基于杨骏通督调神思想治疗顽固性呃逆经验OA
Experience in Treating Intractable Hiccups Based on Yang Jun's Concepts of Dredging the Governing Vessel and Regulating the Spirit
顽固性呃逆是一种难以自止的气机逆乱病症,对患者的日常生活带来极大的影响.杨骏教授主张"治病先调神,调神必通督"的论治思想,黄日龙主任基于此提出呃逆是在元神之府——脑的调控下,影响三焦气机升降出入的结果,督脉上额交巅,上入络脑,主张督脉通脑,主神调神,治疗顽固性呃逆时应当通督,运用调神理气针法——"百会、水沟、膻中、内关",再结合多年临床经验随证加用配穴;久呃必伤阳耗气,中焦运化无力则痰湿内生,黄主任针对痰湿这一关键病理因素运用健脾祛痰方辅助治疗,为该病的治疗提供新的治疗指导,值得推广学习.
Intractable hiccups represent a condition characterized by persistent,involuntary disruption of the body's Qi dynamics,significantly impacting the patient's daily life.Professor YANG Jun advocates the principle that"treat-ing the disease requires first regulating the spirit,and regulating the spirit necessitates unblocking the Du Meridian".Based on this,Director HUANG Rilong posits that hiccups arise from disturbances in the ascending,descending,enter-ing,and exiting movements of Qi within the Sanjiao(Triple Burner),a process governed by the brain,the"Yuanshen".Given that the Du Meridian ascends to the forehead,reaches the vertex,and connects to the brain,it plays a pivotal role in linking the meridian system to the brain and in governing and regulating the spirit;therefore,unblocking the Du Me-ridian is essential in treating intractable hiccups.Director Huang employs an acupuncture protocol designed to regulate the spirit and harmonize Qi,specifically targeting the acupoints Baihui(GV20),Shuigou(GV26),Danzhong(CV17),and Neiguan(PC6),while adding supplementary points based on specific clinical presentations.Prolonged hiccups inevita-bly damage Yang energy and deplete Qi;when the transportive and transformative functions of the Jiao(Middle Burner)are impaired,phlegm-dampness accumulates internally.Addressing this critical pathological factor,Director Huang utilizes a formula to strengthen the spleen and resolve phlegm as an adjunct therapy.This approach offers new clinical guidance for treating the condition and merits wider adoption.
钟庆玲;谭俊儒;周宁宁;徐畅;黄日龙
安徽中医药大学第一临床医学院 安徽 合肥 230022安徽中医药大学第一临床医学院 安徽 合肥 230022安徽中医药大学第一临床医学院 安徽 合肥 230022安徽中医药大学第一临床医学院 安徽 合肥 230022安徽中医药大学第一临床医学院 安徽 合肥 230022||安徽中医药大学第一附属医院 安徽 合肥 230031
医药卫生
杨骏顽固性呃逆通督调神调神理气健脾祛痰
YANG JunIntractable hiccupsunblocking Governor Vessel and regulatingspiritregulating spirit and moving qiinvigorating the spleen and resolving phlegm
《中医药临床杂志》 2026 (8)
1568-1571,4
国家中医优势专科项目(国中医药医政函[2024]90 号)安徽省省级临床重点专科建设项目(皖卫函[2023]320 号)
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