“通关利窍”针刺法治疗卒中后吞咽困难立法辨证及机制探讨  

Syndrome Differentiation and Mechanism Exploration of“Tongguan Liqiao”Acupuncture Method for Treating Poststroke Dysphagia

作　　者：黄泓文 陈超 樊小农[1,2,3,4] Hongwen Huang;Chao Chen;Xiaonong Fan(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin,China;Tianjin Key Laboratory of Science of Acupuncture and Moxibustion,Tianjin,China;Tianjin Acupuncture and Moxibustion Research Institute,Tianjin,China)

机构地区：[1]天津中医药大学第一附属医院,天津300381 [2]国家中医针灸临床医学研究中心,天津300381 [3]天津市针灸研究所,天津300193 [4]天津市针灸学重点实验室,天津300381

出　　处：《Chinese Medicine and Natural Products》2024年第2期56-60,共5页中医学报（英文）

基　　金：the National Key Research and Development Program of China(2018YFC1705004);Tianjin Science and Technology Plan Project(21JCZDJC00890);National Natural Science Foundation of China(82374578).

摘　　要：由国医大师、中国工程院院士石学敏创立的"通关利窍"针刺法衍生于著名的"醒脑开窍"针刺法,以"调神"为立法辨证取穴的根本。选用内关、人中、三阴交作为主穴,以调神醒脑、滋补肝肾,此为治"本";选用了颈项部的廉泉、翳风、完骨、风池穴以"利窍",此为治"标"。该针刺法以深刺为特色,契合了现代吞咽功能解剖。该针法能够通过改善脑供血及代谢、促进神经功能重塑等促进卒中后吞咽困难功能的改善。“Tongguan Liqiao”acupuncture method established by Xuemin Shi,a master of traditional Chinese medicine in China and academician of the Chinese Academy of Engineering,derives from the famous“Xing Nao Kai Qiao”therapy(activating the brain and opening the orifices)acupuncture method.It fundamentally takes“adjusting the spirit”as the root of selecting acupoints based on syndrome differentiation.Neiguan(PC 6),Renzhong(DU 26),and Sanyinjiao(SP 6)are selected as the main acupoints to adjust the spirit and revive the brain,nourish the liver and kidney,which treats the root cause.Acupoints such as Lianquan(RN 23),Yifeng(SJ 17),Wangu(GB 12),and Fengchi(GB 20)in the neck region are selected for“unblocking orifices,”which relieves the symptoms.This acupuncture method features deep needling,which aligns with modern swallowing function anatomy.The method can improve the function of poststroke dysphagia by enhancing cerebral blood supply and metabolism and promoting neural functional remodeling.

关 键 词：“通关利窍”针刺法 卒中后吞咽困难 调神 双悬吊机制 神经功能重塑 

分 类 号：R24[医药卫生—中医临床基础]