1.上海市针灸经络研究所,上海市宛平南路650号,200030
2.上海中医药大学附属岳阳中西医结合医院
3.上海中医药大学
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收稿:2024-11-29,
修回:2025-01-26,
纸质出版:2025-05-17
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包春辉,黄锦,朱欣怡等.基于“少阳为枢”探讨针灸治疗克罗恩病的思路[J].中医杂志,2025,66(10):1017-1022.
BAO Chunhui,HUANG Jin,ZHU Xinyi,et al.Acupuncture Treatment Strategies for Crohn's Disease Based on the Principle of "Shaoyang as the Pivot"[J].Journal of Traditional Chinese Medicine,2025,66(10):1017-1022.
包春辉,黄锦,朱欣怡等.基于“少阳为枢”探讨针灸治疗克罗恩病的思路[J].中医杂志,2025,66(10):1017-1022. DOI: 10.13288/j.11-2166/r.2025.10.008.
BAO Chunhui,HUANG Jin,ZHU Xinyi,et al.Acupuncture Treatment Strategies for Crohn's Disease Based on the Principle of "Shaoyang as the Pivot"[J].Journal of Traditional Chinese Medicine,2025,66(10):1017-1022. DOI: 10.13288/j.11-2166/r.2025.10.008.
少阳经是脏腑与经脉间的重要枢纽,具有调节气血、平衡阴阳、协调气机升降的功能;少阳枢机失调可引发脾肾虚弱、肝胆疏泄不畅及气血瘀滞等。认为克罗恩病的发生及发展与少阳枢机失调密切相关,其核心病机为少阳枢机不利、脾虚湿滞夹瘀,提出以调和少阳枢机为核心治疗原则,结合温养脾胃、温煦少阳、疏肝利胆等治法,采用针灸疗法,通过联合少阳经腧穴,调节少阳枢机功能,改善脾胃运化、肝胆疏泄及气血运行,为针灸治疗克罗恩病提供实践路径。
The
shaoyang
meridian is an important pivot between the internal organs and meridians system, with the functions of regulating
qi
and blood, balancing
yin
and
yang
, and coordinating the ascending and descending movement of
qi
. Dysfunction of the
shaoyang
pivot can lead to spleen and kidney deficiency, impaired liver and gallbladder
qi
regulation, and stagnation of
qi
and blood. It is believed that the onset and progression of Crohn's disease are closely related to
shaoyang
pivot dysfunction, with the core pathogenesis characterized by
shaoyang
disharmony, spleen deficiency, dampness retention, and blood stasis. Based on this understanding, the treatment principle centers on harmonizing the
shaoyang
pivot, supplemented by methods such as warming and nourishing the spleen and stomach, tonifying
shaoyang
, and soothing the liver and benefiting the gallbladder. Acupuncture is employed to target key acupoints along the
shaoyang
meridian to restore its regulatory functions, improve spleen and stomach transformation and transportation, facilitate liver and gallbladder
qi
flow, and promote the circulation of
qi
and blood. This provides a practical therapeutic approach for acupuncture-based treatment of Crohn's disease.
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