基于玄府的理论阐述三九贴在寒凝血瘀型脱疽中的应用

Based on the Theory of Xuanfu to Expound the Application of Sanjiu Paste in the Treatment of Cold Coagulation and Blood Stasis

当前中医药治疗寒凝血淤型脱疽多以活血化瘀内治为法,笔者经临床实践发现,单纯运用内治法,疗效多不尽如人意。本文从玄府理论出发,阐述寒凝血瘀型脱疽病位在玄府,玄府闭塞、开阖不利是其主要的病因病机。认为通过三九贴作用玄府,温煦阳气使得“阳化气,阴成形”,同时辩明证候虚实,辨证施治,以期为中医药治疗寒凝血瘀型脱疽提供新的思路。

Currently, traditional Chinese medicine predominantly serves to facilitate blood circulation and eliminate blood stasis in internal therapeutic practices. The author’s clinical experience has revealed that the outcomes of such internal therapies are often inadequate. Drawing upon the principles of Xuanfu as theoretical framework, this article elucidates that the primary etiology and pathogenesis of conditions characterized by cold coagulation and blood stasis are rooted within the Xuanfu meridian. Obstruction within the Xuanfu meridian leads to impairment of proper opening and closing mechanisms. It is posited that the application of Sanjiu paste, which exerts a warming effect on the Yang element, thereby enables “Yang transforming Qi and Yin forming”. Concurrently, the syndrome of deficiency and cold is identified and treated differently, aiming to offer novel insights into the management of cold coagulation and blood stasis.