摘要
《素问·阴阳离合论》云:"三阳之离合也,太阳为开,阳明为阖,少阳为枢;……三阴之离合也,太阴为开,厥阴为阖,少阴为枢"。顾植山教授运用三阴三阳"开阖枢"理论指导不寐治疗,疗效甚佳。文中列举防风通圣散、柴胡桂枝干姜汤合乌梅丸、血府逐瘀汤治疗不寐案3则以佐证。案1不寐用防风通圣散解表使卫行通畅,太阳得开,清下阳明,则阳明得阖,寐差易醒得解;案2不寐用柴胡桂枝干姜汤枢转少阳、太阴,使太阴"机转"而获效,二诊使用乌梅丸调节厥阴枢机,使阴阳之气顺利交接而愈;案3不寐用血府逐瘀汤,调畅少阳、少阴枢机,使阴阳开、阖有度,阳入阴则寐,阴出阳则寤。
Suweno The Theory of Yin and Yang, Separation and Reunion says that ＂Three Yang of separation and reunion, Tai Yang is open, Yang Ming is close, Shao Yang is axis and so on; Three Yin of separation and reunion, Tai Yiu is open, Jue Yin is close, Shao Yang is axis＂. Professor Gu Zhishan used the theory of three yin-three yang＇ s role in ＂opening, closing and pivot＂ to guide to treat insomnia, and has obtained good effect. The article list 3 eases of Fangfeng Tongsheng powder, Chaihu Guizhi Ganjiang decoction and Wumei pill, Xuefu Zhuyu deoction for treating insomnia of proof. We used Fangfeng Tongsheng powder to relieve exterior syndrome which can smoothen weixing, open the Taiyang, and clear the down Yangming, then dose the Yangming, so the insomnia can be solved for one case. For the second case, we used Chaihu Guizhi Ganjiang decoction to pivot Shaoyang, Taiyin, to make Taiyin ＂Jizhuan＂. Then we used Wumei pill to adjust Jueyin helm, to make the yin and yang associate with each other and the insomnia can be solved. For the third case, we used Xuefu Zhuyu deoction to regulate Shaoyang, Shaoyin helm, to make yin, yang opening and closing in an appropriate way, yang enters yin, so the patient can sleep, yin out of yang, he will be awake.
出处
《光明中医》
2016年第19期2873-2875,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
基金
国家中医药管理局龙砂医学流派传承工作室建设项目(No.LPGZS2012-20)
山东省中医药科学技术研究项目(No.2015-473)
关键词
顾植山
开阖枢
不寐
验案
Gu Zhishan
Opening and closing pivot
Insomnia
Proved eases
