督脉火针为主治疗老年神经源性体位性低血压1例  

Elderly Neurogenic Orthostatic Hypotension Treated Mainly with Fire Needling on Governor Vessel(督脉):A Case Report

作　　者：郭长在 王少松[1] 夏秋玉 崔莹雪[1] 王鑫 GUO Changzai;WANG Shaosong;XIA Qiuyu;CUI Yingxue;WANG Xin(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing,100010;Rongcheng County Hospitalof Traditional Chinese Medicine,Hebei Province)

机构地区：[1]首都医科大学附属北京中医医院,北京市100010 [2]河北省容城县中医医院

出　　处：《中医杂志》2023年第17期1833-1836,共4页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目(ZY202275)。

摘　　要：神经源性体位性低血压常见于神经退行性疾病,中医学多辨证为肾阳虚衰。火针点刺督脉穴位及肾俞穴、志室穴,可疏通督脉气血,达到温阳通脉、益精填髓的治疗效果。报告1例老年神经源性体位性低血压患者,应用贺氏火针点刺患者以督脉为主的穴位及肾俞、志室穴,经治疗近2个月后患者站立位血压差及阳虚症状均显著改善,并对患者进行了血压监测、中医证型量表评估及肾俞区域红外成像仪检测,临床疗效确切。Neurogenic orthostatic hypotension(nOH)is a common neurodegenerative disease,and is usually differen⁃tiated as kidney-yang depletion syndrome in traditional Chinese medicine(TCM).Fire needling on governor vessel(督脉)acupoints as well as Shenshu(BL 23)and Zhishi(BL 52)can dredge the qi and blood of governor vessel,so as to warm yang and unblock the channels,supplement essence and boost marrow.A case of elderly nOH treated by fire needling mainly at governor vessel points,Shenshu(BL 23)and Zhishi(BL 52)was reported.After nearly two months of treatment,the patient's orthostatic blood pressure difference and yang deficiency-related symptoms were significantly improved,and the results of blood pressure monitoring,TCM syndrome scale evaluation and Shenshu(BL 23)area infrared imager detec⁃tion all showed definite clinical effect.

关 键 词：神经源性体位性低血压 火针 督脉 肾俞 志室 肾阳虚衰证 

分 类 号：R246.1[医药卫生—针灸推拿学]