基于開闔樞理論辨治郁火

[中圖分類號］R222 [文獻(xiàn)標(biāo)志碼］A [文章編號]0256-7415（2025）09-0175-04

DOI：10.13457/j.cnki.jncm.2025.09.032

Syndrome Differentiation and Treatment of Constraint Fire Based on Theory of Opening， Closing，and Pivoting

CAIHuijun1，CHENJingshuang2，JI Yunxi3

1.DepartmentofGeneralMedicine，Shulan（Hangzhou）HospitalAfliatedtoZhejiangShurenUniversityShulanInternationalMedical Colege，HangzhouZhejiang310022，China；2.TheSecondAflitedHospitalofZhejiangChineseMedicalUniversity，Hangzhou Zhejiang 310005，China；3.Zhejiang Provincial Hospitalof Chinese Medicine，Hangzhou Zhejiang 310006，China

Abstract：This paper summarizes and analyzes the relationship between constraint fireand the theory of opening， closing，and pivoting，and provides guidanceforclinical diagnosis andtreatment basedonthis relationship.Constraint firearises from the failureof yinand yang qi to return to their original places，leading toa stateof "constraint." Therefore，the treatment should focus on regulating qi movement.Based on the theory of opening，closing，and pivotingin the treatment of constraint fire，when the functions of opening，closing，and pivoting are normal，qi movement inthe human body proceeds in anorderly manner，and the dynamic balance of yinandyang is maintained， sustaining theoriginal structureof "internal yangand externalyin，"upon which thefunctions of yinand yangdepend. Whenthe qi movement related toopening，closing，and pivoting is derelict，yinand yang areunable to return to their original places and instead occupy incorrectpositions，leading to "constraint."Therefore，inthe syndrome diferentiationand treatmentofconstraint fire，itis essential toregulatetheqi movementrelated to thethreeyinand three yang，and their opening，closing，and pivoting functions.The principleof this treatment is to restore yin and yang to their original state of "internal yang and external yin" and to revive their functions.

Keywords：Constraint fire；Theory of opening，closing，and pivoting；Internal yang and external yin；Yangreinforcing theory

火證雖有虛實之分，然臨床?？梢娞搶崐A雜之類，難以獨取補虛瀉實之法治之，而究其根本，火證乃陰陽二氣不歸本位，氣機(jī)升降失司，而致“郁”的狀態(tài)，故當(dāng)以調(diào)暢氣機(jī)，使陰陽回歸本位。（剩余5468字）