基于“任督二经气闭则肾气塞矣”理论探讨任督固泉针法治疗膀胱咳及验案举隅  

A discussion on treating bladder cough by acupuncture based on the theory of“When Ren meridian and Du meridian are closed,kidney Qi is blocked”,and the empirical case

作　　者：霍浩波 康瑞 刘思雯 吕海海 王建强 HUO Haobo

机构地区：[1]山西中医药大学,山西太原030024 [2]山西省针灸医院,山西太原030012

出　　处：《中医临床研究》2022年第32期140-143,共4页Clinical Journal Of Chinese Medicine

摘　　要：“膀胱咳”,即压力性尿失禁,是一种由多种原因引起的在喷嚏、咳嗽或运动等腹压增高时出现不自主的尿液自尿道外口漏出的现象,中医认为其多以肾气虚为主。“肾之气必假道于任督,二经气闭,则肾气塞矣”理论源自清代医家陈士铎的《外经微言》,为临床从任脉和督脉入手治疗肾虚病证提供了理论依据。文章意在探讨“任督二经气闭则肾气塞矣”的理论内涵及基于该理论用针灸任督固泉针法治疗压力性尿失禁的可行性和有效性,为针灸治疗膀胱咳提供一种新的思路。Bladder cough,also known as stress urinary incontinence,is the involuntary leakage of urine from the external urethra when the abdominal pressure increases due to sneezing,coughing or exercise.It is caused by a variety of reasons.TCM believes that it is mainly caused by kidney Qi(气)deficiency.The theory of“Kidney Qi must be channel through Ren meridian and Du meridian,when the two meridians are closed,kidney Qi is blocked”originates from Waijing Weiyan(《外经微言》)written by the Qing Dynasty physician CHEN Shiduo,which provides a theoretical basis for the clinical treatment of kidney deficiency syndrome from the aspect of Ren meridian(任脉)and Du meridian(督脉).The purpose of this study is to explore the theoretical connotation of“When Ren meridian and Du meridian are closed,kidney Qi is blocked”and the feasibility and effectiveness of acupuncture for strengthening Ren meridian and Du meridian on stress urinary incontinence,so as to provide a new idea for the treatment of bladder cough by acupuncture.

关 键 词：膀胱咳 压力性尿失禁 任脉 督脉 验案 

分 类 号：R256.54[医药卫生—中医内科学]