| 姚莎娜,郑利芳,金亚蓓.金亚蓓运用齐氏脐针治疗青少年身高增长缓慢的临床体会[J].浙江中医药大学学报,2024,48(7):823-827. |
| 金亚蓓运用齐氏脐针治疗青少年身高增长缓慢的临床体会 |
| Professor JIN Yabei’s Clinical Experience in Treating Slowing Height Growth in Adolescents with QI Yong’s Navel Acupunc. ture |
| DOI：10.16466/j.issn1005-5509.2024.07.011 |
| 中文关键词: 脐针 青少年 身高增长缓慢 脾肾两虚 肝郁脾虚 名医经验 医案 金亚蓓 |
| 英文关键词: navel acupuncture adolescents slowing height growth spleen and kidney deficiency liver stagnation and spleen deficiency experience of famous doctor medical cases JIN Yabei |
| 基金项目:浙江省金亚蓓名老中医传承工作室项目(GZS2017016) Fund project: Zhejiang JIN Yabei Famous and Old Traditional Medicine Experts Inheritance Studio Project(GZS2017016) |
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| 中文摘要: |
| [目的]总结浙江省名中医金亚蓓教授运用齐氏脐针治疗青少年身高增长缓慢的临床经验与体会。[方法]通过临床跟诊、整理、回顾、分析的方式，从病因病机、辨证论治和特色选穴等方面总结金师运用脐针治疗青少年身高增长缓慢的临床经验，并附验案两则。[结果]金师认为，青少年身高增长缓慢内在核心病机为五脏不坚”与骨髓化生乏源”“脾虚不运，，“肾虚不充，“肝失疏泄，横克脾土”关系密切。临床常将患者分为脾肾两虚型和肝郁脾虚型两类，脾肾两虚型患者的脐针治疗以“震位、巽位、离位、坤位”为主方，肝郁脾虚型则以“左升四针”为主，治疗过程中注重调畅情志，随证调整针方。文末所举验案中，其一患者属脾肾两虚型，用脐针益气健脾、补肾培元为治，兼顾患者负面情绪，辅以疏肝、祛邪、固脱，邪去正复后改为“左升四针”助阳升发而使身高得长；其二患者属肝郁脾虚型，系学业压力重大、肝失疏泄、横克脾土所致，“左升四针”疏肝解郁、升发阳气，辅以宣肺理气，最终五脏调和而身高自长。[结论]金师运用齐氏脐针治疗青少年身高增长缓慢，以严谨辨证，分型论治，关注患者心理状态，注重调畅情志，临床特色鲜明，治疗效果显著，其经验值得推广学习。 |
| 英文摘要: |
| [Objective] To summarize the famous traditional Chinese medicine(TCM) doctor Professor JIN Yabei’s clinical experience in treating slowing height growth in adolescents with QI Yong’s Navel Acupuncture. [Methods] Through clinical follow-up，sorting， reviewing and analyzing the medical records of Professor JIN in the diagnosis and treatment of slowing height growth in adolescents withNavel Acupuncture，the clinical experience of Professor JIN was summarized and presented from several aspects such as etiology and pathogenesis，syndrome differentiation and treatment，and characteristics of acupoint use，and two test cases were attached. [Results] Professor JIN believes that the intrinsic core pathogenesis of this disease is“spleen can’t govern transportation and the weakness in five Zang-organs”，which is closely related to“the weakness of kidney and the lacking origin of bone marrow”“liver fails to govern free flow of Qi and liver insulting spleen”. Patients are divided into two types: spleen and kidney deficiency syndrome and liver stagnation and spleendeficiency syndrome. Spleen and kidney deficiency syndrome usually uses QI Yong’s Navel Acupuncture with“Zhen，Xun，Li and Kun”， while liver stagnation and spleen deficiency syndrome takes“rising four needles on the left side”. In the course of treatment，Professor JIN keeps close tabs on the adjustment of emotions，and adjusts the acupuncture prescription flexibly according to the syndromes. In the cases cited，the spleen and kidney deficiency syndrome was treated with invigorating Qi and strengthening the spleen，tonifying the kidney and nurturing vital Qi，to balance negative emotions，supplemented by soothing the liver，expulsing pathogen and stemming desertion. After the pathogens were gone，it was changed to“rising four needles on the left side”to help the Yang Qi rise and make the height growth. The patient with liver stagnation and spleen deficiency syndrome，which was caused by great pressure on study，liver failing to govern free flow of Qi and liver insulting spleen，was treated by“rising four needles on the left side”to disperse stagnated liver Qi to relieve depression and raise Yang Qi，supplemented by promoting the lung and regulating Qi，and finally the five Zang-organs were harmonized and the height grew by itself. [Conclusion] Professor JIN treats slowing height growth in adolescents with QI Yong’s Navel Acupuncture，keepingrigorously differentiation of the two syndromes and treatment. She focuses onpatients’psychological states and keeps close tabs on the adjustment of emotions. With distinctive clinical characteristics and remarkable treatment effects，her clinical experience is worth promoting and learning. |
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