Discussion on the Diagnosis and Treatment of Bi-Syndrome Through"Guarding the Gate"and"Keeping the Trigger"
10.13359/j.cnki.gzxbtcm.2025.09.034
- VernacularTitle:基于"守关""守机"理论探讨痹证的诊治思路
- Author:
Chen YU
1
;
Ruchun CHANG
;
Xuewei QIN
;
Jiahua WU
;
Peiming ZHANG
;
Ziyong LI
Author Information
1. 广州中医药大学第八临床医学院,广东佛山 528000
- Keywords:
bi-syndrome;
Huang Di Nei Jing(Huangdi's Cannon of Medicine);
guarding the gate;
keeping the trigger;
lesion of five body constituents;
disharmony of qi and blood;
clinical approach to the diagnosis and treatment
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(9):2332-2337
- CountryChina
- Language:Chinese
-
Abstract:
The view of"inferior practitioner guarding the gate while the superior practitioner keeping the trigger"during the clinical practive was recorded in in Huang Di Nei Jing(Huangdi's Cannon of Medicine).This paper probes into the diagnosis and treatment of bi-syndrome from the perspecitve of"guarding the gate"and"keeping the trigger".It is proposed that the lesion of five body constituents(i.e.,skin,vessel,muscle,tendon,and bone)constitutes the injured"gate"of bi-syndrome,and the disharmony of qi and blood constitutes the"trigger"of the onset of bi-syndrome.The location of lesions will be found through examining the gate,and the state of qi and blood will be confirmed after checking the trigger.For the treatment of bi-syndrome,"guarding the gate"is to enable the normality of five body constituents,and"keeping the trigger"is to maintain the abundance and harmony movement of qi and blood,which cover the consideration of focal lesions and the regulation of holistic qi and blood."Guarding the gate"is as important as"keeping the trigger",and the two are interrelated.Only by carefully examining the gate of the lesions and strictly checking the trigger of qi-blood movement,it is possible to identify the deficiency of healthy qi and the excess of the pathogens,the nature of the pathogens and the severity of illness of bi-syndrome,and then the corresponding therapeutic methods can be performed to achieve the efficacy.The view of"guarding the gate"and"keeping the trigger"expands the clinical approach to the diagnosis and treatment of bi-syndrome.
