Elderly Neurogenic Orthostatic Hypotension Treated Mainly with Fire Needling on Governor Vessel （督 脉）：A Case Report

GUO Changzai; WANG Shaosong; XIA Qiuyu; CUI Yingxue; WANG Xin

doi:10.13288/j.11-2166/r.2023.17.018

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Elderly Neurogenic Orthostatic Hypotension Treated Mainly with Fire Needling on Governor Vessel （督脉）：A Case Report

更新时间：2023-08-31

- Elderly Neurogenic Orthostatic Hypotension Treated Mainly with Fire Needling on Governor Vessel （督脉）：A Case Report
- Journal of Traditional Chinese Medicine Vol. 64, Issue 17, Pages: 1833-1836(2023)
- 作者机构：
  
  1.首都医科大学附属北京中医医院，北京市东城区美术馆后街23号，100010
  2.河北省容城县中医医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2023.17.018
  CLC：
- Received：16 November 2022，
  
  Revised：2023-03-20，
  
  Published：02 September 2023
- 稿件说明：
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郭长在,王少松,夏秋玉等.督脉火针为主治疗老年神经源性体位性低血压1例[J].中医杂志,2023,64(17):1833-1836.

GUO Changzai, WANG Shaosong, XIA Qiuyu, et al. Elderly Neurogenic Orthostatic Hypotension Treated Mainly with Fire Needling on Governor Vessel （督脉）：A Case Report[J]. Journal of Traditional Chinese Medicine, 2023, 64(17): 1833-1836.
郭长在,王少松,夏秋玉等.督脉火针为主治疗老年神经源性体位性低血压1例[J].中医杂志,2023,64(17):1833-1836. DOI： 10.13288/j.11-2166/r.2023.17.018.

GUO Changzai, WANG Shaosong, XIA Qiuyu, et al. Elderly Neurogenic Orthostatic Hypotension Treated Mainly with Fire Needling on Governor Vessel （督脉）：A Case Report[J]. Journal of Traditional Chinese Medicine, 2023, 64(17): 1833-1836. DOI： 10.13288/j.11-2166/r.2023.17.018.

摘要

神经源性体位性低血压常见于神经退行性疾病，中医学多辨证为肾阳虚衰。火针点刺督脉穴位及肾俞穴、志室穴，可疏通督脉气血，达到温阳通脉、益精填髓的治疗效果。报告1例老年神经源性体位性低血压患者，应用贺氏火针点刺患者以督脉为主的穴位及肾俞、志室穴，经治疗近2个月后患者站立位血压差及阳虚症状均显著改善，并对患者进行了血压监测、中医证型量表评估及肾俞区域红外成像仪检测，临床疗效确切。

Abstract

Neurogenic orthostatic hypotension （nOH） is a common neurodegenerative disease， and is usually differentiated as kidney-

yang

depletion syndrome in traditional Chinese medicine （TCM）. Fire needling on governor vessel （督脉） acupoints as well as Shenshu （BL 23） and Zhishi （BL 52） can dredge the

and blood of governor vessel

，

so as to warm

yang

and unblock the channels， supplement essence and boost marrow. A case of elderly nOH treated by fire needling mainly at governor vessel points， Shenshu （BL 23） and Zhishi （BL 52） was reported. After nearly two months of treatment， the patient's orthostatic blood pressure difference and

yang

deficiency-related symptoms were significantly improved， and the results of blood pressure monitoring， TCM syndrome scale evaluation and Shenshu （BL 23）

area infrared imager detection all showed definite clinical effect.

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references

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Elderly Neurogenic Orthostatic Hypotension Treated Mainly with Fire Needling on Governor Vessel （督脉）：A Case Report

GUO Changzai 1 ， 2， WANG Shaosong1， XIA Qiuyu1， CUI Yingxue1， WANG Xin 1

Beijing Hospital of Traditional Chinese Medicine ， Capital Medical University ， Beijing ， 100010 ； 2 . Rongcheng County Hospital of Traditional Chinese Medicine ， Hebei Province

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