针刺治疗中风后顽固性呃逆验案一则  

A case of intractable hiccup after stroke treated by Acupuncture

作　　者：王家悦[1] 王革生[2] 

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院,北京100078

出　　处：《中国当代医药》2017年第9期122-124,共3页China Modern Medicine

摘　　要：呃逆,西医称之为"膈肌痉挛",当持续发作>72 h,常规治疗方法无效时即为顽固性呃逆。本病的基本病机是胃失和降,膈间气机不利,胃气上逆动膈,在治疗上当以宽胸利膈、降逆止呃为原则。笔者在临床实践过程中,围绕本病基本病机,秉从治疗原则,通过针刺膻中穴和中脘穴以梳理气机,和降胃气,治疗中风后顽固性呃逆患者一例并取得较好效果。Hiccup,western medicine called ＂diaphragmatic spasm＂,when sustained attack 〉72 h,the conventional treat- ment method is ineffective,it is called intractable hiccup.The basic pathogenesis of the disease is that the stomach fails to descend,qi activities in diaphragm is inhibited,and stomach qi rise adversely to disturb the diaphragm.The principle of treatment is relaxing chest and diaphragm,directing qi downward and check hiccups.In clinical treatment of a patient with intractable hiccups after stroke,the author practiced acupuncture on RN 17 （dan zhong） and RN 12 （zhong wan） to regulate qi movement and direct the stomach qi downward,which turned out to be very effective.

关 键 词：针刺 膻中 中脘 顽固性呃逆 

分 类 号：R256.31[医药卫生—中医内科学]