通讯作者: 刘爱霞, 53279278@qq.com

DOI：10.12201/bmr.202609.00021

The Clinical Significance of the Principle “When Jueyin Fails to Respond to Treatment, Seek Therapy from Yangming”

• 摘要：厥阴者，两阴交尽，阴尽阳复之经，主阖、主藏、主疏泄，内寄相火，为六经之末，一身气机之终始。厥阴为病，多呈寒热错杂、虚实相兼、气机逆乱之象，临床缠绵难愈，洵属疑难。论治多单纯疏肝、温肝、清肝、镇肝却久治乏效，然转而调理阳明则效如桴鼓。本文旨在从阳明视角探讨厥阴病的诊疗要义，通过调畅阳明以斡旋厥阴，从理论溯源、立论依据、临证辨治、验案举隅四方面，深入阐发“厥阴不治，求之阳明”的临证意义，以期补厥阴病论治之未备。

  关键词： 厥阴; 阳明; 泄厥阴通阳明; 《医学衷中参西录》; 《临证指南医案》; 理论探讨

   

  Abstract: “Jue” denotes “extreme” or “ultimate”, referring to the juncture where two yin energies reach their culmination and yang begins to regenerate. Jueyin governs closure, storage, and discharge regulation, internally harboring ministerial fire. Though positioned at the terminal stage of the six meridians, it serves as the pivotal hub governing the ascending-descending and entering-exiting of qi throughout the body. Jueyin disorders typically manifest as intermingled cold and heat, combined deficiency and excess, and disordered qi movement—often chronic and refractory, constituting genuinely complex clinical challenges. While conventional therapeutic approaches focusing solely on liver regulation (warming, clearing, or calming the liver) frequently yield unsatisfactory results, shifting the therapeutic focus to Yangming regulation often produces immediate and remarkable efficacy. Following this reasoning, this article systematically elucidates the clinical significance of “when Jueyin proves refractory, seek Yangming” by examining theoretical origins, argumentative foundations, clinical differentiation and treatment, and illustrative case studies, aiming to fill existing gaps in Jueyin disorder therapeutics.

  Key words: Jueyin; Yangming; Eliminating Jueyin and Activating Yangming; YixueZhongzhong Canxilu (Integrating Chinese and Western Medicine); Lin Zheng Zhi Nan Yi An; Theoretical Discussion

  提交时间：2026-09-13

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• 序号	提交日期	编号	操作
  1	2026-07-19	10.12201/bmr.202609.00021V1	下载

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