基于六经开阖枢理论从风论治荨麻疹的思路探讨

Discussion of treating urticaria from wind based on the theory of opening,closing and pivot of six channels

开阖枢理论是古人根据四季阴阳转变规律,在实践中不断总结归纳形成的理论,可追溯至《易经·系辞·上》中的通变思想。《黄帝内经·素问》中首次阐明了六经开阖枢理论,即太阳太阴开、阳明厥阴阖、少阳少阴枢。开阖枢理论详细叙述了人体阴阳之气在六经出入离合的传变规律,在指导临床诊疗中具有重要意义。荨麻疹为临床常见的皮肤疾病,严重影响着患者的生活质量。现阶段临床治疗荨麻疹效果欠佳,中医学根据荨麻疹发病迅速、瘙痒剧烈、反复发作等特点,规范本病名称为“瘾疹”,风邪在其发病、传变过程中占据重要地位。基于六经开阖枢理论及风邪特点,对荨麻疹的病因病机、经络分型和治疗进行分析,探讨六经开阖枢在荨麻疹发生、发展、治疗中的作用,为荨麻疹的临床治疗提供新思路。

The theory of opening,closing and pivot is summarized and concluded in practice by ancient people according to the law of the transition of Yin-Yang in the four seasons,which can be traced back to the variation thought in the book of I-Ching·Xi-Ci·Book 1.The theory of opening,closing and pivot of six channels,namely,the opening of Taiyang channels and Taiyin channels,the closing of Yangming channels and Jueyin channels,and the pivot of Shaoyang channels and Shaoyin channels,is first explained in the Suwen of Huangdi Neijing.The theory of opening,closing and pivot describes in detail the law of the transition of Yin and Yang in the exit and entry of the six channels,which has great significance in guiding clinical diagnosis and treatment.Urticaria is a common clinical skin disease,which seriously affects the quality of life of patients.At present,the clinical treatment of urticaria is not effective.According to the characteristics of rapid onset,severe itching and repeated attacks of urticaria,traditional Chinese medicine standardizes the name of urticaria as“yinzhen”.Wind-pathogenic factor plays an important role in the course of its onset and transformation.Based on the theory of opening,closing and pivot of six channels and the characteristics of wind-pathogenic factor,the etiology,pathogenesis,meridians type and treatment of urticaria are analyzed,and the role of opening,closing and pivot of six channels in the occurrence,development and treatment of urticaria is discussed,which provide a new idea for clinical treatment of urticaria.