基于“开阖枢”理论探讨中风病的针灸辨治

Based on the Theory of “Opening-Closing-Pivoting” to Discuss the Acupuncture and Treatment of Stroke

摘要: 开阖枢理论源于《黄帝内经》，是阐释三阴三阳气机升降出入、阴阳转化规律的核心中医理论，揭示了人体脏腑经络气血运行的动态平衡机制。本文基于开阖枢理论，系统阐释中风病的发病机制与针灸治疗思路，认为中风病的核心病机在于三阴三阳开阖枢功能失调所致的阴阳失和、气血逆乱。三阳开阖枢失调与外邪侵袭、经脉闭阻相关，三阴开阖枢失调与脏腑功能紊乱、正气亏虚相关。在此基础上提出以“调枢启阖、通经开闭”为核心的针灸治疗原则，从调枢气以复升降、开太阳以散表邪、阖阳明以畅腑气、开太阴以复运化等方面确立具体治法与取穴方案，以期为中风病的临床针灸提供新的理论视角与思路。

Abstract: The theory of opening-closing-pivoting originates from the Inner Sutra of the Yellow Emperor, which is the core theory of traditional Chinese medicine that explains the laws of the three yin and three yang qi machines, lifting and exiting and the transformation of yin and yang, and revealing the dynamic balance mechanism of the operation of qi and blood in the human organs. Based on the theory of oopening-closing-pivoting, this article systematically explains the pathogenesis of stroke and the idea of acupuncture and moxibustion treatment. It believes that the core pathogenesis of stroke lies in the yin and yang disharmony and qi and blood disorder caused by the dysfunction of the three yin and three yang opening and closing and pivoting. Sanyang opening and closing and pivoting disorder is related to the invasion of external evil and meridian closure, and the three-yin opening and closing and pivoting disorder is related to the dysfunction of internal organs and the deficiency of righteous qi. On this basis, the acupuncture and moxibustion treatment principle with “adjuing the axis to open and closing, opening and closing the meridians” as the core is put forward, and establishes specific treatment methods and acupuncture schemes from the aspects of adjusting the axis qi to restore the rise and fall, opening the sun to dispel the surface of evil, closing the Yangming to clear the qi, and opening the Taiyin to restore the operation, in order to provide a new theoretical perspective and ideas for clinical acupuncture and moxibustion of stroke.