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Ten solution YanKeJing: acupuncture treatment of emergency

2018年01月25日

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Ten solution YanKeJing: acupuncture treatment of emergency
- with experience in acupuncture treatment of ischemic stroke
Time: 2017-11-15
Source: China's traditional Chinese medicine
Author: Du Xu Rui-hui wang


YanKeJing, shaanxi university of traditional Chinese medicine, professor, chief physician, supervisor of postgraduate. The second and the fifth batch of old Chinese medicine expert academic experience inheritance guidance teacher, inherited the Chinese traditional Chinese medicine academy of sciences doctoral tutor, shaanxi first name old doctor of traditional Chinese medicine. Engaged in acupuncture clinical, teaching and scientific research work more than 50 years, will now YanKeJing acupuncture in the treatment of acute academic thoughts and clinical experience card on behalf of a sexually transmitted disease, ischemic stroke summary in bonds, share with colleagues.
Emergency acupuncture beat machine
Emergency is fierce, Benedict advanced disease and easy to inverter, if not promptly rushed treatment, often life-threatening. Acupuncture treatment for acute with special effects, often have \"urgent needle, delay the drug\". As early as in neijing, carrying acupuncture can cure more than 30 emergency. Ge hong \"elbow backup nasty party\" contained in emergency prescriptions article 109 the application of acupuncture moxibustion article 99 emergency. Sun simiao \"daughter\" s: \"if the needle instead of moxibustion, moxibustion and not the needle, are not good. Acupuncture without medicine, medicine instead of acupuncture and moxibustion, especially not good also, \"acupuncture as the preferred method, may be the old saying:\" a needle two moxibustion three drug \"the earliest sources. In Ming dynasty, \"the god should be the\" acupuncture treatment contained about two-thirds for emergency conditions. Yang Jizhou in \"the deep and remote fu Yang (notes)\" cloud: \"the method to rescue, the use needle. The function of disaster disease MoJie in acupuncture... Cloud: once again to a shot, moxibustion and medicine. Acupuncture for use known \". Modern research also suggests that induces the 16 kinds of disease spectrum of acupuncture in emergency accounted for 26%, in 461 kinds of diseases related to internal and external, son, wife, and facial features in all subjects.
Professor YanKeJing is precisely based on this and get inspired, emergency acupuncture for the early practice, research, summarize and improve, for more than 50 years, in the acupuncture treatment and research on the best efforts of the emergency, results. He thinks that study acupuncture weight critical disease is imperative in the development of traditional Chinese medicine, is a necessary way to realize modernization of traditional Chinese medicine, self-reliance is also the traditional Chinese medicine in the medical community an important symbol. He thinks that acupuncture and moxibustion treatment of acute has unique advantages: 1) adjusting the balance of Yin and Yang. Emergency treatment is the key to effectively balance the inverse of Yin and Yang. It with the basic role of acupuncture \"Yin and Yang\" is very fit. (2) acupuncture and moxibustion in a timely manner, simple, low cost. YanKeJing think emergency with urgent, fast development and changes on the treatment emphasis is an \"urgent\". This is what the advantages of acupuncture, it is not affected by space, time, equipment, drugs to the environmental conditions such as emergency anytime and anywhere, and low cost. (3) to adapt to the range, security. In general, correctly grasp the operating methods of acupuncture and moxibustion, and rarely produce side effects, safety guarantee. All in all, professor YanKeJing think of acupuncture and moxibustion have turned the corner and turn to a certain emergency work.
Hurry the therapeutic principle and method
After more than 50 years of clinical practice and thinking repeatedly, YanKeJing has formed its own emergency basic principles and methods of acupuncture and moxibustion treatment, mainly includes the following content.
Sweating to nourish, releasing lungs to set out
Ask based on the element theory of Yin and Yang should be like a big \":\" in the table, the sweat and hair \", open drain cou justified by acupuncture nourish, sweat releasing lungs eliminate pathogenic anti-asthma.
To adapt to the conditions: invaded by incoming table fever caused by the evil cold, head of body pain and cold on lung cough caused by inverse breathing and edema and certificate, etc.
Prescription analysis of righteousness: the big job, lu 5 heat discharge; Damper YuXuan nourish the lung, wind pool, lung, Column breeze xuan lung deficiency; Li4 sweating out evil spirits; Outside GuanTong adjusted the sanjiao (triple energizer); Tian tu, anti-asthma expectoranting anti-asthma; Fill guan yuan, gas SST kidney qi anti-asthma.
Operation: needle reducing method. Cold heavy, throttle, lung yu cupping therapy; Hot and heavy, little prick bloodletting.
Meridian qi to the pain
Pain visible in a variety of diseases, the sex have a cold, heat, deficiency and excess and points, blood points don't gas, pathogenesis and qi stagnation and blood stasis. Based on the general principles of the \"pain\" of traditional Chinese medicine, acupuncture and moxibustion with pain.
Adaptation condition, cold, warm, dry fire and insect product, hysteresis and modern food make meridians closed resistance, collaterals emptiness, blood clot acerbity and pain. Common headaches, stomach pain, pain, bi pain, menstrual cramps, etc.
Prescription analysis of righteousness: in many local acupuncture points, both dialectical choose acupuncture point. Outside the closed adjusted the sanjiao (triple energizer) is only strengthen; Head facial pain get closed GuTong tones held by; The gb 34 scanty adjustable less Yang side rib pain, Weiwantong qie hole Liang Qiu, st 36 pain; Dysmenorrhea take back, and most, three vaginal intercourse among blunt.
Operation method: needle reducing method. Xie yun needle during the attack. Blood stasis, stab winding bleeding; Cold dignified, warm needle and moxibustion.
Dispelling stasis to detoxify life new
Based on neijing, \"blood of the doer should to wan Cuo Chen, Chen is in addition to the nanyang, veins also\" and \"acupuncture of\" : \"hot\", acupuncture and moxibustion in dispelling stasis.
Adapt to conditions: hot poison evil block meridian, qi and blood indicates lag caused by the disease. Such as mumps, bi, erysipelas, sore carbuncle, macula, toxic dysentery, nosebleed, worm snake bites, etc.
Prescription analysis of righteousness: bilateral bloodletting clear heat with blood; Shang, Angle sun less bleeding to cure mumps, etc.; Valley, li 11 xie Yang Ming to heal ulcer; Kanazu, nectar bleeding to cure your breath sores; Blood draining blood of poison to cure macula, erysipelas. Day pivot, giant blur on wet line flow field to cure poison; Star spilled hot check on actions; Taken urgently, insect hole bloodletting cupping xie is the poison of snakes.
Operation method: needle or triangular needle bloodletting.
With 7 adjust qi and eliminating phlegm stagnation
Based on the \"heart of blood, spleen blood and liver storing blood\" and \"blood circulation, the disease may not be born\", the qi and blood stasis, the origin block, choking meridian due to emergency, acupuncture and moxibustion in the blood circulation, eliminating phlegm to t2dm in emergency.
To adapt to the conditions: caused by internal injury of qi and blood, trauma, such as a lump in the abdomen, accumulation, ulcer, etc.
Prescription analysis of righteousness: hsin shu, spleen, ke shu yu blood activating blood; Blood, bilateral, foot three Yin three mile, and chang Yin blood; Shan qi and bank of China; Yin ling spring, hong leong clearing damp phlegm.
Operation method: needle temperature reducing method or acupuncture or stabbing collaterals cupping.
Through the meridians to qi to stop the bleeding
Qi deficiency blood hot jump line, cannot be taken blood, blood stasis resistance, or washed is deficient and cause disease.
To adapt to the conditions, vomiting blood, nosebleed, coughing up blood, haemoptysis, bloody urine, stool, ren, purpura, and injuries, etc.
Valley of prescription analysis of righteousness: the discharge of yangming heat; Guan yuan, qi hai, foot three mile yiqi is taken the bleeding; Local bullishness of trauma is adjustable. Star remove heat check on epistaxis; Lu 5, \"yu ji\" clearing lung heat check haemoptysis; Strong, bl 57 qingchang hot check bloody long; Bladder shu, most, three vaginal intercourse among been check nixie; Return, guan yuan, qi hai, such as hidden white check ren.
Operation method: insertion method. Substantive diarrhea.
A feminine liver to extinguish wind antispasmodic
Based on the theory of element ask to be really big: \"the wind off the computer, all belong to the liver\", \"the critical rigidity, all belong to the wind,\" acupuncture with soft liver extinguish wind antispasmodic.
To adapt to the conditions: syncope caused by endogenous wind, convulsions, epilepsy, etc.
Prescription analysis of righteousness: four close (li4, lr 3) with soft liver extinguish wind antispasmodic; Best will, ditch, 12 well adjusted antispasmodic, Yin and Yang; Gb 34, outside of antispasmodic; Keep a feminine muscle too stream; Leading the purging liver fire.
Operation method: filiform needle catharsis, well point bloodletting.
School up to Yang save inverse back
Based on the new JingYue encyclopedia · diseases \":\" who use moxibustion, will be its yuan Yang wei qi is not adjustable, and anxiety and camp to collect available, but ai fire for good \", by a large wick moxibustion treat symptoms of Yin and Yang is determined from an emergency.
Disease indication: fine wheeze damage, yuan Yang fails, critical of the wind to take off the card, big sweat, diarrhea, blood loss, etc.
Prescription analysis of righteousness: separated moxibustion god salt deficiency kidney fill, yiqi Yang; Ditch, best can begin to understand, opening and closing YangJu trap; Jiu \"Ming an aphrodisiac yiqi back to faint; Guan yuan, qi hai, st 36 school thrift, tomifying qi and blood; Guan wide chest, gas.
Operation method: needle and complement, big wick moxibustion to limbs and breathing to make, for complex degree of arteries and veins.
Tong in capturing to colon cleansing lead lag
Ask based on the element theory of Yin and Yang should be like a big \":\" in full, xie within \"and\", ask to be really big theory \":\" \"of sheng, xie, acupuncture and moxibustion to purge remover polyester hot.
To adapt to the conditions: Yang Ming relieving solid, wet and heat resistance, intestines and stomach stagnant heat knot of constipation, blood stasis inner product, phlegm turbidity indicates the sluggish, worm disease such as the product.
Prescription analysis of righteousness: e. shu, relieving pivot, giant virtual drain on intestine bullishness, qing lishi lag; Li 11 and hot GuQing xie Yang Ming; The gas of te 6 XuanTong the sanjiao (triple energizer); Hong leong expectoranting qi; St 36 gas line, spleen benefit stomach intestine.
Operation method: needle reducing method.
Awake brain begin to understand to Su Jue opening and closing
Wind, fire, phlegm resistance meridians closed, blinded by qing qiao or essence of liver Yang, qi activity caused by inverse disorderly god faint, delirious speech, jue reverse disease, acupuncture and moxibustion can be emergency, Su Jue wake up begin to understand, calm and clear phlegm.
To adapt to the conditions: stroke, syncope, heat stroke, infantile convulsion, etc.
Prescription analysis of righteousness: ditch refreshing on opening and closing; Hundreds of extinguish wind ning god; Guan wide chest, gas; Ten unleashing hot begin to understand; Three vaginal intercourse, yongquan mediate water; Kanazu, nectar bloodletting/opening and closing.
Operation method: filiform needle catharsis, triangular needle thorn bloodletting.
Heat moisture penetration and water spray
Damp and hot accumulate depressive, block and hardness, bladder gasification division syndrome caused by loss, based on the \"\" gasification is wet, acupuncture and moxibustion in the lung, kidney, bladder, and the gas of the sanjiao (triple energizer) is to heat the water spray.
To adapt to the conditions: retention of urine, stranguria, etc.
Prescription analysis of righteousness: the bladder yu, in the gasification of the bladder; The sanjiao (triple energizer) YuXuanTong the gas of the sanjiao (triple energizer), the hot and humid; Three vaginal intercourse spleen Yin ling spring, lishi; Blood in the urine with blood; Stranguria with shen shu except; Less abdominal distension full lr 8, sun and gas; Stone stab wei Yang qing xie.
Operation method: filiform needle catharsis, intermittent operation.
Experience in acupuncture treatment of ischemic stroke
YanKeJing beginning in the 1990 s, he found a lot of ischemic stroke patients in clinical although after treatment to save life, but often left a serious sequelae, while acupuncture early intervention decreased morbidity greatly. YanKeJing treatment of the disease, syndrome differentiation into liver and kidney Yin deficiency, qi deficiency blood stasis, phlegm wet winding resistance, the deficiency of qi and blood type. In addition to the stroke main symptoms, many various disease concurrently: (1) liver and kidney Yin deficiency type with dizziness, dry mouth, flush on face, lumbar debility, moss thin white, pulse count. (2) the deficiency of blood stasis type with more fatigue, less gas lazy words, o god, dark purple tongue, pulse fine acerbity. (3) the phlegm wet resistance winding wrapped with head heavy type such as trapped, body weight, defecate viscous, the new full, sticky mouth insipidity, rou GUI slide pulse and tongue coating thickness. (4) two qi type more with less gas lazy words, limb numbness, complexion is not China, dry tongue veins, like thin weak.
Acupuncture treatment methods: main point selected Yin qie qie, door, Liang Qiu, springs of water. Needle by twisting method, Liang Qiu hole with reducing method, acupuncture point in filling method. Twice daily for 10 days of acupuncture, retaining needle for 30 minutes each time, row needle once every 3 ~ 5 minutes. Headache and sun, dizziness and stab the wind pool, poor sleep with the door god, upper limb pain and shoulder Yu, lower limb pain of time off, central tongue paralysis add positions through buccal car, CV 23, language and adverse CV 23 (CV 23 den 1 inch), in the hole, hemiplegia and paralysis in different work points (li 11 and hand between three mile). Why many choose qie hole? YanKeJing viscera of human believe that education is deep parts, are effective in the treatment of acute card points, ancient and modern physicians have accumulated very rich experience in clinical applications, such as \"qie have pore, the clustering of qi and blood, disease reflex point, disorder in the emergency\". Therefore, choose kidney meridian qie hole springs of water in kidney Yin to cure; Take heart sutra qie den qie and pericardium meridian qie qie cave door to rush to fill a better mousetrap, exciting heart Yang in the blood.
YanKeJing think for acute ischemic stroke, the key is whether the correct diagnosis and treatment in time. Modern advanced inspection such as CT, MRI diagnosis means escalating, stroke, accurate positioning, qualitative and quantitative diagnosis has been great progress. Common of ischemic stroke, ischemic 5 ~ 60 minutes, infarct center has irreversibly damage, but the \"ischemic penumbra area\" around if in 3 ~ 6 hours to restore its blood supply, is still expected to prompt function to a certain extent to recover. Early treatment is to seize the \"golden time\", as soon as possible take active with acupuncture and moxibustion, comprehensive treatment measures, protection of brain tissue, minimize the loss of function, prompt recovery, reduce sequelae. YanKeJing stressed that acupuncture treatment of ischemic stroke and other emergency should emphasize an \"early\" word, namely the early accurate diagnosis and effective treatment, it is the key to the disease outcome.
YanKeJing in the study of the mechanism of acupuncture early interventional treatment for the disease to carry on the long-term exploration. YanKeJing study found, thromboxane B2 and 6 - ketone top ring element F1a contradictory, mutual restrict, ensures the normal flow of blood, and traditional Chinese medicine on mutual restriction corresponds to the Yin and Yang, and acupuncture treatment has dredge meridians, to reconcile the Yin and Yang. Studies have shown that acupuncture has obvious positive regulatory role between the two, both can quickly improve the brain blood quantity, and make the damaged nerve cells to recover as soon as possible, at the same time acupuncture also effect on the function of the limbs activity has a good recovery, compared with single drug treatment and control have significant differences.
YanKeJing in recent years, analyzed the experience of practicing medicine for more than 50 years, and constantly improving their meridians inspecting method was applied to choose acupuncture point method (including positive reaction points) treatment of ischemic stroke, curative effect is obvious, Jane, then, check and cheap. This method is based on the conventional diagnosis, meridian syndrome differentiation, through the channels and collaterals (this, list the, approved by, based on the same name) and related acupoints for umpire, cut, cycle, press, the ammonites, such as inspection, determine the abnormal changes of meridians to cure disease. \"Careful\" including the review and examination; \"Cut\" refers to cut according to the general table meridians and its \"ripple\"; \"Follow\" refers to the touch, push grid follow line part of the superficial. Eventually understand meridians full or empty small, nodules, change the cable sample, sag; Identify a specific meridians abnormal fluctuations. As the pivot back Shu \"cloud:\" to have the check, according to its place, should be in pain in solution, is its Shu also.\" YanKeJing think this law sets the image thinking and abstract thinking, logical thinking and inspiration thinking as a whole, but also difficult to express the essence in spoken and written languages, etc; Must study hard and observe repeatedly, contrast each other, can gradually understand and grasp its essence.
YanKeJing through many years of clinical practice and mechanism studies suggest that acupuncture has a certain increase in ischemic brain tissue blood flow, inhibit the apoptosis of brain cells, protect brain tissue, to improve the effect of brain function. Should change the thought of acupuncture for acute ischemic stroke more ease period and sequelae period, early application of acupuncture treatment. Acupuncture in the treatment of early intervention has practical value, has certain advantages. (Du Xu Rui-hui wang Shaanxi university of traditional Chinese medicine)
(note: this paper carries the prescription please use under guidance of physician.)