李飞应用“通阙利窍”法针灸治疗变应性鼻炎临床经验  

Li Fei's clinical experience in treating allergic rhinitis by acupuncture and moxibustion with"Tongque Liqiao"method

作　　者：鲍亮 李飞[2,3] 李春宁[1] 张振丰 丁雪纯 严康 BAO Liang;LI Fei;LI Chunning;ZHANG Zhenfeng;DING Xuechun;YAN Kang(Graduate School of Anhui University of Traditional Chinese Medicine,Hefei 230012,China;The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230061,China;Intelligent Research Institute of Hefei University of Technology,Hefei 230600,China)

机构地区：[1]安徽中医药大学研究生院,合肥230012 [2]安徽中医药大学第二附属医院,合肥230061 [3]合肥工业大学智能研究院,合肥230600

出　　处：《长春中医药大学学报》2025年第3期267-271,共5页Journal of Changchun University of Chinese Medicine

基　　金：国家青年岐黄学者支持项目(国中医药人教函[2022]256号);安徽省自然科学基金面上项目(2308085MH297);2021年安徽省财政中医领军后备人才培养项目(皖发[2020]11号);安徽高校自然科学重点研究项目(KJ2021A0549)。

摘　　要：变应性鼻炎是临床常见病、多发病,近年来其患病率显著增加,已成为主要的呼吸道慢性炎性疾病之一。视其主因,李飞教授认为变应性鼻炎多由内、外之邪所乘而致鼻、脑拘挛不能宣畅,邪气反复侵入,旧病新邪胶着,发为本病。病机关键是清窍壅塞,经络滞碍。基于《标幽赋》“短长水也,决凝开滞”的学术思想,主张治以疏经导滞,通鼻醒脑,开窍清神,并在临床上创新“通阙利窍”之法,灸以通鼻,针以醒脑,通鼻取穴印堂、迎香,醒脑取穴太阳、脑空、乘灵、风池、完骨、头窍阴、脑户。注重用针之微,强调以针灸并用为核心,针法重通为关键,针感传导为要点,深入病所,克邪复正。Allergic rhinitis is a common and frequently occurring disease in clinical practice.In recent years,its incidence has significantly increased and has become one of the main chronic inflammatory diseases of the respiratory tract.Based on the main cause,Professor Li Fei believes that allergic rhinitis is often caused by internal and external pathogens,leading to nasal and cerebral spasms that cannot be relieved,repeated invasion of evil qi,and the adhesion of old and new pathogens,resulting in the onset of this disease.The key to the disease mechanism is congestion of the clear orifices and stagnation of the meridians.Based on the academic idea of"short and long water,decide to condense and open the stagnation"in"BiaoYuFu",it is advocated to treat stagnation by dredging the meridians and guiding the stagnation,promoting nasal circulation and awakening the mind,and clearing the mind;Innovating the method of"Tongque Liqiao"in clinical practice,moxibustion is used to promote nasal circulation,needles are used to awaken the mind,acupoints such as Yin Tang and Ying Xiang are used to promote nasal circulation,and acupoints such as Sun,Nao Kong,Cheng Ling,Feng Chi,Wan Gu,Tou Qiao Yin,and Nao Hu are used to awaken the mind.Attention should be paid to the use of acupuncture,emphasizing the combination of acupuncture and moxibustion and moxibustion as the core,the key point is the reopening of acupuncture,and the key point is the conduction of needle sensation,so as to go deep into the disease place,eliminate pathogenic factors and restore the healthy.

关 键 词：变应性鼻炎 通阙利窍 针灸 名家经验 

分 类 号：R256.1[医药卫生—中医内科学]