基于开阖枢选用柴胡桂枝干姜汤治疗围绝经期失眠
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R249

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青岛市卫生科技计划项目(2020-WJZD040)


Discussion on Using Chaihu Guizhi Ganjiang Decoction to Treat Perienopausal Insomnia Based on Opening and Closing Pivot Theory
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    摘要:

    首先阐述开阖枢理论产生的渊源及理论内涵,其次阐述从开阖枢角度认识妇女围绝经期这一特殊 的生理过程。开阖枢升降失常将会导致围绝经期综合征(MPS) 发生,进一步探究其机理,得出少阴阴枢、厥 阴肝阖失常为MPS 产生的基础,少阳阳枢、太阴脾开失常为MPS 发生的诱因。失眠为围绝经期综合征中较突 出的症状,从开阖枢理论认识到该病产生的主要原因为一阳三阴气化失常。最后从开阖枢理论角度,阐述柴胡 桂枝干姜汤的病机,结合“六经病欲解时”,选用该方治疗围绝经期综合征失眠。

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    Abstract: This paper firstly expounds the origin and theoretical connotation of Opening and Closing Pivot Theory,and then the special physiological process of women's perimenopause from the perspective of this theory. Considering that the abnormal ascending and descending of the opening and closing pivot may lead to menopausal syndrome (MPS),this paper further explores its mechanism. It is concluded that the abnormal yin pivot of shaoyin and closing of the liver of jueyin are the basis of MPS,and the abnormal yang pivot of shaoyang and opening of the spleen of taiyin are the inducement of MPS. Insomnia is a prominent symptom of MPS, and the main reason of it is the abnormal qi transformation of one kind of yang and three kinds of yin from the Opening and Closing Pivot Theory. This paper finally expounds the pathogenesis of Chaihu Guizhi Ganjiang Decoction in treating MPS combination with "six-channel diseases tending to be cured" from the aspect of this theory.

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李佩林,袁雯,魏丹,徐慧军.基于开阖枢选用柴胡桂枝干姜汤治疗围绝经期失眠[J].新中医,2023,55(9):208-212

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  • 在线发布日期: 2023-05-24
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