王樟连运用针刺治疗妊娠剧吐经验介绍  

Experience of WANG Zhanglian in Treating Hyperemesis Gravidarum with Acupuncture

作　　者：郝萍萍 陈利芳[2] 王樟连(指导)[2] HAO Pingping';CHEN Lifang;WANG Zhanglian(Sandun Chinese Medicine Clinic,Hangzhou Fanghuichuntang,Hangzhou Zhejiang 310013,China;The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310009,China)

机构地区：[1]杭州方回春堂三墩中医门诊部,浙江杭州310013 [2]浙江中医药大学附属第三医院,浙江杭州310009

出　　处：《新中医》2024年第14期124-128,共5页New Chinese Medicine

基　　金：王樟连全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)。

摘　　要：介绍王樟连教授运用针刺疗法治疗妊娠剧吐的临床经验。王樟连教授认为,妊娠剧吐一般由脾胃虚弱、肝气犯胃、痰湿阻滞导致,病机主要为孕后经血不泻,血聚养胎,以致冲气上逆,胃失和降。治疗以调气和中、降逆止呕为主。临证注重整体调理,主穴选用百会、太阳、阳白、印堂、风池、内关、中脘、下脘、足三里;配穴辨证选用,脾胃虚弱者加地机,肝胃不和者加太冲,痰湿阻滞者加丰隆。兼以手法,补泻得当,故能获效。This paper introduces Professor WANG Zhanglian's clinical experiencein treating hyperemesis gravidarum with acupuncture.Professor WANG Zhanglian believes that hyperemesis gravidarum is generally caused by spleen-stomach weakness,liver qi attacking the stomach,and phlegmdamp blockage,and the pathogenesis is mainly the failure of menstrual blood to drain after pregnancy,and the blood gathers to nourish the fetus,resulting in the ascending counterflow of Chong qi and the loss of stomach harmony and descent.The treatment is mainly to regulate qi and harmonize the middle,and direct counterflow downward and arrest vomiting.In clinical practice,attention is paid to the overall conditioning,and the main points selected are Baihui(GV20)point,Taiyang(EX-HN5)point,Yangbai(GB14)point,Yintang(EX-HN3)point,Fengchi(GB20)point,Neiguan(PC6)point,Zhongwan(CV12)point,Xiawan(CV10)point and Zusanli(ST36)point.Acupoints are chosen based on syndrome differentiation,and patients with spleen-stomach weakness are added with Diji(SP8)point;patients with disharmony of liver and stomach are added with Taichong(ST40)point;patients with phlegm-damp blockage are added with Fenglong(LV3)point.The therapy of acupuncture combined with manipulation and proper supplementation and drainage leads to a great therapeutic effect.

关 键 词：妊娠剧吐 针刺疗法 王樟连 

分 类 号：R714.241[医药卫生—妇产科学] R249[医药卫生—临床医学]