基于《内经》“天牖五部”探究推拿治疗急性咽炎  

Exploration of tuina for the treatment of acute pharyngitis based on "Tianyou(TE 16) and five regions" in Huangdi Neijing

作　　者：陈铚晗 王昭倩 高畅 郑惠元 蔡婷婷 刘静[1] CHEN Zhihan;WANG Zhaoqian;GAO Chang;ZHENG Huiyuan;CAI Tingting;LIU Jing(Department of Otorhinolaryngology,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Graduate School of Beijing University of CM)

机构地区：[1]中国中医科学院西苑医院耳鼻喉科,北京100091 [2]北京中医药大学研究生院

出　　处：《中国针灸》2024年第10期1192-1196,共5页Chinese Acupuncture & Moxibustion

基　　金：中国中医科学院科技创新工程项目:CI2021A02709。

摘　　要：以《内经》中“天牖五部”为切入点,探讨推拿“天牖五部”治疗急性咽炎的思路及手法。“天牖五部”是一组以阳经穴为主的特定腧穴,多位于颈部。穴如其名,“天牖五部”实为头颈之“窗”,通过调整此处可有“开窗散风之功、调气调血之效”。急性咽炎多由风热外邪侵袭咽喉或肺胃蕴热又复感外邪所致,以风热邪气为主因。基于“天牖五部”,通过点、拨、捋的推拿手法开头面“户牖”,并辅以耳尖放血,使邪有出路,疏风散热,达到通畅气机、舒利咽喉的目的。The paper explores the thoughts and manipulations of tuina at "Tianyou(TE 16) and five regions" for the treatment of acute pharyngitis based on "Tianyou(TE 16) and five regions" in Huangdi Neijing(Yellow Emperor's Inner Classic). "Tianyou(TE 16) and five regions" refer to the special acupoints of yang meridians, mostly located at the neck region. It is the "window" of the head and neck, acting on dispersing wind and regulating qi and blood by opening the "window". Acute pharyngitis is caused by the invasion of exogenous wind and heat to the throat or by re-attack of exogenous factors and heat accumulation in the lung and stomach. Pathogenic wind and heat is the chief causative factor. Based on the theory and location of "Tianyou(TE 16) and five regions", the manipulations of tuina, i.e. point-pressing, plucking and smoothing, are operated to open "huyou"(door and window) of the head and face, combined by bleeding at the ear apex so that the path is opened for pathogen elimination. As a result, the pathogenic wind and heat are dispelled, qi movement is promoted and the throat is benefited.

关 键 词：急性咽炎 急喉痹 天牖五部 推拿 人迎穴 

分 类 号：R244.1[医药卫生—针灸推拿学]