基于“三维五法”浅论突发性耳聋针灸证治思路  

A Preliminary Discussion on Acupuncture Treatment for SSNHL Based on Three-Dimensional Five Methods

作　　者：杨禾财 金永琦 赵佳彤 马琳 刘征[2] YANG Hecai;JIN Yongqi;ZHAO Jiatong;MA Lin;LIU Zheng△(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《针灸临床杂志》2024年第12期85-90,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省自然科学基金,编号:LH2022H083;黑龙江省中医药管理局国医大师学术思想传承科研课题,编号:GY2022-06;黑龙江中医药大学“优秀创新人才支持计划”,编号:2018RCD10;黑龙江中医药大学研究生创新科研项目,编号:2024yjscx020。

摘　　要：突发性耳聋为神经内科较为疑难的一种突发性感音神经性耳聋,归于“暴聋”“气聋”等范畴,病位在耳和少阳经,轴向发展规律为气滞血瘀,久之则成本虚标实之证。“三维五法”为龙江医派循证针灸体系创新性联合疗法,从穴、经与筋出发,结合痧、罐、针、灸及药传统疗法,并基于“头、肺、耳”三维与“经颅重复针刺刺激疗法、扎跳法、三三三针法、开肺窍法及少阳弧刺法”五法,在西医明确“突发性耳聋”疾病前提下,通过多维度辨证,多方法协同干预,对突聋突发听力下降,持续不解,伴眩晕、耳鸣、恶心呕吐、抑郁及睡眠障碍等进行病证结合治疗,整体调态,靶向治病,提高中医技术治疗疑难顽疾的疗效。Sudden sensorineural hearing loss(SSNHL)is a challenging type of acute sensorineural hearing loss in neurology,classified under the TCM categories of sudden deafness and Qi deafness.The pathology is located in the ear and the Shaoyang meridian,with a progression pattern characterized by Qi stagnation and blood stasis,which,over time,leads to a condition of deficiency in the root and excess in the manifestations.The three-dimensional five methods,an innovative therapy from the Longjiang school of evidence-based acupuncture,integrates multiple traditional techniques by focusing on acupuncture points,meridians and sinews.It combines therapies such as Guasha,cupping,acupuncture,moxibustion and herbal medicine.This approach is based on a three-dimensional perspective involving the head,lungs and ears,coupled with five key methods,including repeated cranial acupuncture stimulation therapy,Zhatiao therapy(needling with stimulating movements),the triple three needling technique,the Lung orifice opening methods,and Shaoyang meridian isolation needling.Under the framework of Western medicine's clear diagnosis of SSNHL,this method employs multidimensional pattern differentiation and coordinated multi-modal interventions to treat SSNHL accompanied by symptoms such as vertigo,tinnitus,nausea,vomiting,depression and sleep disorders.By combining symptom-targeted and holistic regulation,this integrative treatment approach aims to restore balance,target the underlying causes of disease,and enhance the efficacy of TCM in treating complex and refractory conditions.

关 键 词：突发性耳聋 三维五法 针灸疗法 开肺窍 态靶辨证 

分 类 号：R246.81[医药卫生—针灸推拿学]