庄礼兴针刺治疗功能性消化不良思路

功能性消化不良是临床常见消化系统疾病,亦为身心同病.其核心发病机制为"脑-肠轴"功能紊乱和脑肠互动异常,与心理因素紧密相关;中医病机为脾胃气机失调,神明之枢失衡,腑气失于通降.庄礼兴教授提出本病应心、脑、肠同调,首重调神,常取调神穴组四神针、神庭、本神、印堂、神门、三阴交、内关、足三里,配以合谷、太冲、申脉、照海等穴位...

ZHUANG Li-Xing's Thoughts for the Treatment of Functional Dyspepsia with Acupuncture

Functional dyspepsia(FD)is a common disease of digestive system,and it is also a psychosomatic disease. The core pathogenesis of FD is due to the dysfunction of brain-gut axis and the abnormal brain-gut interaction, which is closely related to psychological factors. The pathogenesis of traditional Chinese medicine(TCM)is due to the dysregulation of spleen and stomach and qi movement,the imbalance of the pivot of mental activity,and the failure of patency and descending of gastric and intestines qi movement. Professor ZHUANG LiXing proposed that the treatment of FD should be based on the simultaneous regulation of the heart,brain and intestines, and the priority is to regulate the spirit. The commonly-used points are Sishenzhen(four points for regulating spirit), Shenting(GV24), Benshen(GB13), Yintang(EX-HN3), Shenmen(HT7), Sanyinjiao(SP6),Neiguan(PC6)and Zusanli(ST36)for regulating the spirit,assisting by the acupoints of Hegu(LI4),Taichong(LR3),Shenmai(BL62),and Zhaohai(KI6). Based on the combination of syndrome differentiation of meridians and viscera,therapies of the traditional acupuncture for mildly conducting reversed qi and conserving vital essence,together with the simultaneous regulation of the physique and spirit,qi and blood,yin and yang,can achieve the effect of calming and stabilizing the mind, and activating the qi movement.