刘志顺电针治疗小儿下运动神经元型神经源性膀胱临床经验  

LIU Zhishun's clinical experience of electroacupuncture for pediatric neurogenic bladder of lower motor neuron type in children

作　　者：丁玉龙 王怀玉 刘志顺[2] DING Yulong;WANG Huaiyu;LIU Zhishun(Beijing Fengtai Integrated Hospital of Traditional Chinese and Western Medicine,Beijing 100072,China;Department of Acupuncture and Moxibustion,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053)

机构地区：[1]北京市丰台中西医结合医院,北京100072 [2]中国中医科学院广安门医院针灸科,北京100053

出　　处：《中国针灸》2024年第6期694-698,共5页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局第七批全国老中医药专家学术经验工作继承项目:国中医药办人教函[2021]272号。

摘　　要：总结刘志顺教授电针治疗小儿下运动神经元型神经源性膀胱的临证经验。结合小儿独特的生理病理特点,运用“病-症-位”结合组方选穴思想,认为本病病位主要在膀胱和肾,经脉涉及任、督二脉和足少阴肾经、足太阳膀胱经。选取主穴方1(双侧中髎、次髎、会阳)和主穴方2(关元、中极、双侧三阴交),以宣通督脉之阳,刺激任脉之阴,激发膀胱气化。针刺前四步法精准定位次髎、中髎,针刺时重视得气,骶部深刺至病所;基于小儿耐受特点予低频电针刺激和温和灸治疗。Professor LIU Zhishun's clinical experience of electroacupuncture(EA)for pediatric neurogenic bladder of lower motor neuron type in children is summarized.Considering the unique physiological and pathological characteristics of children,with the strategy of combining"disease-symptom-location"in the selection of acupoints,professor LIU Zhishun proposes that the main disease location is the bladder and kidney,with the involvement of the conception vessel,governor vessel,kidney meridian of foot-shaoyin and the bladder meridian of foot-taiyang.The primary acupoint prescription-1(bilateral Zhongliao[BL 33],Ciliao[BL 32]and Huiyang[BL 35])and primary acupoint prescription-2(Guanyuan[CV 4],Zhongji[CV 3]and bilateral Sanyinjiao[SP 6])are selected to promote the yang of the governor vessel,stimulate the yin of the conception vessel,and invigorate the bladder's qi transformation.Before acupuncture,the four-step method is applied to precisely locate Ciliao(BL 32)and Zhongliao(BL 33).During acupuncture,the importance of achieving deqi is emphasized,with deep insertion in the sacral area to reach the disease location.Based on the tolerance characteristics of children,low-frequency EA and gentle moxibustion treatment are applied.

关 键 词：小儿神经源性膀胱 下运动神经元病变 电针 “病-症-位”结合 名医经验 刘志顺 

分 类 号：R249[医药卫生—中医临床基础] R246.4[医药卫生—中医学]