A discussion on the clinical applications of Wumei pill based on the pathogenesis of Jueyin syndrome
从厥阴病病机浅论乌梅丸临床应用

摘要

中医认为，气机升降出入失调是疾病症状表现的的内在根源。故一切中医之治疗手段，其最终目的都在于调节患者气机，使气机升降出入达到调和状态，即“阴平阳秘，精神乃治”。而阴阳不和与寒热错杂是厥阴病的主要病机。从厥阴病寒热错杂，阴阳不和的病机入手，探析乌梅丸调和阴阳寒热、调节气机升降出入的作用及其临床应用范围。结合盐城市中医院老年病科运用乌梅丸诊治经验及古今医家经验，为乌梅丸的现代临床应用提供一定的思路。

Abstract

Traditional Chinese Medicine believes that the fundamental pathogenesis of diseases originates from the dysregulation of qi movement characterized by disordered ascending, descending, exiting, and entering mechanisms. Consequently, all therapeutic interventions in TCM ultimately aim to restore the harmonious equilibrium of yin and yang through qi regulation, thereby achieving the classical physiological state described as "tranquil yin consolidating yang essence, ensuring vital spirit governance." Jueyin syndrome is primarily characterized by yin-yang imbalance and a complex interplay of cold and heat. From the perspective of Jueyin syndrome’s pathogenesis involving mixed cold-heat and yin-yang disharmony, this paper explores the effects of Wumei Pill in harmonizing yin and yang, regulating qi movement, and its clinical applications. By integrating clinical experience from the Geriatrics Department of Yancheng Hospital of Traditional Chinese Medicine with classical and modern medical insights, this study provides a reference for the contemporary clinical use of Wumei Pill. The findings aim to bridge historical theoretical foundations with contemporary therapeutic practices, offering novel perspectives for managing complex clinical presentations characterized by concurrent deficiency-excess and cold-heat interlock patterns.