“通补法”针灸论治“虚不受补”  

“Deficiency Syndromes which can not Remedy” Using Method of “Unobstruted Meridians First and Then Remedy” by Acupuncture and Moxibustion

作　　者：黄小珍 粟胜勇[2] HUANG Xiaozhen;SU Shengyong(Guangxi University of Chinese Medicine,Nanning 530001,China;The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China)

机构地区：[1]广西中医药大学,南宁530001 [2]广西中医药大学第一附属医院,南宁530023

出　　处：《吉林中医药》2019年第7期953-957,共5页Jilin Journal of Chinese Medicine

基　　金：国家自然基金项目(81460745);全国中医优秀人才研修项目(国中医药人教发〔2017〕24号);广西自然科学基金项目(2018GXNSFAA281111);广西自然基金项目(2017GXNSF AA198328);广西自然基金项目(2013GXNSFAAO19353);广西壮族自治区卫生厅重点科研课题(重2012050);广西壮族自治区中医药管理局中医药科技专项课题(GZPT1217);广西中医药大学重大课题(ZDA2012007);广西中医药大学科研项目(2018XK075)

摘　　要：粟胜勇教授认为,虚不受补之证主要责之于经络不通,包括因虚致经络不通、因"邪气凑"致经络不通、因补益不当加重经络不通,故临床实践中强调应先调气活血祛瘀以通经络,然后补益。临床中辨证选取具有调气活血作用的腧穴,灵活使用电针疗法、刺络拔罐疗法等先调气活血通络,然后采用艾条灸联合艾炷灸以补虚,治疗过程中注重以神调气、调补脾肾等。Professor SU thinks the meridian impassability is the main responsibility of leading to eficiency syndromes which can not remedy. The reasons lead to meridians impassability are because three aspects. First, the vital qi can not remedy meridians. Second, pathogenic qi clog meridians. Third, tonify deficiency with wrong ways. Therefore, professor SU thinks that we should unobstruted meridians first and then remedy by acupuncture and moxibustion. Its concrete operations mainly include these ways: First, select those acupoints which can adjust qi and blood. Second, use the therapys of electroacupuncture and bleeding and cupping first in this way, which can unobstruted meridians. And then combined the moxa roll moxibustion and little cylindrical moxibustion to remedy. Also at the same time, doctors should focus on use his or her own spirit to adiust patient’s spirit and qi. In additionly, we should also remedy the vital qi of spleen and stomach.

关 键 词：虚不受补 通补法 调气通络 以神调气 调补脾肾 

分 类 号：R246.1[医药卫生—针灸推拿学]