基于“从卫取气”的理论探讨产后脾肾阳虚型肥胖的针刺思路  

Acupuncture Thought of Postpartum Obesity with Spleen-Kidney Yang Deficiency Based on Theory of"Taking Qi from Wei"

作　　者：陈明珠 潘小红 CHEN Mingzhu;PAN Xiaohong(First School of Clinical Medicine,Anhui University of Chinese Medicine,Hefei 230000,China;Department of Preventive Medicine,Xuzhou City Hospital of Traditional Chinese Medicine,Xuzhou 221000,China)

机构地区：[1]安徽中医药大学第一临床医学院,安徽合肥230000 [2]徐州市中医院治未病科,江苏徐州221000

出　　处：《基层中医药》2024年第5期99-103,共5页Basic Traditional Chinese Medicine

摘　　要：以“从卫取气”的理论为核心,探讨治疗产后脾肾阳虚型肥胖的针刺思路与方法。本文认为产后脾肾阳虚型肥胖的主要病机为产后气血亏虚,脏腑虚损,脾肾功能减退,产生水湿痰浊,壅滞经络,卫气不充,运行失调,日久则出现腹部及四肢肥胖等症。因此,“调卫补虚”为治疗产后脾肾阳虚型肥胖的关键。针刺通过选取手足三阳经穴位,根据卫气传注方向施针,促进卫气的运行,使其不滞;施行分层针刺补益手法,引导卫阳入内,使脏腑元气得以充实;气机流畅,精气充盛,从而化湿降浊、消脂。Based on the theory of"Taking Qi from Wei",the acupuncture thought and method of treating postpartum obesity with spleen-kidney Yang deficiency were discussed.It is considered that the main pathogenesis of postpartum obesity with spleen-kidney Yang deficiency is deficiency of qi,blood,and zang-fu organs and decrease of the function of spleen and kidney,leading to dampness and phlegm,stagnation of channels and collaterals,insufficiency of Wei Qi,and maladjustment of movement.As time goes on,abdominal and limb obesity and other symptoms appear.Therefore,"regulating Wei to improve deficiency"is the key to treating postpartum obesity with spleen-kidney Yang deficiency.By selecting the points of the hand-foot three-Yang meridian and applying acupuncture according to the direction of Wei Qi transmission and injection,the movement of Wei Qi was promoted so that it did not stagnate.The layered acupuncture method was applied to guide Wei Yang into the body,so as to enrich the Yuan Qi of zang-fu organs.The Qi machine was fluent,and the essence was full,thus dispelling dampness,reducing turbidity,and eliminating fat.

关 键 词：从卫取气 调卫补虚 产后肥胖 脾肾阳虚 针刺 

分 类 号：R24[医药卫生—中医临床基础]