化湿九法指导下的穴位应用
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摘要
本文通过对湿邪的认识以及湿邪所导致的不同临床表现,总结出化湿九法。祛痰化湿主要治疗痰湿阻滞,健脾化湿治疗脾虚湿盛,行气化湿治疗气滞湿阻,温阳化湿治疗阳虚湿盛,散寒除湿治疗寒盛湿阻,化瘀除湿治疗痰瘀交阻,清热利湿治疗湿热,调神化湿用于湿盛导致情志不畅。同时,它阐述了不同方法指导下穴位的不同应用。另外,本文还总结了五种易被湿邪侵袭的体质及相应的穴位保健。它还强调了湿邪致病之广泛性和难治性,要求辨证施治,合理选穴。
The study of dampness and its different clinical manifestations brought about the nine methods of dampness-expelling, which are known as follow: removing phlegm and dampness is a method for treating retention of phlegm and dampness; strengthening the spleen and eliminating dampness is a treatment for excessive dampness due to deficiency of the spleen; promoting the circulation of qi and eliminating dampness is for treating stagnation of qi and dampness; warming Yang and eliminating dampness is a treatment for excessive dampness resulted from deficiency of Yang; dispersing cold and removing dampness is a method of treating excessive cold and retention of phlegm; removing blood stasis and eliminating dampness is a treatment for stagnation of blood stasis and phlegm; clearing away heat and promoting diuresis is for treating damp heat; regulating the mind and eliminating dampness is a treatment for emotional depression caused by excessive dampness. Meanwhile, the article illustrated the differences of acupointapplications under different methodologies. Besides, it also concluded five types of physical constitutions, which are susceptible to dampness,as well as their countermeasuresby using acupoints. The article also highlighted the epidemic and stubborn nature of dampness-related diseases and called for treatment determination based on syndrome differentiation and proper selection of acupoints.
The study of dampness and its different clinical manifestations brought about the nine methods of dampness-expelling, which are known as follow: removing phlegm and dampness is a method for treating retention of phlegm and dampness; strengthening the spleen and eliminating dampness is a treatment for excessive dampness due to deficiency of the spleen; promoting the circulation of qi and eliminating dampness is for treating stagnation of qi and dampness; warming Yang and eliminating dampness is a treatment for excessive dampness resulted from deficiency of Yang; dispersing cold and removing dampness is a method of treating excessive cold and retention of phlegm; removing blood stasis and eliminating dampness is a treatment for stagnation of blood stasis and phlegm; clearing away heat and promoting diuresis is for treating damp heat; regulating the mind and eliminating dampness is a treatment for emotional depression caused by excessive dampness. Meanwhile, the article illustrated the differences of acupointapplications under different methodologies. Besides, it also concluded five types of physical constitutions, which are susceptible to dampness,as well as their countermeasuresby using acupoints. The article also highlighted the epidemic and stubborn nature of dampness-related diseases and called for treatment determination based on syndrome differentiation and proper selection of acupoints.
引文
[1]车振文,李有田.浅谈健脾化湿法[J].吉林中医药,2003,23(11):3.
[2]刘明辉,刘明磊,叶玉枝.中医病因之“湿”释义解析[J].世界最新医学信息文摘,2018,18(26):155-156.
[3]何贵祥,尹学永,李剑飞,等.祛痰化瘀汤联合火针治疗女性青春期后痤疮39例[J].天津中医药,2018,35(5):355-357.
[4]窦莉莉,安培坤,王煜.王自立教授一源三歧论治湿邪病症经验简介[J].新中医,2012,44(2):148-149.
[5]马延娜.运脾化湿汤治疗小儿消化不良性腹泻临床研究[J].亚太传统医药,2018,14(7):203-205.
[6]李德朝.健脾化湿止泻汤治疗脾虚湿热型慢性功能性腹泻的效果观察[J].中医临床研究,2018,10(12):5.
[7]徐流亮,徐笑爽.健脾化湿方治疗脾胃湿热型口腔扁平苔藓临床研究[J].世界中医药,2018,13(1):72-75.
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[9]郑振涛,汪涛,王保和.健脾化湿,疏利少阳,畅达三焦法治疗代谢综合征[J].中医药临床杂志,2017,29(7):1017-1019.
[10]刘芳芳,王平.湿邪外袭与湿自内生内外合邪的探讨[J].湖北中医药大学学报,2016,18(1):43-45.
[11]王建东,黄小波.化湿升清法治疗眩晕临床体会[J].中国中医急症,2017,26(8):1496-1497.
[12]王键,李姿慧,胡建鹏,等.调畅气机与健脾化湿关系辨析[J].安徽中医学院学报,2011,30(2):1-2.
[13]于斌,邓力,张丽,等.湿邪致病现代机理研究进展[J].广州中医药大学学报,2015,32(1):174-177.
[14]林元新,严道南.从湿邪学说论治变应性鼻炎理论探讨和临床体会[J].辽宁中医药大学学报,2017,19(8):191-193.
[15]梁晓东,刘轶凡,唐迎雪.治痹用药配伍特色探析[J].中华中医药杂志,2018,33(4):1267-1269.
[16]严家欣,龙仕杰.类风湿关节炎中医病因病机研究进展[J].湖北中医杂志,2017,39(6):64-66.
[17]许雪梅.温脐化湿汤治疗痛经寒湿凝滞型45例疗效观察[J].内蒙古中医药,2017,36(7):11.
[18]汪海东,吴晴,王秀薇,等.中医湿病的现代认识[J].中医杂志,2015,56(13):1089-1092.
[19]郭海燕.芳香化湿法对湿热下注型混合痔术后患者痔组织细胞因子VEGF、CD68、MMP9及免疫球蛋白的影响[J].社区医学杂志,2017,15(5):59-62.
[20]任存霞.试论《伤寒论》和温病学对湿邪的论治[J].光明中医,2004,19(4):10-11.
[21]王辉武.湿邪致病何其多[J].实用中医药杂志,2011,27(7):480-481.
[22]张俊智,杨风利.湿邪致病与临床证治[J].四川中医,2005,23(12):39-40.
[23]李智煜,田立新.论非温阳无以祛湿也[J].中国中医急症,2018,27(9):1589-1593.
[24]刘芳芳,王平,李俊莲,等.中医病因之“湿”的概念分类与辨析[J].中华中医药杂志,2016,31(9):3439-3442.
[25]郭华云.中医湿阻病的证治体会[J].中国现代药物应用,2013,7(6):10.
[26]于嘉隆.祛湿法的理论研究[D].济南:山东中医药大学,2016:1-41.
[2]刘明辉,刘明磊,叶玉枝.中医病因之“湿”释义解析[J].世界最新医学信息文摘,2018,18(26):155-156.
[3]何贵祥,尹学永,李剑飞,等.祛痰化瘀汤联合火针治疗女性青春期后痤疮39例[J].天津中医药,2018,35(5):355-357.
[4]窦莉莉,安培坤,王煜.王自立教授一源三歧论治湿邪病症经验简介[J].新中医,2012,44(2):148-149.
[5]马延娜.运脾化湿汤治疗小儿消化不良性腹泻临床研究[J].亚太传统医药,2018,14(7):203-205.
[6]李德朝.健脾化湿止泻汤治疗脾虚湿热型慢性功能性腹泻的效果观察[J].中医临床研究,2018,10(12):5.
[7]徐流亮,徐笑爽.健脾化湿方治疗脾胃湿热型口腔扁平苔藓临床研究[J].世界中医药,2018,13(1):72-75.
[8]金山.仲景论治历节病的文献研究[D].北京:北京中医药大学,2012:1-48.
[9]郑振涛,汪涛,王保和.健脾化湿,疏利少阳,畅达三焦法治疗代谢综合征[J].中医药临床杂志,2017,29(7):1017-1019.
[10]刘芳芳,王平.湿邪外袭与湿自内生内外合邪的探讨[J].湖北中医药大学学报,2016,18(1):43-45.
[11]王建东,黄小波.化湿升清法治疗眩晕临床体会[J].中国中医急症,2017,26(8):1496-1497.
[12]王键,李姿慧,胡建鹏,等.调畅气机与健脾化湿关系辨析[J].安徽中医学院学报,2011,30(2):1-2.
[13]于斌,邓力,张丽,等.湿邪致病现代机理研究进展[J].广州中医药大学学报,2015,32(1):174-177.
[14]林元新,严道南.从湿邪学说论治变应性鼻炎理论探讨和临床体会[J].辽宁中医药大学学报,2017,19(8):191-193.
[15]梁晓东,刘轶凡,唐迎雪.治痹用药配伍特色探析[J].中华中医药杂志,2018,33(4):1267-1269.
[16]严家欣,龙仕杰.类风湿关节炎中医病因病机研究进展[J].湖北中医杂志,2017,39(6):64-66.
[17]许雪梅.温脐化湿汤治疗痛经寒湿凝滞型45例疗效观察[J].内蒙古中医药,2017,36(7):11.
[18]汪海东,吴晴,王秀薇,等.中医湿病的现代认识[J].中医杂志,2015,56(13):1089-1092.
[19]郭海燕.芳香化湿法对湿热下注型混合痔术后患者痔组织细胞因子VEGF、CD68、MMP9及免疫球蛋白的影响[J].社区医学杂志,2017,15(5):59-62.
[20]任存霞.试论《伤寒论》和温病学对湿邪的论治[J].光明中医,2004,19(4):10-11.
[21]王辉武.湿邪致病何其多[J].实用中医药杂志,2011,27(7):480-481.
[22]张俊智,杨风利.湿邪致病与临床证治[J].四川中医,2005,23(12):39-40.
[23]李智煜,田立新.论非温阳无以祛湿也[J].中国中医急症,2018,27(9):1589-1593.
[24]刘芳芳,王平,李俊莲,等.中医病因之“湿”的概念分类与辨析[J].中华中医药杂志,2016,31(9):3439-3442.
[25]郭华云.中医湿阻病的证治体会[J].中国现代药物应用,2013,7(6):10.
[26]于嘉隆.祛湿法的理论研究[D].济南:山东中医药大学,2016:1-41.