基于开阖枢理论辨治郁火

[中图分类号］R222 [文献标志码］A [文章编号]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

火证虽有虚实之分，然临床常可见虚实夹杂之类，难以独取补虚泻实之法治之，而究其根本，火证乃阴阳二气不归本位，气机升降失司，而致“郁”的状态，故当以调畅气机，使阴阳回归本位。（剩余5468字）