【摘要】 文章以《素问·阴阳离合论》开合枢论述为指导,依据小柴胡汤效用机制,探究少阳枢机原理临床意义。通过解析《伤寒论》小柴胡汤药证方证,在配伍及效用机理中体会枢机原理;讨论小柴胡汤加味治疗特发性水肿、胆汁反流性胃炎、小儿肠系膜淋巴结炎验案,印证枢机原理。结果发现,在水液代谢方面,少阳三焦与太阳膀胱存在"枢""开"联动;在胃肠运动方面,少阳胆与阳明胃存在"枢""合"联动;在肠系膜淋巴结炎性反应方面,少阳胆与厥阴肝存在"枢""合"联动。可见,少阳枢机原理临床指导作用切实有效。更多还原

【Abstract】 The clinical significance of Shaoyang pivot principle was explored based on the mechanism of efficacy of Xiaochaihu Decoction combining with the guidance of the theory of ‘open and close and pivot’ in Suwen·Yin and Yang Lihe. The medicine-syndrome and formula-syndrome of Xiaochaihu Decoction in Shanghan Lun were analyzed to learn the mechanism of pivot from the compatibility and efficacy. In addition, the mechanism of pivot was further proven by the effects of modified Xiaochaihu Decoction on the idiopathic edema, bile reflux gastritis and mesenteric lymphadenitis. For the metabolism of the body fluid, there was a linkage relationship between the Sanjiao of Shaoyang and urinary bladder of Taiyang. For the gastrointestinal movement, the gallbladder of Shaoyang and the stomach of Yangming had ‘pivot’ and ‘close’ linkage. For the mesenteric lymphadenitis inflammation, the gallbladder of Shaoyang and the liver of Jueyin had ‘pivot’ and ‘close’ linkage. It was practical and effective that the clinical work was guided with the principle of Shaoyang pivot.更多还原