输合配穴调整气血流通治疗小儿痉挛型脑瘫之拙见  

Humble opinion of“Shu Points and He Points”Regulating Qi and Blood Circulation in the Treatment of Infantile Spastic Cerebral Palsy

作　　者：胡晓丽[1,2] 王贵帮 王雪峰[1,2] HU Xiaoli;WANG Guibang;WANG Xuefeng(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《辽宁中医药大学学报》2022年第3期86-89,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：辽宁省自然科学基金(2019-ZD-0437)。

摘　　要：小儿痉挛型脑瘫是以运动功能障碍、姿势障碍、智力障碍为主要症状的神经系统疾病,属于中医“痉证”“筋痹”“转筋”等病证的范畴。多因先天禀赋不足导致患儿气血流通失和,其与肝、脾二脏关系密切。小儿脏腑因肝常有余、脾常不足,极易出现肝强脾弱之候,导致筋结失养,肢体痉挛,气血流通失和。经络在内沟通脏腑,在外联络筋肉关节,为气血流通的要道,以“虚则补之、实则泻之”原则结合五输穴各具五行生克制化的理论,采用“输合配穴”可以起到调节气血、平衡脏腑、通利关节等作用。文章结合中医理论,阐述脏腑、经络、五行在调节人体气血流通过程中的作用以及在小儿痉挛型脑瘫发病中的作用,取“输合配穴”之法,按“扶土抑木”为度,通过双向调整气血流通以达治疗之效。Infantile spastic cerebral palsy is a nervous system disease with motor dysfunction,postural disturbance and mental retardation as its main symptoms.It belongs to the category of“spastic syndrome”“muscle arthralgia”“turning tendon”and other diseases in traditional Chinese medicine.The lack of congenital endowment often leads to the disharmony of Qi and blood circulation,which is closely related to the liver and spleen.Children’s Zang-fu organs often have excess of the liver and deficiency of the spleen,which can easily lead to the syndrome of strong liver and weak spleen,resulting in loss of tendon,limb spasm,disharmony of Qi and blood flow.Meridians and collaterals communicate internal organs and muscles and joints externally.They are the main way of circulation of Qi and blood.Based on the principle of“deficiency to replenish it,and actuality to relieve it”,combined with the theory that each of the five acupoints has the five elements restraint,the use of“Shu points and He points”.It can regulate Qi and blood,balance viscera,and improve joints.The article combines the theory of traditional Chinese medicine to explain the functions of the viscera,meridians,and five elements in regulating the circulation of Qi and blood in the human body and in the pathogenesis of spastic cerebral palsy in children.The method of“Shu points and He points”is adopted,and according to the degree of“supporting the soil and restraining the wood”,the flow of Qi and blood is adjusted in both directions to achieve the therapeutic effect.

关 键 词：输合配穴 气血流通 肝强脾弱 痉挛型脑瘫 

分 类 号：R742.3[医药卫生—神经病学与精神病学]