贺氏三通法针刺治疗顽固性脚气病案  

Case of intractable beriberi treated with acupuncture of He's three-promotion needling method

作　　者：宁松浩 刘雨琳 张青 徐冠 张全爱[1,2] NING Songhao;LIU Yulin;ZHANG Qing;XU Guan;ZHANG Quanai(Third Clinical Medical School of Zhejiang Chinese Medical University,Hangzhou 310053,China;Department of Acupuncture and Moxibustion,Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310005)

机构地区：[1]浙江中医药大学第三临床医学院,杭州310053 [2]浙江中医药大学附属第三医院针灸科,杭州310005

出　　处：《中国针灸》2025年第1期45-46,共2页Chinese Acupuncture & Moxibustion

基　　金：第五批全国中医临床优秀人才研修项目:qgyc202301。

摘　　要：报道1例采用贺氏三通法针刺治疗脚气病的情况。患者主因“反复双脚红肿伴瘙痒2年余,左脚加重2 d”就诊,主要症状为左脚红肿,影响行走,胃纳欠佳,食后易腹胀。辨属脚气(湿热下注,脾虚失运)。治疗先用火针点刺左侧八风穴(温通法);按压局部皮肤挤出血液,若出血量较少,则选用三棱针点刺穴位局部(强通法);再针刺双侧阴陵泉、足三里、三阴交及左侧阳陵泉、悬钟(微通法)。治疗过程中根据症状变化调整治疗方案。治疗3周后,症状消失。The paper introduces one case of intractable beriberi treated with acupuncture of He's three-promotion needling method.The patient visited the hospital because of"repeated redness and swelling of the feet,combined with itching for over 2 years,aggravated in recent 2 days on the left foot".The chief complaints included redness and swelling of the left foot,with the normal walking disturbed,poor appetite,and abdominal distention after meal.The case was identified as beriberi(downward flowing of damp heat,and dysfunction of spleen in transportation due to deficiency).In treatment,using the fire needling technique of acupuncture,Bafeng(EX-LE10)on the left side were stimulated(warming-promotion method).The blood drops were squeezed in the local,if less bleeding was presented,the three-edge needle was used to prick the local area where the acupoint located(strong-promotion method).Afterward,the regular acupuncture was delivered at bilateral Yinlingquan(SP9),Zusanli(ST36)and Sanyinjiao(SP6),as well as Yanglingquan(GB34)and Xuanzhong(GB39)on the left side(mild-promotion method).The therapeutic regimen was adjusted flexibly according to the changes of the symptoms.After treated for 3 weeks,the symptoms disappeared.

关 键 词：顽固性脚气病 针刺 贺氏三通法 

分 类 号：R246[医药卫生—针灸推拿学] R249[医药卫生—中医临床基础]