Open-Close Pivot the Ory

“开、阖、枢”理论是《黄帝内经》理论体系的重要组成部分,该理论源于四时阴阳气数离合的变化,因三阴三阳的气数不等,各有出入,而反映出“开、阖、枢”的具体表现形式,四时阴阳变化又通过“开、阖、枢”的功能形式来完成。人与自然是一个统一整体,人体阴阳之气与天地阴阳之气相统一,不外乎阴阳,三阴三阳开阖枢是对阴阳离合状态的概述,也是天人一气相应产生生理、病理改变的根源。眩晕不仅是病名,还作为一个主诉症状存在于各内科杂病之中,其病因病机复杂,病程迁延,治疗缓慢。将三阴三阳之开阖枢理论运用于眩晕的诊疗,从整体出发,调和人体阴阳之气,脏腑经络兼顾,使辨证准确、用药得当,对临床具有一定的指导意义。

The theory of“opening,closing and pivoting”is an important part of the theoretical system of Huangdi Neijing.The theory originates from the change of the separation and combination of Yin and Yang Qi in four seasons.Because the Qi of three Yin and three Yang is different,each has its own differences,and reflects the concrete manifestation of“opening,closing and pivoting”.The change of Yin and Yang in four seasons is completed by the functional form of“opening,closing and pivoting”.Man and nature are a unified whole.The Qi of Yin and Yang of the human body is unified with the Qi of Yin and Yang of the heaven and earth,which is nothing more than Yin and Yang.The opening and closing of the three Yin and three Yang is an overview of the state of Yin and Yang,and it is also the root of the corresponding physiological and pathological changes of heaven and man.Vertigo is not only the name of the disease,but also exists as a chief complaint symptom in various medical miscellaneous diseases.Its etiology and pathogenesis are complex,the course of the disease is prolonged,and the treatment is slow.The theory of opening and closing pivot of three Yin and three Yang is applied to the diagnosis and treatment of vertigo.Starting from the whole,the qi of Yin and Yang of the human body is reconciled,and the viscera and meridians are taken into account,so that the syndrome differentiation is accurate and the medication is proper.It has certain guiding significance for clinical practice.