1.南京中医药大学,江苏省南京市栖霞区仙林大道138号,210029
2.南京中医药大学附属南京中医院
fsyy00305@njucm.edu.cn
收稿:2022-07-01,
修回:2022-09-14,
纸质出版:2023-02-17
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孙丽,李静,刘洁希等.基于“脑-肠轴”学说探讨调神配穴在针刺治疗功能性胃肠病中的运用[J].中医杂志,2023,64(04):350-353.
SUN Li,LI Jing,LIU Jiexi,et al.Application of the Point Combination of Regulating the Spirit in the Treatment of Functional Gastrointestinal Disorders by Acupuncture:based on the “Brain-gut axis” Theory[J].Journal of Traditional Chinese Medicine,2023,64(04):350-353.
孙丽,李静,刘洁希等.基于“脑-肠轴”学说探讨调神配穴在针刺治疗功能性胃肠病中的运用[J].中医杂志,2023,64(04):350-353. DOI: 10.13288/j.11-2166/r.2023.04.007.
SUN Li,LI Jing,LIU Jiexi,et al.Application of the Point Combination of Regulating the Spirit in the Treatment of Functional Gastrointestinal Disorders by Acupuncture:based on the “Brain-gut axis” Theory[J].Journal of Traditional Chinese Medicine,2023,64(04):350-353. DOI: 10.13288/j.11-2166/r.2023.04.007.
功能性胃肠病以胃肠功能紊乱为主要表现。现代医学已明确脑-肠轴在功能性胃肠病的发病中具有重要意义,这与中医理论中脑神和胃肠相互影响的观点相契合。以此为基点,提出脑神紊乱为功能性胃肠病的重要病机,并强调调神配穴是稳定和提高针刺治疗该病疗效的关键。详细论述调神配穴在针刺治疗功能性胃肠病中的思路和内涵,选取百会、印堂、本神、太冲等相关穴,有助于胃肠功能的恢复;在调神的同时再辨证论治、对症施治,联合健脾、和胃、通肠等,以达脑肠同治、治病求本的目的。
Functional gastrointestinal disorders (FGID) is mainly manifested as gastrointestinal dysfunction. In modern medicine, brain-gut axis takes an important role in the pathogenesis of FGID, consistenting with the point that brain spirit and gastrointestinal tract are mutually interacted with each other in traditional Chinese medicine (TCM). Based on this, it is proposed that brain disorder is a main pathogenesis of FGID, and point combinations to regulate spirit is addressed as a key to stabilize and improve the curative effect of acupuncture in treating the disease. The thought and connotation of point combinations to regulate spirit in the treatment of FGID by acupuncture is discussed in details, claiming that the acupoints such as Baihui (GV 20), Yintang (EX-HN3), Benshen (GB 13), and Taichong (LR 3) can be selected to restore the gastrointestinal function. At the same time, the method of fortifying the spleen, harmonizing the stomach, or unblocking the intestine should be combined based on pattern differentiation and symptomatic treatment, so as to treat the brain and intestine simultanously, and treat the root of the disease.
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