基于“面口合谷收”理论探讨针刺治疗鼻前庭炎  

Discussion on treating nasal vestibulitis by acupuncture based on the theory of treating orofacial disorders by stimulating the Hegu acupoint

作　　者：吴泰基 王国书 孙艳[1] 廖维婷 占娆娜 WU Taiji

机构地区：[1]广州中医药大学惠州医院(惠州市中医医院),广东惠州516000

出　　处：《中医临床研究》2024年第28期116-120,共5页Clinical Journal Of Chinese Medicine

摘　　要：鼻前庭炎是耳鼻喉科的常见病,临床表现为鼻前庭皮肤弥漫性红肿、疼痛等,是不可忽视的公共卫生问题。现代医学治疗以外用激素药膏为主,不良反应较大且易产生依赖性。中医治疗多以中药内服和外用为主,时效性不如针刺治疗。针刺作为中医外治疗法之一,具有简便效廉的特点,可有效缓解疼痛,改善鼻前庭炎症状。但目前鲜有针刺治疗该病的临床报道。中医称鼻前庭炎为鼻疮,认为该病与外邪侵袭或内热炽盛相关,病机为肺热上蒸于鼻,与手阳明大肠经相关,因此治疗从大肠经入手,通过肺合大肠的脏腑关系来治疗肺之外窍,同时发挥“经脉所过,主治所及”的经络效应。合谷穴为手阳明大肠经原穴,既可清泻相关脏腑之热,又能通调三焦之气和肾之原气,以调和一身气血,引气归原,激发人体自愈力。合谷穴又擅走头面、疏风散热,进而消肿止痛。《乾坤生意》中有“面口合谷收”的经典论述,被后世医家奉为圭臬。现代研究发现,在大脑皮层中合谷穴区与面区的感觉和运动皮层的分布位置存在毗邻、相交的关系,这与中医经络理论手阳明大肠经息息相关。文章基于“面口合谷收”理论,从中医理论和现代医学角度探析针刺合谷穴治疗鼻前庭炎的机理,为临床针刺治疗鼻疮提供理论依据,通过验案进一步阐述从“面口合谷收”论治鼻前庭炎的针刺经验,以期为针刺治疗鼻前庭炎提供临床思路。Nasal vestibulitis is a prevalent disease in the field of otolaryngology,clinically manifested as diffuse redness and pain in the nasal vestibular skin,and is an undeniable public health concern.In modern medical treatment,topical corticosteroid ointments are primarily used,which have significant adverse reactions and can lead to dependence.Traditional Chinese medicine(TCM)primarily focuses on oral administration and external application of traditional Chinese medicines,which are less efficacious than acupuncture.As one of the external treatments in TCM,acupuncture is characterized by its simplicity,cost-effectiveness,and ability to effectively alleviate pain and improve symptoms of nasal vestibulitis.However,there are currently few clinical reports on treating this disease by acupuncture.In TCM,nasal vestibulitis is termed nasal sores,and it is believed to be associated with external pathogens invading or internal heat burning.The pathogenesis is attributed to lung heat ascending to the nose,which is related to Dachang(大肠)meridian of the Hand Yangming(阳明).Therefore,treatment starts from Dachang meridian,and the relationship between the lung and large intestine is used to treat the external orifices of the lung,while leveraging the meridian effect of“Wherever the meridian passes,that’s where the governance reaches”.Hegu acupoint(LI4)is the original point of Dachang meridian of the Hand Yangming,can clear heat from relevant organs,regulate the energy of the triple warmer and the original energy of the kidney,for harmonizing Qi(气)and blood throughout the body,drawing energy back to its original place,and stimulating the body’s self-healing ability.Hegu acupoint is also adept at moving through the head and face,dispersing wind and cooling down heat,thereby reducing swelling and pain.Treating orofacial disorders by stimulating the Hegu acupoint in the Qiankun Shengyi(《乾坤生意》)is regarded as a fundamental principle by later generations of physicians.Modern research has found that there is a

关 键 词：面口合谷收 合谷穴 针刺 鼻前庭炎 

分 类 号：R276.1[医药卫生—中医五官科学]