基于“开阖枢”和“标本中气”理论探讨六经气化的内涵和层次关系-《西部中医药》

文章信息/Info

Title:: Exploring the Connotation and Hierarchical Relationships of Qi Transformation of the Six Meridians Based on the Theories of "Opening, Closing, and Pivoting" and "Root, Manifestation and Intermediate Qi"

Author(s):: LI Xingye^1,2, SUN Jiahao^1,2, WANG Jie²; 1.Beijing University of Chinese Medicine, Beijing 100029, China
2.Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China

Keywords:: six meridians; transformation; opening; closing; and pivoting; root; manifestation and

摘要:: 《黄帝内经》《难经》《伤寒论》的学术思想一脉相承，“开阖枢”理论揭示了六经气化的内涵，“标本中气”理论揭示了六经气化的相互关系，以精为本、给邪以出路的思想贯穿在三阴三阳的位序之中；《伤寒论》的病、脉、证是在取象比类思维特点指导下，对六经病不同气机特点的描述，其传达了治疗时要顺应六经循行方向“厥阴→少阴→太阴→少阳→阳明→太阳”，强调给邪以出路，注重里邪出表、阴证转阳的指导思想。

Abstract:: The academic thoughts of the Yellow Emperor’s Inner Canon (Huangdi Neijing), the Classic of Difficult Issues (Nan Jing), and the Treatise on Cold Damage Diseases (Shanghan Lun) form a continuous lineage. The theory of "opening, closing, and pivoting" reveals the connotation of Qi transformation in the six meridians, while the theory of "root, manifestation, and intermediate Qi" reveals the interrelationships of Qi transformation in the six meridians. The concepts of taking essence as the root and providing an outlet for pathogenic factors run through the ordering of the three Yin and three Yang meridians. Under the guidance of the "taking resemblance and drawing analogies" (Qu Xiang Bi Lei) mode of thinking, the concepts of disease, pulse, and pattern in the Treatise on Cold Damage Diseases (Shanghan Lun) describe the distinct Qi dynamics characteristics of the six-meridian disorders. It conveys the principle of following the direction of six-meridian circulation "Jueyin →Shaoyin→Taiyin→Shaoyang→Yangming→Taiyang" in treatment, emphasizing the need to provide an outlet for pathogenic factors, with a guiding focus on allowing pathogenic factors to exit from the interior to the exterior and facilitating the transformation from Yin patterns to Yang patterns.