基于“一气周流”探讨重症肌无力针刺证治  

Exploration of acupuncture for myasthenia gravis based on the theory of yiqi zhouliu

作　　者：孟令昊 朱文增[1] 马厚芳 熊安妮 彭思扬 田煜坤 方瑞英 申琪琪 MENG Linghao;ZHU Wenzeng;MA Houfang;XIONG Anni;PENG Siyang;TIAN Yukun;FANG Ruiying;SHEN Qiqi(Department of Acupuncture and Moxibustion,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;School of TCM,Beijing University of CM)

机构地区：[1]中国中医科学院广安门医院针灸科,北京100053 [2]北京中医药大学中医学院

出　　处：《中国针灸》2024年第10期1187-1191,共5页Chinese Acupuncture & Moxibustion

基　　金：中国中医科学院科技创新工程重大攻关项目:CI2021A01309;中央高水平中医医院临床科研业务费资助项目:HLCMHPP2023089;首都卫生发展科研专项项目:首发2024-2-7121。

摘　　要：据黄元御“一气周流”理论,探析重症肌无力(MG)中气匮乏、“周流”失序的病理机制,并总结归纳出依托阳明为基、培补中气,补脏袪邪为主、调神复窍为辅的针刺诊疗思路,以达患者四肢、胞睑、构音、吞咽、视物、呼吸、精神等运动和非运动功能恢复的目的。Based on HUANG Yuanyu's theory of yiqi zhouliu(constant circulatory flowing of qi) it is explored that the pathogenesis of myasthenia gravis refers to qi deficiency in the middle jiao and the disarrangement of zhouliu. It is summarized that the approach to acupuncture diagnosis and treatment should focus on replenishing qi of the middle jiao based on yangming and tonifying the functions of zang organs to eliminate pathogens, assisted with regulating shen(spirit)and opening the orifices so as to promote the recovery of motor and non-motor functions of the four limbs, eyelids, speech articulation, swallowing, vision, respiration and mental state in patients.

关 键 词：重症肌无力 痿证 针刺 一气周流 

分 类 号：R246.6[医药卫生—针灸推拿学]