基于病位病机探讨围绝经期失眠的针灸诊疗思路  

Diagnosis and Treatment Ideas of Acupuncture and Moxibustion for Menopausal Insomnia Based on Disease Location and Pathogenesis

作　　者：薛茸丹 杨文津[2] 刘迪[2] 侯宗楠 王爱娟 胡慧[2] XUE Rongdan;YANG Wenjin;LIU Di;HOU Zongnan;WANG Aijuan;HU Hui(Beijing University of Chinese Medicine,Beijing 100029,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院,北京100078

出　　处：《针灸临床杂志》2023年第11期1-4,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家重点研发项目,编号:2019YFC1709004;北京市中医管理局“3+3”薪火传承工程(杨甲三名家工作室),编号:2007-SZ-A-12。

摘　　要：本研究以病位病机为出发点,基于本病“肾虚精亏,阴阳失交”的病机特点,以针灸特有的“理、法、方、穴、术”为纲要,运用脏腑辨证辨明病位在心,与肝、脾、胃与肾等脏腑有关;结合经络辨证明确疾病与阴跷脉、阳跷脉、任脉、督脉、手足少阴经及足太阳膀胱经有关,确立“益肾填精、交通阴阳、宁心安神”的治疗大法,选取百会、神门、三阴交、申脉、照海、太溪与安眠为主穴,根据不同临床表现进行辨证辨经配穴,并配合一定的补泻手法,探讨针灸治疗围绝经期失眠的针灸诊治思路。This study differentiated the disease location of menopausal insomnia in Heart,and related with Liver,Spleen,Stomach and Kidney by Zang-Fu syndrome differentiation,based on the pathogenesis feature of‘Kideny-essence deficiency and disharmony of Yin and Yang’,guided by the specific characteristic of‘principle,method,prescription,acupoint,technique’by taking disease location and pathogenesis as the starting point.It was clarified that the disease was associated with Yinqiao channel,Yangqiao channel,Ren channel,Du meridian,Shaoyin meridians of foot and hand,and Bladder meridian of foot Taiyang by meridian differentiation.The treatment principle of tonifying Kidney-essence,harmonizing Yin and Yang,calming Heart-Shen was established.Baihui(DU20),Shenmen(HT7),Sanyinjiao(SP6),Shenmai(BL62),Zhaohai(KI6),Taixi(KI3)and Anmian point were selected for compatibility according to different clinical manifestations,syndrome differentiation and meridian differentiation,accompanied by different reinforcing and reducing manipulations,aiming to explore the diagnosis and treatment ideas of acupuncture and moxibustion for perimenopausal insomnia.

关 键 词：围绝经期综合征 失眠 病位 病机 针灸 诊治思路 

分 类 号：R246.3[医药卫生—针灸推拿学]