从枢论治“柴胡加龙骨牡蛎汤加减”在围绝经期潮热汗出的应用

Treatment of Perimenopausal Hot Flashes and Night Sweats with Modified Chaihu Jia Longgu Muli Decoction Based on the Pivot Theory

摘要: 围绝经期潮热汗出为女性在绝经前后出现的常见症状，其病机核心为枢机失调致阴阳失衡。少阳为枢失司则营卫不和，少阴为枢失运则水火不济。本文基于“从枢论治”理论，探讨柴胡加龙骨牡蛎汤加减通过和解少阳、斡旋枢机，恢复阴阳平衡以治疗本病。该方契合“调和枢机”之法，为临床改善潮热汗出提供了理论依据与有效路径。

Abstract: Hot flashes and night sweats during the perimenopausal period are common symptoms experienced by women around menopause. The core pathogenesis of these symptoms is the imbalance of yin and yang due to the dysfunction of the pivot mechanism. When the Shaoyang pivot fails to regulate, the Ying and Wei become disharmonized; when the Shaoyin pivot fails to function, water and fire do not complement each other. This paper, based on the “pivot theory”, explores how the modified Chaihu Jia Longgu Muli Decoction can harmonize the Shaoyang, regulate the pivot, and restore the balance of yin and yang to treat this condition. This formula aligns with the method of “harmonizing the pivot” and provides a theoretical basis and an effective approach for clinical improvement of hot flashes and night sweats.