首页|基于"心痛,当九节刺之"论针灸治疗胃食管反流性胸痛

基于"心痛,当九节刺之"论针灸治疗胃食管反流性胸痛

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胸痛为胃食管反流病(Gastroesophageal reflux disease,GERD)的常见症状之一,多由饮食不节、情志失调等因素引起.脾胃气机升降失调与胃食管反流性胸痛的发病密切相关,也是GERD食管外相关症状产生的主要原因.根据GERD胃失和降、胃气上逆的基本病机,在治疗上当以和中降逆为首要原则,健脾和胃、调畅气机.基于"心痛,当九节刺之"的治疗之法,以督脉背段T3~T12棘突下穴位及非穴位为主要针刺部位,配合刮痧、拔罐、刺络放血等外治手段,调节脾胃气机,注重固护脾胃之气,对胃食管反流性胸痛有较好的疗效.
Discussion on Acupuncture and Moxibustion Treatment of Gastroesophageal Reflux Chest Pain from the Perspective of"Heartache,Pierce Jiujie"
Chest pain is one of the common symptoms of gastroesophageal reflux disease(GERD),which is mostly caused by dietary disorders and emotional disorders.Disorders of Qi rise and fall in the spleen and stomach are closely related to the onset of GERD chest pain,and are also the main reason for the symptoms associated with GERD outside the oesophagus.According to the basic pathomechanism of GERD,in which the stomach is out of harmony and the gastric qi is upwardly reversed,the treatment should be based on the principle of harmonising the middle and lowering the reversal,strengthening the spleen and stomach,and reg-ulating the qi.Based on the therapeutic method of"heart pain,when the nine joints are stabbed",the main acupuncture points and non-acupuncture points under the T3~T12spinous processes of the dorsal section of the dorsal section of the ducal vein,together with Gua Sha,cupping,bloodletting and other external treatments,regulate the qi of the spleen and the stomach and focus on the consolidation of the qi of the spleen and the stomach,which is effective for GERD chest pain.

Gastroesophageal reflux related chest painQi movement of spleen and stomachAcupunctureGovernal VesselTheoretical discussion

陈若菡、白兴华

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北京中医药大学针灸推拿学院,北京 100029

胃食管反流性胸痛 脾胃气机 针刺 督脉 理论探讨

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(11)