张家维“火灸疗法”治疗压疮经验撷菁  

ZHANG Jia-wei′s experience for treating press ulcer with fire-moxibustion

作　　者：林诗雨 韦永政 肖青娥 陈思宇 张永超 曾婧纯[2] 王澍欣[2] 林国华[2] LIN Shi-yu;WEI Yong-zheng;XIAO Qing-e;CHEN Si-yu;ZHANG Yong-chao;ZENG Jing-chun;WANG Shu-xin;LIN Guo-hua(First Clinical Medical College of Guangzhou University of CM,Guangzhou 510405,Guangdong Province,China;Rehabilitation Center,First Affiliated Hospital of Guangzhou University of CM,Guangzhou 510405,Guangdong Province;School of Acupuncture-Moxibustion and Tuina,Guangxi University of CM;Department of TCM Orthopedics and Traumatology,Guangzhou Tianhe District Hospital of TCM)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院康复中心,广东广州510405 [3]广西中医药大学针灸推拿学院 [4]广州天河区中医医院中医骨伤科

出　　处：《中国针灸》2021年第12期1379-1382,共4页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局“张家维全国名老中医药专家传承工作室”项目:国中医药人教函[2012]149号;国家教育部人文社科项目:20YJCZH089;“岭南张氏针灸流派传承工作室”项目:2017LP02。

摘　　要：总结张家维运用“火灸疗法”治疗压疮经验。张家维辨证审因,认为本病乃气虚血瘀所致,主张治疗时应权衡虚实,分期选法。压疮Ⅰ期选用铺棉灸宣通气血;压疮Ⅱ期、Ⅲ期采用岭南火针以祛湿除瘀生新、拔毒祛腐生肌;压疮Ⅳ期及深部压疮应用太乙神针及隔附子饼灸联合或交替治疗以托毒生肌。To summarize ZHANG Jia-wei′s experience for treating press ulcer with fire-moxibustion.Through syndrome differentiation and examined factors,ZHANG Jia-wei believes that the disease is caused by qi deficiency and blood stasis,and advocates that the treatment should be weighed against deficiency and excess,and selection by stages.The cotton-moxibustion is used to diffusing and obstruction-removing qi and blood duingⅠstage of press ulcer.The Lingnan fire-needling is adopted for removing dampness,blood stasis and toxic substance to generate new muscles duringⅡandⅢstage of press ulcer.StageⅣof pressure ulcer and deep pressure ulcer should be treated with Taiyi moxa stick and aconite cake-separated moxibustion combined or alternately to expel toxin and grow muscles.

关 键 词：压疮 铺棉灸 岭南火针 太乙神针 隔附子饼灸 名医经验 张家维 

分 类 号：R246.2[医药卫生—针灸推拿学]