湖南中医药大学学报2025，Vol.45Issue(5)：927-932,6.DOI:10.3969/j.issn.1674-070X.2025.05.021
基于"三阴三阳开阖枢"理论辨析重症肌无力
Analysis of myasthenia gravis based on the"opening-closing-pivoting theory of three yin and three yang"
摘要
Abstract
Myasthenia gravis(MG)falls under the category of"wei-flaccidity pattern"in Chinese medicine.TCM treatment of MG has demonstrated remarkable efficacy and favorable prognosis.While modern medicine believes that MG is a refractory autoimmune disease,and there is no effective cure.Throughout history,many TCM practitioners have approached the differentiation and treatment of MG primarily from the perspective of visceral pattern identification systems,but rarely included it in the three yin and three yang pattern identification of six meridians system for discussion.The"opening-closing-pivoting theory of three yin and three yang"was first recorded in the Huang Di Nei Jing(Huangdi's Classic of Medicine).Its core lies in that if the opening-closing-pivoting function is normal,the qi movement of ascending,descending,entering,and exiting can be maintained,and the qi transformation of yin and yang can be balanced.MG can be caused by the dysfunction of the opening-closing-pivoting function,the imbalance of yin and yang to ascend,descend,enter,and exit,and the obstruction of qi,blood,and meridians.In this paper,the pathogenesis and treatment of MG are analyzed under the guidance of the"opening-closing-pivoting theory of three yin and three yang",in order to broaden the treatment of this disease.关键词
重症肌无力/三阴三阳/开阖枢理论/黄帝内经/痿证/六经辨证/阴阳气化Key words
myasthenia gravis/three yin and three yang/opening-closing-pivoting theory/Huang Di Nei Jing(Huangdi's Classic of Medicine)/wei-flaccidity pattern/pattern identification of six meridians/qi transformation of yin and yang分类
医药卫生引用本文复制引用
刘如歌,智若愚,刘韩彬,王家慧,卫佳豪,张杰,柳雪影,杨俊红..基于"三阴三阳开阖枢"理论辨析重症肌无力[J].湖南中医药大学学报,2025,45(5):927-932,6.基金项目
国家重大疑难疾病中西医临床协作项目(国中医药综结合函[2023]250号) （国中医药综结合函[2023]250号）
河南省重点研发与推广专项科技攻关项目(232102311196) （232102311196）
河南省中医学"双一流"创建科学研究专项课题(HSRP-DFCTCM-2023-1-27). （HSRP-DFCTCM-2023-1-27）
