北京中医药大学学报2024，Vol.47Issue(9)：1211-1216,6.DOI:10.3969/j.issn.1006-2157.2024.09.004
基于开阖枢理论探讨血压昼夜节律
Exploring the circadian rhythm of blood pressure based on the theory of opening-closing-pivot
摘要
Abstract
Normal human blood pressure has a certain circadian rhythm,which is high during the day and low at night,and two peaks and one valley of the arytenoid change. The theory of opening-closing-pivot is an essential part of the yin and yang theory in traditional Chinese medicine,which reflects the law of qi movement changes of the three yin and three yang. According to "time to heal six channels" in Shanghan Lun,the opening-closing-pivot of three yin and three yang have their own time. Following certain time laws,the ascending,descending,exiting,and entering of the yin and yang qi movement conform to the circadian rhythm,which is the basis for maintaining the normal circadian rhythm of human blood pressure. Jueyin closing and shaoyang pivot mainly regulate morning blood pressure,whereas yangming closing,taiyin opening,and shaoyin pivot mainly regulate night blood pressure. The opening-closing-pivot of three yin and three yang coordinate and influence each other to maintain the stability of the circadian rhythm of blood pressure. The abnormal opening-closing-pivot can lead to the disturbance of the circadian rhythm of blood pressure,which primarily manifests as early morning hypertension caused by jueyin closing and shaoyang pivot failure,and night hypertension caused by yangming closing,taiyin opening and shaoyin pivot failure. By adjusting the movement of opening-closing-pivot of three yin and three yang,the blood pressure of corresponding period can be regulated. Combined with Western medical research,a new idea and method of regulating the circadian rhythm of blood pressure with traditional Chinese medicine is put forward.关键词
开阖枢/三阴三阳/血压/昼夜节律Key words
opening-closing-pivot/three yin and three yang/blood pressure/circadian rhythm分类
医药卫生引用本文复制引用
徐逸宁,周雨昕,张淑洁,朱尧,蒋卫民..基于开阖枢理论探讨血压昼夜节律[J].北京中医药大学学报,2024,47(9):1211-1216,6.基金项目
国家重点研发计划项目(No.2018YFC1704403) （No.2018YFC1704403）
江苏省中医高血压病临床医学创新中心项目(苏中医科教函[2023]1号)National Key R&D Program of China(No.2018YFC1704403) （苏中医科教函[2023]1号）
