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杨晓丽, 崔曼丽, 黄培冬, 郑菀莹, 张君斌, 尹朝飞, 姜云武.姜云武基于开阖枢理论运用扶阳针灸治疗寒性筋痹经验[J].湖南中医药大学学报,2026,46(8):1652-1656[点击复制] |
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| 姜云武基于开阖枢理论运用扶阳针灸治疗寒性筋痹经验 |
| 杨晓丽,崔曼丽,黄培冬,郑菀莹,张君斌,尹朝飞,姜云武 |
| (云南中医药大学第二临床医学院, 云南 昆明 650500;云南中医药大学第二附属医院, 云南 昆明 650041;腾冲市中医医院, 云南 保山 679116) |
| 摘要: |
| 开阖枢理论是阐释六经气化功能的核心理论，对针灸临床具有重要指导价值。姜云武教授基于该理论，提出寒性筋痹的关键病机为“太阳失固，寒扰筋急”“阖藏失职，筋失所养”“枢机不利，筋脉失疏”，三者相互影响，共同引发筋脉拘急疼痛。诊疗以“扶阳针灸”为核心，确立“固太阳、助阖藏、转枢机”治则，通过激发阳气、调畅气机，恢复三阴三阳气化平衡，实现“筋柔痛消”的治疗目的，为针灸治疗寒性筋痹提供理法兼备的临床新思路。 |
| 关键词: 寒性筋痹|开阖枢|扶阳针灸|调畅气机|名医经验|姜云武 |
| DOI：10.3969/j.issn.1674-070X.2026.08.016 |
| 投稿时间：2026-04-29 |
| 基金项目:云南省卫生健康委-姜云武名老中医药专家传承工作室（2024年）；云南省专业学位研究生教学案例库项目（30770103895）；云南中医药大学2026年“灵枢冲和”学科提档计划（针灸学）。 |
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| JIANG Yunwu's experience in treating cold sinew impediment with fortifying yang acupuncture based on the opening-closing-pivoting theory |
| YANG Xiaoli, CUI Manli, HUANG Peidong, ZHENG Wanying, ZHANG Junbin, YIN Chaofei, JIANG Yunwu |
| (The Second Clinical Medical College of Yunnan University of Chinese Medicine, Kunming, Yunnan 650500, China;Second Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming, Yunnan 650041, China;Tengchong County Hospital of Traditional Chinese Medicine, Baoshan, Yunnan 679116, China) |
| Abstract: |
| The opening-closing-pivoting theory is a core theory for elucidating the qi transformation functions of the six meridians and has important guiding value for clinical acupuncture practice. Based on this theory, Professor JIANG Yunwu proposes that the key pathogenesis of cold sinew impediment involves "failure of Taiyang to secure, with cold disturbing the sinews and causing contracture" "failure of closing and storing, resulting in loss of nourishment of the sinews" and "dysfunction of pivoting, resulting in impaired coursing of the sinews and vessels". These three pathological mechanisms interact with one another and collectively lead to painful contracture of sinews and vessels. In diagnosis and treatment, fortifying yang acupuncture is taken as the core approach, with the therapeutic principles of "securing Taiyang, assisting closing and storing, and facilitating pivoting". By activating yang qi and regulating qi movement, the balance of qi transformation of the three yin and three yang is restored, thereby achieving the therapeutic goal of "relaxing sinews and relieving pain". This provides a new clinical approach integrating both principles and therapeutic methods for acupuncture treatment of cold sinew impediment. |
| Key words: cold sinew impediment|opening-closing-pivoting|fortifying yang acupuncture|regulating qi movement|famous physician's experience|JIANG Yunwu |
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