| 李让钱,冀来喜,曹玉霞,等.火针针刺腧穴“肠病方”治疗老年功能性便秘的理论探析[J].浙江中医药大学学报,2022,46(8):885-887, 909. |
| 火针针刺腧穴“肠病方”治疗老年功能性便秘的理论探析 |
| Theoretical Analysis on the Treatment of Senile Functional Constipation by Fire-needling Acupoint “Changbingfang” |
| DOI：10.16466/j.issn1005-5509.2022.08.013 |
| 中文关键词: 火针 腧穴“肠病方” 老年功能性便秘 气机升降 扶阳益气 增水行舟 |
| 英文关键词: fire needling acupoint “Changbingfang” senile functional constipation rise and fall of activity supporting Yang and supplementing Qi increasing body fluid and relieving constipation |
| 基金项目:师怀堂新九针学术流派传承工作室项目(2020PY-LP-03)；山西省卫健委项目(2021094) |
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| 中文摘要: |
| [目的] 阐释火针针刺腧穴“肠病方”治疗老年功能性便秘(senile functional constipation，SFC)的诊疗经验及理论依据，以期为针灸治疗SFC提供新的思路。 [方法] 围绕SFC的病因病机，详述火针针刺腧穴“肠病方”治疗SFC的选穴、配伍、操作步骤及注意事项，主要从调节“三焦、脾胃、肝肺”的气机升降，扶阳益气，增水行舟以及现代解剖学理论四个方面，对火针针刺腧穴“肠病方”治疗SFC的思路及依据进行剖析，并结合验案进行佐证。[结果] 火针疗法治疗SFC，主穴为腧穴“肠病方”(即中脘、天枢、上巨虚)；配穴为至阳、肝俞、脾俞、大肠俞、支沟、照海；采用募合、俞募配伍，选穴精当、配伍合理；同时结合了火针的“温通”作用，操作简便，疗效独特。所举案例中患者诊断为便秘，辨证为阳虚型，治疗选取主穴为腧穴“肠病方”，配至阳、肝俞、大肠俞，调畅气机，升清降浊、通腑导滞；配照海、支沟以增水行舟，整体通调，效果良好。[结论] 火针针刺腧穴“肠病方”治疗SFC，见效快、疗程短，疗效确切，值得临床推广应用。 |
| 英文摘要: |
| [Objective] To explain the diagnosis and treatment experience and theoretical basis of fire-needling acupoint “Changbingfang” in the treatment of senile functional constipation(SFC)， in order to provide a new idea for acupuncture treatment of SFC. [Methods] Focusing on the etiology and pathogenesis of SFC， this paper detailed the acupoint selection， compatibility， operation steps and precautions of fire-needling acupoint “Changbingfang” in the treatment of SFC. It mainly analyzed the ideas and basis of fire-needling acupoint “Changbingfang” in the treatment of SFC from four aspects: regulating the rise and fall of Qi activity of “tri-Jiao， spleen and stomach， liver and lung”， supporting Yang and supplementing Qi， increasing body fluid and relieving constipation， and modern anatomical theory， and verified with one case. [Results] Fire-needling acupoint is used to treat SFC， and the main point is the acupoint “Changbingfang”(i.e. Zhongwan， Tianshu and Shangjuxu); the matching points are Zhiyang， Ganshu， Pishu， Dachangshu， Zhigou and Zhaohai; with the combination of “Mu He” acupoints and “Shu Mu” acupoints， the acupoints are carefully selected and the compatibility is reasonable. At the same time， combined with the “warming-promotion” effect of fire-needle， the operation is simple and the curative effect is unique. In the mentioned case， the patient was diagnosed with constipation， and the syndrome was identified as Yang deficiency type. The main acupoint was selected as the “Changbingfang”， matched with Zhiyang， Ganshu and Dachangshu to regulate Qi activity， ascending lucidity and descending turbidity， and clear viscera and remove stagnation; matched with Zhaohai and Zhigou to increase body fluid and relieve constipation. The overall general adjustment effect was good. [Conclusion] Fire-needling acupoint “Changbingfang” in the treatment of SFC has quick effect， short course of treatment and definite curative effect， which is worthy of clinical application. |
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