方剑乔教授针灸治疗术后尿潴留经验探析  

Professor FANG Jianqiao’s Experience in Treating Postoperative Urinary Retention with Acupuncture

作　　者：李邦伟[1] 周传龙[1] 王超[1] 刘盈君[1] 方剑乔[2] LI Bangwei;ZHOU Chuanlong;WANG Chao(The Third Afiliated Hospital of Zhejiang Chinese Medical Universiy,Hangzhou 310005,China)

机构地区：[1]浙江中医药大学附属第三医院,杭州310005 [2]浙江中医药大学

出　　处：《浙江中医药大学学报》2022年第8期835-838,共4页Journal of Zhejiang Chinese Medical University

基　　金：方剑乔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[2013]47号);浙江省方剑乔名老中医专家传承工作室建设项目(GZS2012014)。

摘　　要：[目的]探讨方剑乔教授针灸治疗术后尿潴留的临床经验。[方法]通过跟师临诊,查阅术后尿潴留的相关文献记载,探讨中医对该病理论渊源及治疗的认识,从病因病机和治疗特点等方面总结方教授临床针灸治疗术后尿潴留的经验,并附验案一则。[结果]方教授认为该病病机为肾与膀胱气化不利,针灸治疗采用深刺结合低频电针强刺激次髎穴及重灸腹部腧穴的方法,腹背同治,以推动膀胱气化,通调水道,通利小便。所举验案为笔者临床跟诊过程中所见的术后尿潴留患者,方教授运用骶部电针强刺激结合腹部重灸治疗,临床疗效显著。[结论]方教授采用深刺结合低频电针强刺激次髎穴及重灸腹部腧穴的方法治疗术后尿潴留,疗效卓著,值得深入研究、推广学习。[Objective]To discuss the clinical experience of Professor FANG Jianqiao in the treatment of postoperative urinary retention with acupuncture.[Methods]Through clinical consultation with the teacher and reviewing the relevant literature records of postoperative urinary retention,this paper reviewed the theoretical origin and therapeutic cognition of postoperative urinary retention,and summarized Professor FANG Jianqiao’s clinical experience in treating postoperative urinary retention with acupuncture in terms of etiology,pathogenesis and treatment characteristics and presented with a test case.[Results]Professor FANG believes that the pathogenesis of the disease is that the gasification of kidney and bladder is unfavorable,and the acupuncture treatment uses deep acupuncture combined with low-frequency electroacupuncture to strongly stimulate Ciliao(BL32)point and heavy moxibustion abdominal acupuncture points,and treats the abdomen and back together to promote the Qi transformation of the bladder,regulate the water channels,and facilitate urination.The case cited in this article was of postoperative urinary retention,Professor FANG treated with sacral electroacupuncture strong stimulation combined with abdominal moxibustion,and the therapeutic effect was remarkable.[Conclusion]Professor FANG Jianqiao’s treatment of postoperative urinary retention with deep acupuncture combined with low-frequency electroacupuncture to strongly stimulate Ciliao(BL32)point and heavy moxibustion of abdominal acupuncture points has remarkable efficacy and is worthy of further study and promotion.

关 键 词：电针 艾灸 次髎穴 术后尿潴留 经验探析 方剑乔 

分 类 号：R245[医药卫生—针灸推拿学]