基于"营卫生会"理论的高脂血症病机及针刺调治思路探析OA

Hyperlipidemia falls under the category of lipid disorders and is characterized by elevated levels of serum total cholesterol(TC),triglycerides(TG),and low-density lipoprotein cholesterol(LDL-C),along with decreased levels of high-density lipoprotein cholesterol(HDL-C).It is an independent risk factor for cardiovascular and cerebrovascular diseases.Based on the"Yingwei Shenghui"theory in the Inner Canon of the Yellow Emperor(Huangdi Neijing),this paper systematically explores the pathogenesis and treatment principles of hyperlipidemia,and proposes that its core pathogenesis lies in the disharmony of ying-wei(nutritive qi and defensive qi),specifically manifested as insufficient generation of ying-wei,disordered circulation,and impaired convergence.Disharmony of ying-wei leads to impaired qi transformation of the Sanjiao,causing gaozhi(lipids)to fail to be properly transformed and to congeal into pathological products such as phlegm and stasis,triggering lipid metabolism disorders and ultimately resulting in hyperlipidemia.Accordingly,it is proposed that acupuncture treatment should focus on"regulating ying-wei":regulating the generation of ying-wei by strengthening the Zhongjiao to replenish the source of its production;regulating the circulation of ying-wei by dredging the Sanjiao to smoothe its distribution;and promoting the convergence of ying-wei by guiding yang into yin to restore qi transformation.Modern research has also confirmed that acupuncture has multi-target advantages in regulating blood lipids,improving metabolism,and enhancing vascular function.This article aims to provide a theoretical basis for treating hyperlipidemia from the perspective of ying-wei and to offer new ideas for acupuncture intervention in metabolic diseases.