督脉灸治疗脾肾阳虚型慢性功能性便秘临床应用举隅
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摘要
目的探讨督脉灸对脾肾阳虚型慢性功能性便秘的作用。方法报告1例脾肾阳虚型慢性功能性便秘病例,结合脾肾阳虚型便秘的病因病机,督脉灸的理论基础、作用机制、操作方法,探讨督脉灸的治疗作用。结果经治疗后患者粪便性状量表(Bristol)、中医症状较前明显改善。结论督脉灸辅助治疗脾肾阳虚型慢性功能性便秘效果良好。
Objective To explore the effect of governor vessel moxibustion on treating patients with chronic functional constipation differentiated as type of yang deficiency of spleen and kidney. Methods One patient with chronic functional constipation differentiated as type of yang deficiency of spleen and kidney was reported and analyzed with etiology and pathogenesis of constipation differentiated as type of yang deficiency of spleen and kidney. Governor vessel moxibustion's heoretical basis,mechanism,operation methods was explored. Results After treatment,the Bristol stool form scale and TCM symptom significantly improved. Conclusion Governor vessel moxibustion is effective in treatment of patients with chronic functional constipation differentiated as type of yang deficiency of spleen and kidney.
Objective To explore the effect of governor vessel moxibustion on treating patients with chronic functional constipation differentiated as type of yang deficiency of spleen and kidney. Methods One patient with chronic functional constipation differentiated as type of yang deficiency of spleen and kidney was reported and analyzed with etiology and pathogenesis of constipation differentiated as type of yang deficiency of spleen and kidney. Governor vessel moxibustion's heoretical basis,mechanism,operation methods was explored. Results After treatment,the Bristol stool form scale and TCM symptom significantly improved. Conclusion Governor vessel moxibustion is effective in treatment of patients with chronic functional constipation differentiated as type of yang deficiency of spleen and kidney.
引文
[1]中华医学会消化病学分会胃肠动力学组,中华医学会外科学分会结直肠肛门外科学组.中国慢性便秘诊治指南(2013,武汉)[J].胃肠病学,2013,18(10):605-612.
[2]张声生,沈洪,张露,等.便秘中医诊疗专家共识意见(2017)[J].中医杂志,2017,58(15):1345-1350.
[3]柳淑芳.中医穴位按摩预防脑卒中后便秘的研究[D].湖北中医药大学,2014.
[4]于普林,李增金,郑宏,等.老年人便秘流行病学特点的初步分析[J].中华老年医学杂志,2001,20(2):132-134.
[5]杨玲玲,倪诚,李英帅,等.灸法改善阳虚质临床体会[J].河南中医,2017,37(4):727-729.
[6]王进东,张春华,胡世平.通督温阳灸法治疗阳虚质亚健康状态临床研究[J].新中医,2015,47(2):187-189.
[7]王刚.浅谈以补治秘[J].辽宁中医杂志,2010,37:141-142.
[8]周仲瑛.中医内科学[M].2版.北京:中国中医药出版社,2007:249.
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[10]黄莉蓉,林友兵,邹庆轩,等.长蛇灸疗法临床研究进展[J].亚太传统医药,2017,13(10):38-40.
[11]黄冬娥.铺灸疗法及其临床运用[J].河南中医,2006,26(1):70-71.
[12]胡丽萍,余曙光,郭烨,等.铺灸探新[J].辽宁中医杂志,2015,42(7):1307-1309.
[13]张丽,杨英豪,刘姝,等.督脉灸疗法的理论基础及临床应用[J].中医临床研究,2017,9(18):113-115.
[14]朱现民,丁润泽.督脉铺灸的施术关键与运用特色[J].上海针灸杂志,2014,33(10):948-950.
[15]王丽,袁卫华,蔡圣朝.铺灸疗法的临床应用[J].针灸临床杂志,2012,28(3):35-37.
[16]康浩然,刘洋,李昕蓉,等.督灸治疗肺气虚寒型变应性鼻炎的中医理论探讨[J].辽宁中医杂志,2016,43(8):1735-1737.
[17]程辉,李艳茹.中医温阳健脾法对泻药性便秘的治疗作用及其机制探究[J].中国中医基础医学杂志,2016,22(2):186-187.
[18]罗戈,冯德魁.温阳健脾汤治疗脾肾阳虚型泻药性便秘[J].中国实验方剂学杂志,2015,21(15):184-186.
[19]刘仍海,江春蕾,马建华.塞因塞用法治疗泻药性便秘42例临床总结[J].辽宁中医杂志,2009,36(4):565-566.
[20]岳运霞.塞因塞用法治疗老年功能性便秘临床观察[J].实用中医内科杂志,2010,24(1):57-58.
[2]张声生,沈洪,张露,等.便秘中医诊疗专家共识意见(2017)[J].中医杂志,2017,58(15):1345-1350.
[3]柳淑芳.中医穴位按摩预防脑卒中后便秘的研究[D].湖北中医药大学,2014.
[4]于普林,李增金,郑宏,等.老年人便秘流行病学特点的初步分析[J].中华老年医学杂志,2001,20(2):132-134.
[5]杨玲玲,倪诚,李英帅,等.灸法改善阳虚质临床体会[J].河南中医,2017,37(4):727-729.
[6]王进东,张春华,胡世平.通督温阳灸法治疗阳虚质亚健康状态临床研究[J].新中医,2015,47(2):187-189.
[7]王刚.浅谈以补治秘[J].辽宁中医杂志,2010,37:141-142.
[8]周仲瑛.中医内科学[M].2版.北京:中国中医药出版社,2007:249.
[9]常文艳,陈淑艳,陈磊.火龙疗法治疗脾肾阳虚泄泻临床疗效分析及护理[J].辽宁中医药大学学报,2013,15(8):260-261.
[10]黄莉蓉,林友兵,邹庆轩,等.长蛇灸疗法临床研究进展[J].亚太传统医药,2017,13(10):38-40.
[11]黄冬娥.铺灸疗法及其临床运用[J].河南中医,2006,26(1):70-71.
[12]胡丽萍,余曙光,郭烨,等.铺灸探新[J].辽宁中医杂志,2015,42(7):1307-1309.
[13]张丽,杨英豪,刘姝,等.督脉灸疗法的理论基础及临床应用[J].中医临床研究,2017,9(18):113-115.
[14]朱现民,丁润泽.督脉铺灸的施术关键与运用特色[J].上海针灸杂志,2014,33(10):948-950.
[15]王丽,袁卫华,蔡圣朝.铺灸疗法的临床应用[J].针灸临床杂志,2012,28(3):35-37.
[16]康浩然,刘洋,李昕蓉,等.督灸治疗肺气虚寒型变应性鼻炎的中医理论探讨[J].辽宁中医杂志,2016,43(8):1735-1737.
[17]程辉,李艳茹.中医温阳健脾法对泻药性便秘的治疗作用及其机制探究[J].中国中医基础医学杂志,2016,22(2):186-187.
[18]罗戈,冯德魁.温阳健脾汤治疗脾肾阳虚型泻药性便秘[J].中国实验方剂学杂志,2015,21(15):184-186.
[19]刘仍海,江春蕾,马建华.塞因塞用法治疗泻药性便秘42例临床总结[J].辽宁中医杂志,2009,36(4):565-566.
[20]岳运霞.塞因塞用法治疗老年功能性便秘临床观察[J].实用中医内科杂志,2010,24(1):57-58.