从痰瘀理论探讨“三通四联”针灸综合疗法治疗单纯性肥胖  

Comprehensive acupuncture and moxibustion therapy of“Three Channels and Four Combinations”in the treatment of simple obesity based on the theory of phlegm and blood stasis

作　　者：洪梦颖 赖碧玉 张佩琴 李丹 左珊珊 佘畅 HONG Mengying;LAI Biyu;ZHANG Peiqin;LI Dan;ZUO Shanshan;SHE Chang

机构地区：[1]湖南中医药大学,湖南长沙410000 [2]长沙市中医医院(长沙市第八医院),湖南长沙410000

出　　处：《中医临床研究》2024年第12期144-148,共5页Clinical Journal Of Chinese Medicine

基　　金：湖南中医药大学2022年度校级科研项目(2022XYLH088);湖南省中医药科研课题(B2023108);湖南省自然科学基金(2021JJ70066)。

摘　　要：单纯性肥胖发病率逐年递增,正在成为一个严重的公共卫生问题,长期肥胖会降低患者生活质量,增加心脑血管疾病发生率。临床上该病周期长,多数患者无法坚持完成治疗,依从性较差,容易反弹。现代医家认识到,痰、瘀乃单纯性肥胖的致病因素,膏脂阻滞经络,痰、瘀内聚,壅滞不出,血瘀痰凝,流注肌肤,虚实夹杂,气血阴阳紊乱。“三通四联”针灸综合疗法是长沙市中医医院(长沙市第八医院)南院针灸康复科在国医大师贺普仁教授“三通法”的基础上,经过多年临床探索,结合科室特色病种,创新和发展而来的一种治疗方法,“三通四联”针灸综合疗法将电针、TDP照射(灸法、火针)、梅花针叩刺、拔罐疗法四种方法灵活结合应用于临床治疗中,多用于面瘫、肩颈腰背痛各种痛证等。经临床验证,该疗法具有化痰消浊、祛瘀降脂之功,可综合调整人体气血阴阳,在治疗单纯性肥胖方面也有较好的疗效,根据患者病情采取不同的治疗措施,兼顾不同腧穴作用特点,刺激强度循序渐进,实现健康减重。文章介绍“三通四联”针灸综合疗法的理论依据,以单纯性肥胖为例,阐述对该病的临床诊疗思路,并结合典型验案介绍该疗法的具体治疗步骤,以期为该病的治疗提供新的针灸思路。The incidence of simple obesity is increasing year by year,and it is becoming a serious public health problem.Long-term obesity will reduce the quality of life of patients and increase the incidence of cardiovascular and cerebrovascular diseases.The disease has a long cycle,and most patients cannot adhere to the completion of treatment,they have poor compliance,and the disease is easy to reoccur.Modern doctors realize that phlegm and stasis are the causative factors of simple obesity.The fat blocks meridians,the phlegm and stasis converge and form obstruction,blood stasis congeals and flows into the skin,deficiency and accumulation lead to the disorder of Qi(气),blood and Yin(阴)and Yang(阳).“Three Channels and Four Combinations”acupuncture and moxibustion comprehensive therapy is a kind of treatment method innovated and developed by the Acupuncture and Moxibustion Rehabilitation Department of the South Hospital of Changsha Traditional Chinese Medicine Hospital(the Eighth Hospital of Changsha)on the basis of“Three channels”by Professor HE Puren,a TCM master,after years of clinical exploration,combined with the characteristic diseases of the department.“Three Channels and Four Combinations”acupuncture and moxibustion comprehensive therapy is flexibly combined with electric acupuncture,TDP irradiation(moxibustion,fire needle),plum needle percussion,cupping therapy in clinical treatment,which are mostly used in facial paralysis,shoulder,neck and back pain.Through clinical verification,the therapy has the functions of eliminating phlegm and turbidity,removing blood stasis and lowering lipid,comprehensively adjusting the human Qi,blood,Yin and Yang,and has a good effect in the treatment of simple obesity.According to the patients’condition,different treatment measures should be taken,taking into account the characteristics of different acupoints,and the stimulation intensity should be gradual to achieve healthy weight loss.This paper introduces the theoretical basis of“Three Channels and Four Combin

关 键 词：“三通四联”针灸综合疗法 单纯性肥胖 痰瘀 经验 

分 类 号：R246.1[医药卫生—针灸推拿学]