针灸治疗胰岛素抵抗性肥胖腧穴配伍的思考与探讨  

Consideration and discussion on the acupoint compatibility on acupuncture and moxibustion in treating insulin resistance obesity

作　　者：王文炎[1] 陈瑞 梁凤霞 WANG Wenyan;CHEN Rui;LIANG Fengxia(Department of Acupuncture and Moxibustion,Wuhan Hospital of Traditional Chinese Medicine,Hubei Province,Wuhan,430014,China;Integrated Traditional and Western Medicine,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei Province,Wuhan,430022,China;College of Acupuncture and Moxibustion and Orthopedics,Hubei University of Chinese Medicine,Hubei Province,Wuhan,430061,China)

机构地区：[1]武汉市中医医院针灸科,湖北武汉430014 [2]华中科技大学同济医学院附属协和医院中西医结合科,湖北武汉430022 [3]湖北中医药大学针灸骨伤学院,湖北武汉430061

出　　处：《中国医药导报》2021年第28期129-132,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81774420);国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教发〔2016〕42号);武汉市卫生健康科研基金资助项目(WZ20C11)。

摘　　要：基于胰岛素抵抗性肥胖的基本病机与其胃肠运动状态,笔者对针灸防治胰岛素抵抗性肥胖的腧穴配伍思路与方法进行思考与探讨:紧扣基本病机,注重辨证与辨经相结合的思路;发挥针灸学科“治未病”的特色和优势,提倡“标本配穴”法;借鉴现代科学研究成果,注重腧穴配伍的科学内涵。并参考这一思路与方法,初步探索性确立针灸治疗胰岛素抵抗性肥胖的基本处方:足三里、太白、中脘、关元、丰隆、下巨虚、上巨虚,以期为针灸治疗胰岛素抵抗性肥胖的临床实践和科学研究的腧穴配方提供参考与借鉴。Based on the basic pathogenesis of insulin resistant obesity and gastrointestinal motility,the author discusses the compatibility and methods of acupoint on acupuncture and moxibustion in the prevention and treatment of insulin resistant obesity:focusing on the basic pathogenesis,paying attention to the train of thought of the combination of syndrome differentiation and meridian differentiation;giving play to the characteristics and advantages of acupuncture and moxibustion“preventing disease”,and advocating the method of“manifestation and root cause with acupoint”;drawing lessons from modern scientific research achievements,paying attention to the scientific connotation of acupoint compatibility.With reference to this idea and method,the basic prescription of acupuncture and moxibustion in treating insulin resistant obesity is preliminarily established:zúsānlǐ,tàibái,zhōngwǎn,guānyuán,fēnglóng,xiàjùxūand shàngjùxū,in order to provide reference for clinical practice and scientific research of acupuncture and moxibustion in treating insulin resistant obesity.

关 键 词：针灸 腧穴配伍 肥胖 胰岛素抵抗 胃肠运动 

分 类 号：R246[医药卫生—针灸推拿学]