针刺双侧内关、膈俞辨证分型治疗膈肌痉挛102例临床观察  

Clinical Observing for Acupunturing The Points of Bilateral Neiguan (PC 6) and Geshu (BL 17) with The Dialectical Method to Cure Myospasm of Diaphragm 102 Patients

作　　者：梁哲瑞[1] 李垚[1] 张艺川[1] 

机构地区：[1]辽宁中医药大学

出　　处：《实用中医内科杂志》2013年第10期68-70,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察刺双侧内关、膈俞辨证分型治疗膈肌痉挛疗效。[方法]使用前瞻性设计方法,对102例门诊患者使用针刺治疗以双侧内关和膈俞为主穴,根据病因采用三种配穴方案(饮食不节配伍双侧足三里,情志失和配伍双侧太冲,不明显诱因配伍双侧足三里、太冲和阴陵泉)。患者取坐位,充分暴露穴位表面皮肤,穴位常规皮肤消毒,使用0.35mm×40mm(1.5寸)及0.35mm×25mm(1寸)毫针直刺,根据针刺穴位不同,针刺深度内关1寸,膈俞0.5寸,足三里1寸,太冲0.5寸,阴陵泉1寸,以平补平泻手法,穴位得气后,静留针20min。1次/d,连续治疗5d为1个疗程,疗程间休息1d。观测临床症状、不良反应。连续治疗3疗程,判定疗效。[结果]痊愈94例,显效5例,有效3例,总有效率100%。[结论]针刺双侧内关、膈俞辨证分型治疗膈肌痉挛疗效满意。[Objective ] Acupuncture the points of bilateral Neiguan （ PC 6 ） and Geshu （ BL 17 ） to observe the clinical efficacy. [ Method ] Using the design method of perspectiveness, acupunctured the main points of bilateral Neiguan （ PC 6 ） and Geshu （ BL 17 ） to cure myospasm of diaphragm for 102 outpatients. Employing three kinds of schemes to match acupoints depend on different etiological factors （ curing the myospasm of diaphragm of cold in the stomach with matching acupoints of bilateral Zusanli （ ST 36 ）, curing the myospasm of diaphragm of liver qi invading stomach with matching acupoints of bilateral Taichong （ LR3 ）, curing the myospasm of diaphragm of unknown inducement with matching acupoints of bilateral Yinlingquan （ SP 9 ） . ） . The patients were sitting that the surface skin of acupoints were revealed sufficiently with normal disinfection. the acupoint was acupunetured straightly by using the needle that the size of 0.35mm × 40mm （ 1.5 cun ） and 0.35mm × 25mm （ 1 cun） . Depend of different locations of aeupoint, the deepness of acupuncturing was not the same, for example the deepness of Neiguan （ PC 6 ）, Zusanli （ ST 36 ） and Yinlingquan （ SP 9 ） was 1 cun, the deepness of Taichong （ LR3 ） and Geshu （ BL 17 ） was 0.5 cun. After bringing about the desired sensation, retain the needleb quietly for 20min. The plan of acupuncturing was 5d/course of treatment, ltime/day, and resting ld between two courses of treatment. It predicated clinical efficacy by observing the clinical symptoms and untoward effect for three courses of treatment. [ Result ] 94 patients were cured, 5 patients were markedly improved, and 3 patients effective, the total rate of effective were 100%. [ Conclusion ~ Acupuncturing the main points of bilateral Neiguan （ PC 6 ） and Geshu （ BL 17 ） with the method of dialectical matching acupoints had satisfactory clinical efficacy to cure myospasm of diaphragm.

关 键 词：膈肌痉挛 呃逆 针刺 内关 膈俞 太冲 足三里 阴陵泉 临床观察 

分 类 号：R256.31[医药卫生—中医内科学]