梁繁荣教授上下关透刺配合飞经走气手法在头面疾病妙用  

Professor LIANG Fanrong′s Skillful Application of Penetrating Acupuncture of Shangguan and Xiaguan with Feijing Zouqi Manipulation in Treatment of Head and Facial Diseases

作　　者：闫秋莹 张凌雪 张贵霖 李德华[3] YAN Qiuying;ZHANG Lingxue;ZHANG Guilin;LI Dehua(Department of Acupuncture and Moxibustion,The Second Affiliated Hospital of Baotou Medical College,Baotou 014030,China;College of Acupuncture and Massage,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Department of Acupuncture and Moxibustion,Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,China)

机构地区：[1]包头医学院第二附属医院针灸科,包头014030 [2]成都中医药大学针灸推拿学院,成都610075 [3]成都中医药大学附属医院针灸科,成都610072

出　　处：《世界中医药》2025年第2期293-298,共6页World Chinese Medicine

基　　金：国家自然科学基金面上项目(82374602);中国出土医学文献与文物研究中心项目(CTWX2207)。

摘　　要：上关穴属足少阳胆经,是手少阳、足阳明、足少阳的交会穴。下关穴属足阳明胃经,是足阳明、足少阳经的交会穴。两穴穴位均位于头面部,均善于治疗三叉神经痛、颞下颌关节炎、面神经麻痹、耳鸣等临床难治性疾病。临床中常采用透刺手法作用于不同的肌肉神经组织达到治疗效果。目前临床中虽对上关穴、下关穴有一定认识,但两穴透刺配合飞经走气手法治疗的相关研究和论述甚少。故以梁繁荣教授临床经验为出发点,基于对上关穴、下关穴的经典临床应用、传统经络学说以及面部解剖结构的理论基础,将传统针刺手法与现代解剖相结合,提出上关穴、下关穴透刺配合飞经走气手法以提高针刺效量,用于治疗难治性面瘫、颞下颌关节紊乱综合征、三叉神经痛、耳鸣等头面部难治性疾病。并深入阐述上下关穴对头面部难治性疾病的经络经筋作用和不同透刺手法的解剖生理机制,以期为针灸治疗头面部难治性疾病提供临床思路和解决方法。Shangguan(GB 3)is associated with the gallbladder meridian of foot Shaoyang and serving as a meeting point for the hand Shaoyang,foot Yangming,and foot Shaoyang meridians.Xiaguan(ST 7)is associated with the stomach meridian of foot Yangming and serves as a meeting point for the foot Yangming and foot Shaoyang meridians.Shangguan(GB 3)and Xiaguan(ST 7)are acupoints located on the head and face and are well-known for their efficacy in treating refractory clinical conditions such as trigeminal neuralgia,temporomandibular joint disorders,facial nerve paralysis,and tinnitus.Clinically,needle techniques such as penetrating through muscles and nerve tissues are often employed to achieve therapeutic effects.Although there is some clinical understanding of the Shangguan(GB 3)and Xiaguan(ST 7),there is limited research or discussion regarding the combination of penetrating acupuncture of these points with the Feijing Zouqi manipulation for treatment.Therefore,based on Professor LIANG Fanhong′s clinical experience,as well as the classical applications of Shangguan(GB 3)and Xiaguan(ST 7),traditional meridian and collateral theory,and facial anatomical structures,this study combines traditional acupuncture techniques with modern anatomical knowledge and proposes using penetrating acupuncture of Shangguan(GB 3)and Xiaguan(ST 7)with Feijing Zouqi manipulation to enhance the efficacy of acupuncture in treating difficult conditions such as facial paralysis,temporomandibular joint dysfunction syndrome,trigeminal neuralgia,and tinnitus.The study delves into the meridian,collateral,and tendon effects of these acupoints on head and facial conditions,as well as the anatomical and physiological mechanisms behind different needle techniques,aiming to provide clinical insights and solutions for acupuncture and moxibustion treatment of refractory head and facial diseases.

关 键 词：上关穴 下关穴 经络学说 解剖基础 透刺 飞经走气手法 头面疾病 @梁繁荣 

分 类 号：R245.321[医药卫生—针灸推拿学]