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中华养生保健 ›› 2024, Vol. 42 ›› Issue (3): 77-81.

• 学术探讨 • 上一篇    下一篇

基于“天、地、人”多层调控理论下探析腹针治疗痴呆

蒋帅1, 郑敏1, 汪子栋2, 张玉蓉3, 李勇1,*   

  1. 1.枣庄市中医医院针灸三科,山东 枣庄,277000;
    2.北京中医药大学针灸推拿学院,北京,100029;
    3.山东中医药大学针灸推拿学院,山东 济南,250355
  • 出版日期:2024-02-01 发布日期:2024-01-23
  • 通讯作者: *李勇,E-mail:13562227186@163.com。
  • 作者简介:蒋帅(1986—),男,汉族,籍贯:山东省枣庄市,硕士研究生,主治医师,研究方向:针灸治疗神经系统疾病临床研究。
  • 基金资助:
    山东省中医药科技项目(2020Q085); 国家中医药管理局全国中医药创新骨干人才项目[国中医药人教函(2019)128号]; 山东省中医药重点学科建设项目[鲁卫中医药科教字(2022)4号]; 齐鲁中医药优势专科集群建设单位项目[鲁卫函(2021)1号]

A Probe Into the Treatment of Dementia by Abdominal Acupuncture Based on the Multi-Layer Regulation Theory of "Heaven, Earth and Man"

JIANG Shuai1, ZHENG Min1, WANG Zi-dong2, ZHANG Yu-rong3, LI Yong1,*   

  1. 1. Zaozhuang Traditional Chinese Medicine Hospital acupuncture and moxibustion Department III, Zaozhuang Shangdong 277000, China;
    2. Beijing University of Traditional Chinese Medicine, Beijing 100029, China;
    3. Shandong University of Traditional Chinese Medicine,Jinan Shangdong 250355, China
  • Online:2024-02-01 Published:2024-01-23

摘要: 痴呆作为一种慢性神经系统退行性疾病,以认知记忆功能减退为主要临床表现,其发病机制较复杂,尚未有明确特效临床用药。痴呆的基本病机是髓海不足,神机失用。阴精气血不足为本虚;气、火、痰、瘀内阻脑络为标实,故治疗痴呆需从内调脏腑,从外疏经络。腹针疗法治疗痴呆具有其独特疗效。其以经络、脏腑为基础,整体观念、脏腑辨证为核心,纵向依据针刺深度将腹部腧穴划分天、人、地三层,每一层次,横向依据腧穴在腹部投影全息的病变位置、循行经脉、相关脏腑,辨证取穴发挥调控不同系统的作用。可依次分别调节病变相关部位、经络及脏腑,达到对痴呆标本兼治的目的。本文立足于腹部与脑密切联系性,将腹针按层次、分部位地调控不同系统作用的特点与痴呆本虚标实的病机有机结合,探讨临床运用腹针治疗痴呆等脑病的新思路。

关键词: 腹针, 多层调控, 痴呆, 理论探析

Abstract: As a chronic neurodegenerative disease, dementia is characterized by cognitive memory impairment. The pathogenesis of dementia is complicated, and there are no specific clinical drugs. The basic pathogenesis of dementia is the deficiency of marrow sea and the failure of magic machine. Deficiency of yin essence, qi and blood is based on deficiency; qi, fire, phlegm and blood stasis block brain collaterals inside, so the treatment of dementia needs to regulate viscera from the inside and dredge channels and collaterals from the outside. Abdominal acupuncture therapy has its unique efficacy in the treatment of dementia. It is based on meridians and viscera, with the overall concept and syndrome differentiation of viscera as the core. Abdominal acupoints are longitudinally divided into three layers: heaven, human and earth according to the depth of acupuncture, and each level. According to the location of pathological changes, meridians and related viscera projected on the abdomen, acupoints can play a role in regulating and controlling different systems according to syndrome differentiation. It can regulate the relevant parts of the lesions, meridians and viscera respectively, so as to achieve the purpose of treating both the symptoms and the root causes of dementia. Based on the close relationship between abdomen and brain, this paper organically combines the characteristics of abdominal acupuncture regulating different systems according to levels and parts with the pathogenesis of dementia, and probes into a new idea of clinical application of abdominal acupuncture in the treatment of dementia and other encephalopathy.

Key words: abdominal acupuncture, multi-layer regulation, dementia, theoretical analysis

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