赖氏通元针法治疗不寐临证探微
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R256.23

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全国名老中医传承工作室建设项目(201420);广东省科技厅社会发展与能力建设项目(2014A020221081)


Brief Discussion on LAI's Tongyuan Needling Technique in Treating Insomnia
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    摘要:

    不寐是临床常见疾病,严重影响患者日常生活及健康。赖氏通元针法认为不寐的病机为阳不入 阴,阴阳失衡,治疗以神元为本,以任督二脉为总纲,重视脑-心-肾并调,善于调引阳气以平衡阴阳;重视 培元固本,使诸气归原、互相平衡。临床上以百会、印堂、大椎通督脉,安元神,引阳下达;膻中理宗气,宁 心神,引阳入阴;中脘、天枢、风池和营卫,健脾胃,畅运枢机;气海、关元、命门培元气,固精气,养阴纳 阳;随证配穴泻实火,清痰瘀,使邪去正安。笔者系统总结了通元针法治疗不寐的思路及应用方法,为临床治 疗不寐提供新思路。

    Abstract:

    Abstract:Insomnia is a common disease in clinical practice,which seriously affects patients' daily life and health. According to LAI's Tongyuan Needling Technique, the pathogenesis of insomnia is that yang does not enter yin resulting in yin-yang imbalance. Its treatment is based on original spirit,and its general principle is based on conception and governor vessels. Besides,LAI pays attention to the coordination of brain, heart and kidney, and is good at regulating and guiding yang qi to balance yin and yang, and he emphasizes the cultivation of the original qi and consolidation of the basis to make each qi return to the original and balance each other. In clinical practice, Baihui point (DU 20), Yintang point (EX- HN3) and Dazhui point (DU 14) are needled to unblock governor vessel, calm the original spirit and instruct yang downwards;Danzhong point (RN 17) is needled to regulate pectoral qi, rest the heart spirit and instruct yang to yin;Zhongwan point (RN 12),Tianshu point (ST 25) and Fengchi (GB 20) are needled to harmonize the nutrient qi and defensive qi, fortify the spleen and stomach, and free and transport qi movement; Qihai point (BL 24),Guanyuan point (RN 4) and Mingmen point (DU 4) are needled to cultivate the original qi,consolidate essential qi,and nourish yin and grasp qi. Point combinations vary from syndromes to drain excess fire, clear phlegm and stasis, and dispel pathogen and clam the healthy qi. The authors systematically summarize the thoughts and application of Tongyuan Needling Technique to treat insomnia, which can provide a new idea for clinical treatment of insomnia.

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黄志凯,王继红,董世双,许嘉英,张强,任雪晗.赖氏通元针法治疗不寐临证探微[J].新中医,2023,55(17):180-184

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  • 在线发布日期: 2023-09-07
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