摘要
笔者在临床跟师学习中收集整理王维峰教授治疗中医脑病病案的基础上,现对导师针刺治疗中医脑病的学术思想及临床经验进行归纳总结。王维峰教授认为,"脑"作为人体一个特殊的组织器官具有相当突出的地位及其独特的生理功能,其位于头部,是人体生命活动和精神的主宰者,并为"神所居处"。脑的病种虽然种类繁多,但有其共同的生理病理基础。脑为髓海,与心、肾、督脉等脏腑、经络密切相关,临证虚实并见。因此,临证针刺时,取穴多从督脉和心(心包)经、肾经等经脉开始;擅长使用头针;注重调神,补虚泻实并进;针对其虚实并见之病证,进行具体辨证论治;补虚多从益精、填髓、益智入手,泻实多从醒脑、通督、开窍切入。
The academic thought and clinical experiences in acupuncture treatment of encephalopathy in TCM was summarized on the base of the case collection. Prof. Wang Weifeng believed that brain is the special organ in human body,occupying the outstanding position and has its unique physiological function. Brain is located in the head and is the host of vital and mental activity. It is regarded as the place of spirits. Although there are various brain disorders,the physiological and pathological foundation of them are the same. The brain is the sea of marrow and has close connection with the heart,kidney,the Governor Vessel as well as meridians. In clinic,both the excess and the deficiency of brain disorder are seen. In acupuncture treatment,the acupoints should be selected from the Governor Vessel,heart meridian,pericardium meridian and kidney meridian. Prof. Wang prefers to use scalp acupuncture,stresses on mind regulation and mutually adjust the deficiency and the excess. For the mixed deficiency and excess disorders,the therapeutic methods are determined on the base of concrete symptom differentiation. For the deficiency,the treatment focuses on benefiting the essence,filling up the marrow and improving the intelligence with the reinforcing technique. For the excess,the treatment focuses on regaining consciousness,promoting the circulation of the Governor Vessel and opening the orifices with reducing technique.
作者
蔡露
薛聆
王维峰
CAI Lu;XUE Ling;WANG Wei-feng(Shanxi Univereity of Traditional Chinese Medicine.Jinzhong Shanxi 030619)
出处
《世界中西医结合杂志》
2018年第12期1669-1672,1731,共5页
World Journal of Integrated Traditional and Western Medicine
基金
山西省第二批领军人才项目[晋卫办中医药函(2018)5号]
关键词
脑病
调神
针灸疗法
经验总结
Encephalopathy
Regulating Mind
Acupuncture Therapy
Experience Summary
