张庆萍教授针灸治疗血管性痴呆的临床经验
|
摘要
笔者从穴方思路、针法特点、典型病案3个方面介绍张庆萍教授临床针灸治疗血管性痴呆的特色及经验。张师在血管性痴呆的治疗上针对病因施治,以脑为本、以补为先、以通为用,强调补肾充髓、补脾养脑、通络聪脑,并结合整体施治,强调调神之法。临证重用百会以通脑络,善用原穴及八会穴以补脏腑、充血脉,注重灸法以化瘀通络、调气血,尤其是本团队特色艾灸方法之化瘀通络灸法,在临床治疗中取得了较好的疗效。
In the aspects of the acupoint prescription, acupuncture techniques and typical cases, the characteristics and experience of professor ZHANG Qing-ping in the clinical treatment of vascular dementia with acupuncture and moxibustion were introduced. Vascular dementia is treated on the base of etiology, focusing on the brain as the root cause, with the reinforcing and the promoting as the dominant principle of acupuncture. The treatment is emphasized on tonifying the kidney to fill up marrow, strengthening the spleen to nourish the brain and promoting the collateral circulation to improve the intelligence. Concerning to the general situation of the disease, regulating mind stressed in treatment. In clinical practice, Baihui(GV 20) is the chief acupoint to benefit the brain. Yuan-source points and the eight influential points are predominated to tonify the functions of zangfu organs and fill up vessels. Moxibustion is adopted to resolve the stagnation and promote circulation in meridian as well as regulate qi and blood circulation. Specially, the moxibustion technique for resolving the stagnation and promoting circulation in meridian achieves the satisfactory therapeutic effects in clinical treatment.
In the aspects of the acupoint prescription, acupuncture techniques and typical cases, the characteristics and experience of professor ZHANG Qing-ping in the clinical treatment of vascular dementia with acupuncture and moxibustion were introduced. Vascular dementia is treated on the base of etiology, focusing on the brain as the root cause, with the reinforcing and the promoting as the dominant principle of acupuncture. The treatment is emphasized on tonifying the kidney to fill up marrow, strengthening the spleen to nourish the brain and promoting the collateral circulation to improve the intelligence. Concerning to the general situation of the disease, regulating mind stressed in treatment. In clinical practice, Baihui(GV 20) is the chief acupoint to benefit the brain. Yuan-source points and the eight influential points are predominated to tonify the functions of zangfu organs and fill up vessels. Moxibustion is adopted to resolve the stagnation and promote circulation in meridian as well as regulate qi and blood circulation. Specially, the moxibustion technique for resolving the stagnation and promoting circulation in meridian achieves the satisfactory therapeutic effects in clinical treatment.
引文
[1]高风超,陈翔,田新英.血管性痴呆危险因素及发病机制的研究进展[J].医学综述,2014,20(6):1068-1071.
[2]Yang P,Zhu MX.TRPV3[M]//Nilius B,Flockerzi V.Mammalian Transient Receptor Potential(TRP)Cation Channels.Handbook of Experimental Pharmacology.Berlin,Heidelberg:Springer,2014:273-291.
[3]Hu ZM,Cao JP,He L,et al.Effects of different moxibustion times on TRPV3 ion channel protein and synovial cell apoptosis in rats with rheumatoid arthritis[J].J Acup Tuina Sci,2016,14(2):67-72.
[4]杨耀辉,徐迅迪.TRPV3通道蛋白的研究现状及进展[J].中南药学,2011,9(11):854-857.
[5]靳兰洁,李莎莎,周璇,等.电针脑缺血大鼠水沟穴调节微小RNA-328促进血管新生的机制研究[J].中华老年心脑血管病杂志,2017,19(3):308-311.
[6]徐彦龙,杜元灏,武连仲,等.从理论角度看醒脑开窍法取穴及针刺依据[J].中国中医基础医学杂志,2011,17(5):544-545.
[7]梅艳,王厹东,蔡敏.多普勒监测针刺前后椎基底动脉血流速度的变化[J].浙江中西医结合杂志,1999,9(6):54.
[8]符健.针刺风池穴为主治疗椎动脉型颈椎病临床研究[J].北京中医药大学学报(中医临床版),2003,10(4):38-40.
[9]高维滨.神经病针灸新疗法[M].北京:人民卫生出版社,2002:147-151.
[10]王强,朱广旗,胡蓉.针刺风池、“供血”穴治疗椎-基底动脉供血不足临床疗效及机制探讨[J].中国针灸,2009,29(11):861-864.
[11]张建斌,王玲玲,吴焕淦,等.艾灸温通温补概念的内涵分析[J].中国针灸,2012,32(11):1000-1003.
[12]王频,杨骏,杨帆,等.化瘀通络灸法治疗血管性痴呆临床观察[J].中国中医急症,2009,18(2):172-174.
[13]王频,汤敬一,杨骏,等.艾灸对血管性痴呆大鼠海马内VEGF、flt-1、bFGF及bFGF-r表达的影响[J].中国中西医结合杂志,2012,32(1):97-101.
[14]王频,杨骏,杨帆,等.艾灸头部组穴治疗血管性痴呆的临床研究[J].中华中医药杂志,2009,24(10):1348-1350.
[15]王明洁,张庆萍,吴生兵,等.化瘀通络灸法对皮质下血管性痴呆额叶超微结构的影响[J].针灸临床杂志,2015,31(11):59-61.
[2]Yang P,Zhu MX.TRPV3[M]//Nilius B,Flockerzi V.Mammalian Transient Receptor Potential(TRP)Cation Channels.Handbook of Experimental Pharmacology.Berlin,Heidelberg:Springer,2014:273-291.
[3]Hu ZM,Cao JP,He L,et al.Effects of different moxibustion times on TRPV3 ion channel protein and synovial cell apoptosis in rats with rheumatoid arthritis[J].J Acup Tuina Sci,2016,14(2):67-72.
[4]杨耀辉,徐迅迪.TRPV3通道蛋白的研究现状及进展[J].中南药学,2011,9(11):854-857.
[5]靳兰洁,李莎莎,周璇,等.电针脑缺血大鼠水沟穴调节微小RNA-328促进血管新生的机制研究[J].中华老年心脑血管病杂志,2017,19(3):308-311.
[6]徐彦龙,杜元灏,武连仲,等.从理论角度看醒脑开窍法取穴及针刺依据[J].中国中医基础医学杂志,2011,17(5):544-545.
[7]梅艳,王厹东,蔡敏.多普勒监测针刺前后椎基底动脉血流速度的变化[J].浙江中西医结合杂志,1999,9(6):54.
[8]符健.针刺风池穴为主治疗椎动脉型颈椎病临床研究[J].北京中医药大学学报(中医临床版),2003,10(4):38-40.
[9]高维滨.神经病针灸新疗法[M].北京:人民卫生出版社,2002:147-151.
[10]王强,朱广旗,胡蓉.针刺风池、“供血”穴治疗椎-基底动脉供血不足临床疗效及机制探讨[J].中国针灸,2009,29(11):861-864.
[11]张建斌,王玲玲,吴焕淦,等.艾灸温通温补概念的内涵分析[J].中国针灸,2012,32(11):1000-1003.
[12]王频,杨骏,杨帆,等.化瘀通络灸法治疗血管性痴呆临床观察[J].中国中医急症,2009,18(2):172-174.
[13]王频,汤敬一,杨骏,等.艾灸对血管性痴呆大鼠海马内VEGF、flt-1、bFGF及bFGF-r表达的影响[J].中国中西医结合杂志,2012,32(1):97-101.
[14]王频,杨骏,杨帆,等.艾灸头部组穴治疗血管性痴呆的临床研究[J].中华中医药杂志,2009,24(10):1348-1350.
[15]王明洁,张庆萍,吴生兵,等.化瘀通络灸法对皮质下血管性痴呆额叶超微结构的影响[J].针灸临床杂志,2015,31(11):59-61.