石学敏基于“中风肺绝声如鼾”论治卒中合并阻塞性睡眠呼吸暂停经验撷菁  

SHI Xuemin's experience in treatment of stroke combined with obstructive sleep apnea hypopnea syndrome based on the theory of "stroke of lung qi exhaustion and snoring-like breathing"

作　　者：李济廷 于子如 田骞 纪哲 张鹏 LI Jiting;YU Ziru;TIAN Qian;JI Zhe;ZHANG Peng(Department of Acupuncture and Moxibustion,First Teaching Hospital of Tianjin University of TCM,Tianjin 300381,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381)

机构地区：[1]天津中医药大学第一附属医院针灸科,天津300381 [2]国家中医针灸临床医学研究中心,天津300381

出　　处：《中国针灸》2025年第3期365-369,共5页Chinese Acupuncture & Moxibustion

基　　金：第七批全国老中医药专家学术经验继承工作项目:国中医药人教函[2022]76号。

摘　　要：阐述石学敏院士治疗卒中合并阻塞性睡眠呼吸暂停的经验,认为其属“中风肺绝证”,以元气亏虚、肺气欲脱为本,痰壅气逆、蒙蔽元神为标,出现似寐非寐、息声如鼾、痰如拽锯等表现,治疗宜“司气海,调神气,启窍闭”,在以内关、水沟、三阴交为主穴醒脑开窍的基础上,取人迎司呼吸调气海,取百会、四神聪调神,取风池、完骨、翳风通关启窍以治标,为诊疗中风病兼症提供新的思路。This article introduces the experience of Academician SHI Xuemin in treatment of stroke combined with obstructive sleep apnea hypopnea syndrome.It is believed that this disease is the syndrome of"stroke of lung qi exhaustion".It is rooted at the deficiency of primary qi,and lung qi declining;and characterized by phlegm stagnation,qi reversion and mind blockage.This disease is manifested as somnolence-like symptoms,snoring-like breathing and sawing-like expectorating.The therapeutic regimen focuses on"governing qihai(sea of qi),regulating the spirit and adjusting the orifice closure".The main acupoints include Neiguan(PC6),Shuigou(GV26)and Sanyinjiao(SP6)to regain the consciousness and open the orifices.Besides,Renying(ST9)is added to regulate the respiration,Baihui(GV20)and Sishencong(EX-HN1)to harmonize the spirit,and Fengchi(GB20),Wangu(GB12)and Yifeng(TE17)to open the orifice for the treatment of symptoms.It provides a new idea for the clinical diagnosis and treatment of stroke with accompanying symptoms.

关 键 词：中风 五绝证 气海理论 通关利窍 名医经验 石学敏 

分 类 号：R24[医药卫生—中医临床基础]