“咽为经脉之所聚”理论在针刺治疗中风后吞咽障碍中的运用  

On the Application of the Theory of“Pharynx As the Gathering of Meridians”in Swallowing Disorders after Stroke

作　　者：屈瑞[1,2] 汪庆庆 凌美娟 程红亮 QU Rui;WANG Qingqing;LING Meijuan;CHENG Hongliang(Anhui University of Chinese Medicine,Anhui Hefei 230038,China;Fuyang Hospital of Traditional Chinese Medicine,Anhui Fuyang 236000,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Anhui University of Chinese MedicineAcupuncture and Moxibustion Clinical Research Institute,Anhui Hefei 230061,China)

机构地区：[1]安徽中医药大学,安徽合肥230038 [2]安徽省阜阳市中医医院,安徽阜阳236000 [3]安徽中医药大学第二附属医院,安徽中医药大学针灸临床研究所,安徽合肥230061

出　　处：《中医药临床杂志》2024年第2期224-227,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：安徽省卫生健康委科研重点项目(AHWJ2021a020);安徽省重点研究和开发计划项目(1804h08020288)。

摘　　要：总结程红亮主任基于“咽为经脉之所聚”理论,采用“辨经论治”针刺治疗中风后吞咽障碍的临床经验。谨守“脑-咽-脏腑”三位一体理念,融“咽为经脉之所聚”理论,合“病候、病位、经络”三辨法,以“辨经论治”中风后吞咽障碍。经过十余年的探索确立了以项部取穴+舌咽部取穴+辨经取穴为治疗思路,首选督任经以调阴阳,次取脾胃肾以养先后天,辅取肝心经以促气血行,进一步提高了临床疗效,形成了针刺治疗中风后吞咽障碍关键技术。This paper summarizes the clinical experience of Director Cheng Hongliang in the treatment of dysphagia after stroke by acupuncture based on the theory of‘pharynx is the gathering of meridians’.We should adhere to the trinity concept of‘brain-throat-viscera’,integrate the theory of‘pharynx is the gathering of meridians’,combine the three differentiation methods of‘disease symptoms,disease location and meridians’,and treat dysphagia after stroke with‘differentiation of meridians’.After more than ten years of exploration,the treatment idea of acupoint selection+glossopharyngeal acupoint selection+acupoint selection based on meridian differentiation was established.The first choice was to regulate yin and yang by governor vessel and conception vessel,and the spleen,stomach and kidney were selected to nourish the successive days,and the liver and heart meridians were selected to promote qi and blood circulation,which further improved the clinical efficacy and formed the key technology of acupuncture treatment of dysphagia after stroke.

关 键 词：“脑-咽-脏腑”三位一体 咽为经脉之所聚 中风后吞咽障碍 辨经论治 针刺 

分 类 号：R743.3[医药卫生—神经病学与精神病学]