Disease Mechanism and Treatment Thought of Hypertension based on "Opening-Closing-Pivoting" Theory
10.13288/j.11-2166/r.2024.12.006
- VernacularTitle:基于开阖枢理论探讨高血压病的病机与治疗思路
- Author:
Tianlin WANG
1
;
Kuiwu YAO
1
Author Information
1. Guang 'anmen Hospital， China Academy of Chinese Medical Sciences， Beijing， 100053
- Publication Type:Journal Article
- Keywords:
hypertension;
opening-closing-pivoting theory;
warming upper and clearing lower;
harmonizing exterior and interior
- From:Journal of Traditional Chinese Medicine
2024;65(12):1230-1234
- CountryChina
- Language:Chinese
-
Abstract:
In the theory of "opening-closing-pivoting"， the opening and closing pivot of a portal is used as a metaphor for the operating state of human qi and blood. Opening， closing and pivoting are well functioned together to maintain stable blood pressure， otherwise the imbalance of qi， blood， yin and yang in the body occurs when any of them is abnormal， thereby causing hypertension. During treatment， it is necessary to identify the impaired state of the three functions. If the "opening" is abnormal， it should be treated to restore qi’s function of external defense and distribution. If the "closing" is abnormal， it is necessary to regulate the deficiency and excess state of yang qi and restore the storage function. For "pivoting" disorder， it should be the key to regulate the circulation of qi and blood. Combined with clinical symptoms， the main treatment methods such as "sweat promotion"， "warming"， "clearing"， "purgation"， "supplementation" and "harmonization" are used to restore the function of the "opening-closing-pivoting"， making the blood and vessels of the body unblocked， and qi ascending and descending balanced， in order to achieve the effect of "moving pivot to facilitate opening and closing" and "opening and closing to transport pivot".
