1.天津市环湖医院,天津市津南区吉兆路6号,300350
2.天津中医药大学
dingjinghu@163.com
收稿:2023-09-28,
修回:2024-01-28,
纸质出版:2024-03-02
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许迎春,郭义,丁晶等.引火归原法治疗阵发性交感神经过度兴奋综合征[J].中医杂志,2024,65(05):537-540.
XU Yingchun,GUO Yi,DING Jing,et al.Treatment of Paroxysmal Sympathetic Hyperactivity by the Method of “Returning Fire to Its Origin”[J].Journal of Traditional Chinese Medicine,2024,65(05):537-540.
许迎春,郭义,丁晶等.引火归原法治疗阵发性交感神经过度兴奋综合征[J].中医杂志,2024,65(05):537-540. DOI: 10.13288/j.11-2166/r.2024.05.015.
XU Yingchun,GUO Yi,DING Jing,et al.Treatment of Paroxysmal Sympathetic Hyperactivity by the Method of “Returning Fire to Its Origin”[J].Journal of Traditional Chinese Medicine,2024,65(05):537-540. DOI: 10.13288/j.11-2166/r.2024.05.015.
总结运用引火归原法治疗阵发性交感神经过度兴奋综合征(PSH)的临证体会。根据PSH发病原因及临床特点,认为肾元亏虚、阴阳俱损是PSH的发病基础,惊则气乱是PSH的诱发机制,虚阳浮越、火不归原是PSH的病机关键。治疗应以滋阴敛阳、引火归原为主,内服方用引火汤加味,外治首推温灸,穴位宜选关元、命门和双侧涌泉穴;预防方面应注重顾护胃气,扶正培元。
This paper summarized the clinical experience of using the method of “returning fire to its origin” for treatment of paroxysmal sympathetic hyperactivity (PSH). According to the causes and clinical characteristics of PSH, the author believes that the deficiency of kidney
qi
, and the loss of
yin
and
yang
are the basis of the pathogenesis of PSH. Fright causes
qi
to be chaotic as the triggering mechanism of PSH. The key mechanism of PSH is that the deficiency
yang
with upper manifestation, and the fire does not return to its origin. The treatment should be nourishing
yin
and astringing
yang
, by taking modified
Yinhuo Decoction
(引火汤) internally, and receiving warm moxibustion as the first choice externally with selected acupoints Guanyuan (CV 4), Mingmen (GV 4), and bilateral Yongquan (KI 1); For prevention, attention should be paid to take care of stomach
qi
, support healthy
qi
, and cultivate original
qi
.
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