〔摘要〕 六经开阖枢理论首见于《黄帝内经》，阐述三阴三阳为天地之道、生杀之本的观点，强调通过调节枢机开阖以实现一气周流无碍，气血阴阳平衡。兹从六经阴阳开阖枢理论探赜遗精的治疗，认为肝、脾、肾枢机斡旋失司、开阖失调是遗精发生的关键，分而论之为土湿阳衰、肝木不升、水火失交、肾虚水寒，从而出现气化不利，加重壅塞，最终导致遗精。因此，治疗应强调恢复枢机开阖之力，调控肝、心、脾、肾各脏气机升降出入的动态平衡，应用疏肝解郁、交通心肾、温肾助阳等治法，引导厥阴、少阴、少阳等经脉正气回归，达到气血循行通畅、脏腑功能恢复的目的，为遗精的临床治疗提供新思路。

    〔关键词〕 《黄帝内经》；六经；开阖枢；遗精；交通心肾；中医药

    〔中图分类号〕R256.55" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.05.023

    Treatment of spermatorrhea based on the theory of \"opening， closing，

    and pivoting of six meridians\"

    LIU Zhewen1，2， ZHU Wenxiong2， CHEN Qihua2*

    1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China;

    2. The First Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410007， China

    〔Abstract〕 The theory of \"opening， closing， and pivoting of six meridians\" first appeared in Huang Di Nei Jing (Huangdi's Inner Classic)， which expounds the view that three yin and three yang serve as the law of heaven and earth and the beginning of birth and death， and emphasizes that the unimpeded qi circulation all over the body and the balance between yin and yang are achieved by regulating Shuji (the key places responsible for regulating qi movement in the body). This article explores the treatment of spermatorrhea based on the theory of \"opening ......