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符文彬教授从心、胆、脾论治顽固性呃逆经验

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介绍符文彬教授运用整合针灸疗法治疗顽固性呃逆的经验.符文彬教授认为顽固性呃逆的基本病机在于胃气上逆,脾失健运是其发病的关键,气机不畅是其发病的首要因素.临床治疗当以理气健脾为原则.临证时,符文彬教授强调病症结合,究其发病根源,以排除相关病因,并根据气与神之间的联系和脾升胃降理论提出气逆与情志互为影响,治呃必先调气;而调气的关键在于调神,调神重在调心胆;脾虚贯穿病机始终.故临床治疗从心、胆、脾论治,强调神的重要作用,身心同治,并总结提出"一针二灸三巩固"整合针灸治疗模式,综合运用毫针针刺、灸法、针挑疗法、皮内针等针灸技术,收获良效,以期为临床针灸医生治疗顽固性呃逆提供参考.
Professor Fu Wenbin's experience in treating intractable hiccup from the perspectives of the heart,gallbladder and spleen
This paper introduces Professor Fu Wenbin's experience in treating intractable hiccup with an integrated acupuncture therapy.He believes that its basic pathogenesis lies in the adverse rising of stomach qi,and the key to its onset is the dysfunction of spleen in transportation,with a poor qi movement as the primary factor.The clinical treatment of intractable hiccup should be based on the principle of regulating qi and invigorating the spleen.In his clinical practice,Professor Fu Wenbin emphasizes the combination of the disease and its symptoms,investigating its root cause so as to rule out the related causes,and puts forward that qi inversion and emotion are influenced by each other according to the relationship between qi and spirit and the theory of spleen ascending and stomach descending and that qi must first be regulated before treating hiccup.The key to regulating qi lies in regulating spirit,which focuses on regulating the heart and gallbladder,while spleen deficiency runs throughout its pathogenesis.Therefore,its clinical treatment focuses on the treatment of the heart,gallbladder and spleen,emphasizing the important role of the spirit,and treating both the body and the spirit.Professor Fu Wenbin also summarizes and proposes the integrated acupuncture treatment mode of"first acupuncture,then moxibustion and third consolidation",and comprehensively uses acupuncture manipulations such as filiform needle acupuncture,moxibustion,needle picking therapy and intradermal needle to obtain good results.The paper summarizes Professor Fu Wenbin's experience in treating intractable hiccup so as to provide a reference for clinical acupuncturists in this respect.

intractable hiccupintegrated acupuncturesyndrome differentiation and treatment of heart,gallbladder and spleenneedle picking therapyFu Wenbin

吉祥、石国傲、陈锐明、李仲贤、周忆蓉、方慧、张琬欣、邹婧怡、谢星宇、周夏芸、阎路达、符文彬

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广州中医药大学第七临床医学院,广东深圳 518120

深圳市宝安区中医院针灸科,广东深圳 518120

广东省中医院,广州 510120

顽固性呃逆 整合针灸 心、胆、脾论治 针挑疗法 符文彬

国家自然科学基金项目广东省重点领域研发计划-岭南中医药现代化重点专项项目深圳市政府"医疗卫生三名工程"广东省中医院符文彬教授针灸学团队项目深圳宝安区针灸临床研究中心项目

820745222020B1111100007SZSM201806077BAZJ2018239

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(4)
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