摘要
原发性头痛属头痛病的一种,病因病机复杂。首都国医名师、经络医学大家王居易教授认为针灸治疗原发性头痛思路不应局限于脏腑、气血辨证,或局部痛处取穴,而应以经络辨证为纲,主张应用经络诊察,不仅包括局部痛处,还应重点诊察相应经络远端循行部位,以辨病经及虚实;借助六经气化特点,辨别多经“合病”或“并病”,多呈现同名、表里经传变特点,治疗时可诸经同选;减少局部取穴、重视手足同名经特定穴选取,同气相求以提高临床疗效。本文通过介绍经络诊察法结合六经气化理论治疗原发性头痛,以期对其临床治疗提供新思路。
Primary headache is one kind of headache disease,of which the etiology and pathogenesis are complex.Professor Wang Juyi,a famous doctor in the capital and a master of meridian medicine,believes that the idea of acupuncture and moxibustion in treating primary headache should not be limited to the differentiation of viscera,qi and blood,or the selection of points at local pain points,should be based on syndrome differentiation of meridians.Professor Wang Juyi advocates the application of channel palpation,not only includes local pain,but also focuses on the location along the distal part of the corresponding meridians to identify the diseased meridians and the deficiency and excess.With the help of the qi transformation-and-transportation of six channels,distinguish the“disease complex”or“complication disease”of multiple meridians,and show the characteristics of the same name and transmission of external and internal meridians.All meridians can be selected simultaneously during treatment.Reduce local acupoint selection,attach importance to the selection of specific acupoints of the same name meridian of hands and feet,and seek the same breath to improve clinical efficacy.This article introduces channel palpation method combined with qi transformation-and-transportation of six channels in treating primary headache,hoping to provide new ideas for its clinical treatment.
作者
孙洁
孟笑男
SUN Jie;MENG Xiaonan(Department of Integrated Chinese and Western Medicine Rehabilitation,Beijing Xiaotangshan Hospital,Beijing102211,China;Department of Acupuncture and Moxibustion,Huguosi Traditional Chinese Medicine Hospital Affiliated to Beijing University of Chinese Medicine,Beijing100035,China)
出处
《中国医药导报》
CAS
2022年第35期152-156,共5页
China Medical Herald
基金
北京市优秀人才培养资助青年骨干个人项目(2018000021469G293)
首都卫生发展科研专项项目(首发2020-3-2202、首发2022-3-7028)
北京市中医药科技发展资金项目(QN2018-23、JJ-2020-29)
北京市西城区优秀人才项目(2021-XCRC-区卫健工委)。
关键词
经络诊察法
六经气化
原发性头痛
Channel palpation method
Qi transformation-and-transportation of six channels
Primary headache
作者简介
孙洁(1984-),女,博士,副主任医师,北京小汤山中西医结合康复科主任,研究方向:经络医学的临床应用;通讯作者:孟笑男(1983-),男,硕士,副主任医师,研究方向:王居易经络诊察临床应用。
