同精导气针法治疗排尿性晕厥  

Treating urinary syncope by the same essence and Qi conduction acupuncture method

作　　者：原莎莎 栗炎 刘飞剑 YUAN Shasha;LI Yan;LIU Feijian

机构地区：[1]周口职业技术学院,河南周口466000 [2]周口市中医院,河南周口466000 [3]周口市川汇区中医院,河南周口466000

出　　处：《中医临床研究》2024年第30期133-135,共3页Clinical Journal Of Chinese Medicine

摘　　要：排尿性晕厥又称小便猝倒,俗称“尿晕症”,是指排尿过程中或排尿结束后出现短暂性的全脑血液灌注降低从而导致一过性意识丧失的一类疾病,主要表现为夜间或清晨时分起床排尿时突然晕倒,数分钟后可自行苏醒,常伴见面唇苍白、心慌、汗出,以及体表擦伤、肿胀或骨折。本病多发于男性,与直立位排尿、憋尿、疲劳、饮酒等因素相关。患者可能由于膀胱内储存尿液过多,一经排空,腹腔内压急速下降,静脉回心血量随之减少,加之排尿时伴随短暂的屏气动作,胸腔内压升高,颅内压和静脉压随之升高,大脑血流量减少,进而诱发短暂性脑缺血。多数尿晕症患者发作前期可伴有头眼昏花、下肢无力的症状,通常临床症状表现较轻,经过休息即可好转,并没有明显的后遗症,因此该病容易被忽视。但由于晕倒后极易造成外伤,严重者甚至引发颅脑迟发血肿,危及生命,因此本病应引起患者的重视。中医认为尿晕症的发生多归于脾肾二脏,以虚证为主,病位在脑,脾胃虚弱或饮食无节,气血化源不足,清窍失养,肾气虚衰,髓海不足,无以充盈于脑,皆可致本病的发生。笔者选用“补土派”的同精导气针法加之补肾针法,健运脾胃以养血补气,补肾益精以充养脑髓,收效甚佳。Micturition syncope is also known as cataplexy in urinating, commonly known as ‘urinary sickness', refers to a group of disorders in which transient loss of consciousness during or after urination and subsequent periods of global cerebral perfusion. It is mainly manifested as sudden fainting when getting up at night or early in the morning to urinate, and can wake up spontaneously after a few minutes, often accompanied by pale lips, palpitation, sweating, and abrasions, swelling or fractures on the body surface. The disease is more common in men and is associated with upright urination, urine holding, fatigue, alcohol consumption and other factors. Patients may have excessive storage of urine in the bladder, and once empty, the intra-abdominal pressure decreases rapidly, and the amount of venous blood returning to the heart decreases, coupled with a brief breath-holding action during urination, the intrathoracic pressure increases, the intracranial pressure and venous pressure increase, and the cerebral blood flow decreases, thereby inducing transient cerebral ischemia. Most patients with urinary sickness can appear symptoms of dizziness and weakness of the lower limbs in the early stage of the attack, usually the clinical symptoms are mild, and they can get better after rest, and there are no obvious sequelae, so the disease is easy to be ignored. However, due to the fact that it is easy to cause trauma after fainting, and in severe cases, it can even cause delayed cerebral hematoma, which is life-threatening, so this disease should be taken seriously by patients. Traditional Chinese medicine believes that the occurrence of urinary sickness is mostly attributed to the spleen and kidneys, mainly due to deficiency syndrome, the disease is located in the brain, the spleen and stomach are weak or the diet is uncontrolled, the source of Qi( 气) and blood is insufficient, the body is not nourished, the kidney Qi is deficient, the medullary sea is insufficient, and the brain cannot be filled, all of which can cause

关 键 词：排尿性晕厥 针刺 同精导气针法 艾灸 

分 类 号：R277.5[医药卫生—中医学]