陈华德教授运用针刺治疗小儿遗尿症临床经验  

Clinical characteristics experience of professor CHEN Huade’s using acupuncture therapy for children with enuresis

作　　者：金海华 陈华德(指导) JIN Haihua(The Third Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou,Zhejiang,310053,China)

机构地区：[1]浙江中医药大学第三临床医学院,浙江杭州310053 [2]不详

出　　处：《中医儿科杂志》2022年第2期31-34,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：陈华德教授认为小儿遗尿症病位在膀胱,与肾、肺、脾、肝、心等脏腑功能失调有关,将本病分为肾气不足证、肺脾气虚证、肝经郁热证、心肾不交证4个证型。针刺治疗注重辨证取穴、通督调任、远近配穴,取百会、四神聪、关元、中极、肾俞、膀胱俞、次髎、三阴交、足三里为主穴,并辨证配伍气海、太溪、肺俞、脾俞、神门、阴陵泉、蠡沟、太冲等穴。小儿脏腑娇嫩,陈教授采用多针浅刺针法,结合头穴长时间留针法以及耳尖放血、耳穴压豆等疗法,临床取得满意疗效。附医案1则,以资验证。Professor CHEN Huade holds that the disease location of children with enuresis is in the bladder and is related to dysfunction of the viscera,namely kidney,lung,spleen,liver,heart etc.The disease is divided into 4 syndrome types including deficiency of kidney-qi,deficiency of lung and spleen qi,stagnant heat in liver meridian,disharmony between heart and kidney.Acupuncture therapy focuses on selecting points by syndrome differentiation,regulating Du and Ren meridian,and combination of distal and proximal acupoints,taking Baihui(GV 20),Sishencong(EX-HN 1),Guanyuan(CV 4),Zhongji(CV 3),Shenshu(BL 23),Pangguangshu(BL 28),Ciliao(BL 32),Sanyinjiao(SP 6),Zusanli(ST 36) as the main points,combing points of Qihai(CV 6),Taixi(KI 3),Feishu(BL 13),Pishu(BL 20),Shenmen(HT 7),Yinlingquan(SP 9),Ligou(LR 5) and Taichong(LR 3) etc.according to syndrome differentiation.Since children’s viscera are delicate,professor CHEN uses the manipulation of multiple shallow needling,combined with retaining needle method at scalp points for a long time,along with Erjian(EX-HN 6) bloodletting and auricular-plaster therapy etc.,whereby having achieved satisfactory efficacy in clinical practice.One medical case is attached for verification.

关 键 词：小儿遗尿症 针刺 临床经验 陈华德 

分 类 号：R272.6[医药卫生—中医儿科学]