基于“治痿独取阳明”探讨针刺治疗吉兰-巴雷综合征的思路与方法  

Ideas and Methods of Acupuncture for Guillain-BarréSyndrome based on the Core Principle of“To Treat Flaccidity,Select the Yangming(阳明)Channel only”

作　　者：李缓 姜海伦 陈昊 瞿慧 唐若涵 季洁[1] 杜宇征[1] 赵琦[1] LI Huan;JIANG Hailun;CHEN Hao;QU Hui;TANG Ruohan;JI Jie;DU Yuzheng;ZHAO Qi(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine/National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin,300193;Tianjin University of Traditional Chinese Medicine)

机构地区：[1]天津中医药大学第一附属医院/国家中医针灸临床医学研究中心,天津市300193 [2]天津中医药大学

出　　处：《中医杂志》2024年第4期362-367,共6页Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划(2019YFC0840709);国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2015021);天津市科技计划项目(18PTLCSY00060);天津市卫生健康委员会天津市中医药管理局中医中西医结合科研课题(2021102);天津中医药大学第一附属医院“拓新工程”基金科研课题(201926)。

摘　　要：以“治痿独取阳明”为指导探讨针刺治疗吉兰-巴雷综合征的思路与方法。认为本病的主要病机为阳明经脉气血衰少,宗筋失养,脾胃功能减退产生湿热邪气,壅滞经络,久之累及肝肾,耗精伤血,同时督脉枢机不利,筋脉失濡而出现肌肤麻木不仁、肢体痿废等症。临床诊治将辨证、辨经相结合,治疗上取阳明经穴位为主,以补益气血,配合督脉腧穴以通督填髓,然后辨证配穴,整体调控,共同促进气血调和,经络畅通,全身气血津液生成、运行无碍,则肉坚骨强、机体健壮而活动自如。This study explored the ideas and methods of acupuncture for Guillain-BarréSyndrome(GBS)with the core principle of“to treat flaccidity,select the yangming(阳明)channel only”.The main pathological mecha⁃nism of GBS is deficiency of qi and blood in the yangming channel,malnutrition of all sinews,diminished spleen and stomach function leading to the production of pathogenic damp-heat qi,which obstructs the meridians,and gradually affects the liver and kidneys,consuming essence and damaging blood.Concurrently,dysfunction of the dumai(督脉)pivotal mechanism and lack of moisture in sinews and vessels result in symptoms such as skin numbness,paralysis,and muscle wastage.In clinical diagnosis and treatment,a combination of syndrome and channel differentiation is taken.Treatment primarily focuses on acupoints of yangming channel,aiming to supplement qi and blood,and acupoints of du mai are combined to open the vessel and fill the marrow.Specific acupoints are selected based on syndrome differ⁃entiation,providing comprehensive regulation to promote harmonization of qi and blood,relieve meridians,and the smooth generation and circulation of whole body fluids.This,in turn,enhances the strength of muscles and bones,and fosters a robust and freely moving body.

关 键 词：吉兰-巴雷综合征 痿证 治痿独取阳明 针刺 

分 类 号：R246.1[医药卫生—针灸推拿学]