Needle medicine and acupuncture and Chinese medicine in the relationship between the (one)

HanBin China's traditional Chinese medicine academy of sciences acupuncture hospital

China's traditional Chinese medicine to

        Acupuncture and Chinese medicine are based on traditional Chinese medicine basic theory basis, in the needle medicine and process, acupuncture and Chinese medicine mainly mimic phase must, different effect complementary and reverse effect restricted three kind of relation, so clinical to take care of the above relations, better play acupuncture and Chinese medicine of their respective advantages, and the relationship between the organic combination.

        The doctor of traditional Chinese medicine needle medicine and "needle" refers to acupuncture as a representative of all through the body surface activate the therapy effect of methods, including moxibustion, drawn cans, thorn blood, etc., for outside for its characteristics, "Drug" refers to Chinese medicine to internal use for its characteristics. The doctor of traditional Chinese medicine needle medicine and refers to the Chinese medicine theory, under the guidance of traditional Chinese medicine and acupuncture used at the same time two treatment measures in order to achieve the purpose of preventing and treating diseases treatment form.

        Acupuncture and Chinese medicine relationship

        Acupuncture and Chinese medicine treatment is based on syndrome differentiation and treatment on the basis of specific treatment method, at the same time the syndrome differentiation and treatment is also needle medicine and the theory core.

        The literature is reviewed, and the needle and medicine as two different means of intervention, the relationship can be concluded to the following aspects: (1) the treatment results from the look, mainly including synergistic and antagonistic minus effect; (2) from the application sequence on the sex, including needle medicine at the same time application, alternate application and successively applications. (3) from acting targets or action links look, divided into needle medicine effect at the same link and function in different link; (4) in the treatment of from the process of status, the needle medicine equally important or needle medicine each have primary and secondary; (5) the similarities and differences from the effect on see, exists needle medicine mimic, needle medicine vision effect, needle medicine reverse effect of several forms. Generally speaking, in the process of TCM needle medicine and acupuncture and Chinese medicine relations, including mimic phase must be relations, different effect complementary relationship and reverse effect restriction relationship.

        Needle medicine mimic phase must be relationship

        In clinical practice sometimes need to use the same or similar efficacy of acupuncture and Chinese medicine treatment, the action nature and function link is consistent, at this time the relationship between the two can be called needle medicine mimic phase must be relationship. Mimic phase must be needle and medicine is mainly used for: (1) the curative effect of basic guarantee; (2) the further improve the curative effects; (3) a satisfactory curative effect on the basis of the drug to reduce or reduce the acupuncture and moxibustion stimulating quantity. In the needle medicine mimic phase must be based on the relation of using two therapy, apply to the illness is relatively simple, etiology and pathogenesis, syndrome clear simple structure of the patients.

        1. The same effect, strength similar clinical practice often used at the same time acupuncture, the drug to the cause of a disease or syndrome from the same aspects of treatment, through the needle and medicine, and make the two aspects of the effect overlay and improve curative effect, at the same time can reduce the dosage of the drug or reduce the stimulation of acupuncture treatment amount. Such as treatment temper weak, when the gas subsidence gastroptosis acupuncture complement in wan, foot three mile, cooperate to take fill in yiqi decoction, and get satisfied results. Invigorating qi and promoting blood circulation, removing eliminating stasis of traditional Chinese medicine combined with acupuncture raise and activating blood, qi and eliminating stasis role of acupoint therapy disease high adhesion can be obtained good curative effect.

        Patients due to personal reasons, cannot make treatment measures in the role of acupuncture and moxibustion or drugs get fully, clinical doctors often take needle medicine and strategy. For example for should be based on acupuncture as a main treatment means of some diseases, because the patient can't adhere to the appropriate frequency of acupuncture treatment affect curative effect, can take the appropriate to reduce the number of acupuncture treatment, and intermittent period treatment with Chinese medicine.

        2. Acupuncture treatment is given priority to, drug treatment is clinically some virtual loss disease, although acupuncture and moxibustion can adjust and stimulate the body function, but because is a kind of external stimulation, and can not improve the material foundation, and convergence slow or curative effect to last, there is no guarantee that the stability of the curative effect. For this kind of situation, in acupuncture treatment primarily at the same time, to give flesh sentient beings, benefit renal fill fine quality, can help the curative effect of acupuncture and moxibustion play.

        3. Drug treatment is given priority to, acupuncture and moxibustion therapy is mainly displays in use of the functions are the same or similar acupuncture treatment, can replace part of the role of drugs, and then reduce the dosage of the drug. Clinical common way is, when the patients after taking the drug for a long time to produce certain aversion psychology, the acupuncture treatment alternative for a period of time or a certain degree of drug treatment; Or when patients long time a large number of medication can cause certain damage, can reduce the dosage, and use effect of the same acupuncture treatment alternative a certain degree of drug therapy.

        Needle medicine vision effect complementary relationship

        In clinical practice sometimes need to use at the same time different efficacy of acupuncture and Chinese medicine treatment, in this process, the role of the needle medicine both nature and function link have bigger difference, the acupuncture and Chinese medicine can be called the relationship between different effect complementary relationship. Acupuncture and Chinese medicine efficacy is different, the function respectively in different stages of disease to solve different problems, to achieve the aim of treatment for different. Different effect complementary needle medicine and is mainly used for: (1) the patients with two or more diseases should be treated at the same time, (2) the disease for the performance of the inside and outside with disease, chills and fever of the zang-fu organs and meridians, mixed with disease complex pathogenesis, needs from different aspects treatment; (3) other needs from disease a card relationship, physical disease relationship and treatment of disease.

        For some diseases, acupuncture, the drug to the process or pathogenic factor are role, but their role in different aspects, different links and different "target". Such as needle medicine and, at the same time from multiple effects in the same pathological process of different link or more pathogenic factor, it could get good in a single application of acupuncture and moxibustion or drug therapy.

        1. Inside and outside and cure application needle medicine and way to "will be drawn poison attack them, renew stone needle YiZhi outside its". Mainly used for skin diseases such as chloasma, acne, alopecia areata, herpes zoster, etc have hot poison, phlegm turbidity and other internal pathological basis and surface specific symptoms of the patients. As in the treatment of chloasma take o face is hole, with Dan Zhi xiaoyao SAN aromatized oral medication treatment, obtains the good curative effect; Acne treatment of acupuncture and moxibustion in the local through channels and collaterals live qi and blood, and with Chinese traditional medicine clearing lung and stomach's real hot.

        2. Specimen and cure in pathogenesis for specimen relations and causal relation, based on the use of acupuncture and Chinese medicine different characteristic, from the two aspects of the samples treated at the same time. Such as stroke sequela with liver-kidney Yin deficiency, blood less failure, wind, fire, sputum, gas, stasis for this, the liver wind clamp sputum cross channeling meridian cause blood stasis resistance, qi and blood can't moisten the body and meridian impassability for scale. At this time to nourishing liver kidney, expelling phlegm and blood stasis such as Chinese medicine treatment for the essential method; The brotherhood of acupoint selection of yangming, brothers shaoyang line qi and activate blood circulation by removing the method for take temporary solution. As to the acute phase of stroke treatment, some scholars to heavy moxibustion rn6, air sea hole, combined with traditional Chinese medicine ginseng, radix aconiti lateralis preparata, to gas complex Yang back, god SuZhiQing, urgent is to its scale, and then to Chinese native medicine and nourishing liver kidney true cloudy, flat out for the endogenous wind slow is this and accept the whole work. In the combination of acupuncture with medicine on treatment of menopausal function dysfunctionalendometrial bleeding, bleeding period to acupuncture plus moxibustion after the will, implicit white, rn6, three Yin chiao, blood, etc hole, cooperate Chinese traditional medicine zi kidney adjustable liver, spleen and solid impact rehabilitation regulate internal use. Such as treatment for the pathogenesis of wind, cold, wet bizu meridian

        The nakedness of inclusion bone arthritis, traditional Chinese medicine focuses on the kidney and bones tongue virtual, acupuncture drain the adjustable focuses on take temporary solution bi, needle medicine and curative effect is better than that of pure with traditional Chinese medicine.

        (3) of the zang-fu organs and meridians and governance of the zang-fu organs and meridians are often used to with disease of various diseases, including senile bone arthritis, cervical spondylosis, periarthritis of shoulder, etc bi syndrome and stroke sequela limb paralysis and confused card. Commonly used traditional Chinese medicine is the essencial etiopathogenesis, the countermeasures of adjustment of viscera, with acupuncture and moxibustion line qi and activate blood circulation dredges the channels and collaterals. Such as luo tianyi in the health treasure "Chinese ancient medicine and use needle treatment outside have meridian qi and blood bizu impassability, with the viscera qi loss of JianBei pain patients, first stab well hole to normal menstruation open closed, again moxibustion shoulder well, chize, can removing article, reoccupy clear lung YinZi complement it is virtual to solid spleen lung. Traditional Chinese medicine alone is difficult to pass meridian qi and blood, use acupuncture is the zangfu virtual difficult repair, needle medicine and bring out the best in each other. This case suggests that in clinical, often have many patients condition of false or true, such as only one party a method treatment, often primary and secondary is not divided, curative effect is not good. Treatment of stroke sequela to make up for Yang also five tonga taste tonic viscera, acupuncture and moxibustion dredges the channels and collaterals, due to illness condition. The treatment of vertebroarterial cervical spondylopathy to acupuncture cervical clamp ridge hole, wind pool and hole dredges the channels and collaterals, regulate the sun, shaoyang qi, with traditional Chinese medicine rhizoma atractylodis, pinellia, radix puerariae, salvia miltiorrhiza and eliminating phlegm to lishi, promoting blood circulation to remove blood stasis can receive good curative effect. Treatment of trigeminal neuralgia with acupuncture wind pool, zygomatic liao, ZhongZhu, foot Lin chi and removing hole analgesic, Chinese traditional medicine peach kernel, rhubarb, glauber's salt, honeysuckle to purge clear drain viscera is given priority to.

        (4) composite syndrome differentiation treatment respectively composite syndrome patients, in under the principle of syndrome differentiation and treatment, according to the principle, the method, the square, medicine or the principle, method, square, hole of clinical thinking, the use of acupuncture and medicine their advantages, acupuncture and Chinese medicine each play its director. If XuLing tire to kidney qi deficiency, QiNi ascending kidney jue, use the lifeline skill party "in YuZhen round (sulfur, gypsum, pinellia tuber, saltpeter, born ginger, etc.) oral medication to drop gas phlegm, fit moxibustion close yuan hole for the growing vitality. As in phlegm and blood stasis therapy into resistance in cardiopulmonary, can take shanzhong, neiguan point such as wide chest qi, calming, analgesia, tonifying qi to calm the nerves; In traditional Chinese medicine danshen, red paeony root, balloonflower root, ginseng and promoting blood circulation to remove blood stasis, yiqi phlegm. The use of drugs to solve blood stasis phlegm turbidity into resistance to acupuncture removing qi, respectively given acupuncture and Chinese medicine different tasks, is to solve complex syndrome that a better solution. And in the treatment of exogenous fever, with big job fit valley heat Su lung, xuan scattered wind hot in dispersion table hot, flos lonicerae, fructus forsythiae and clearing away heat and toxic material drugs in the clear heat, both exterior-interior fit have synergy, enhance the treatment effect, to improve clinical cure rate.

        5. Distinguishes the body treatment and the syndrome differentiation and treatment combined with physical factors involved and affect the formation of pathogenesis, syndrome. Such as Yang deficiency constitution is apt to form virtual cold pathogenesis, Yin deficiency constitution is apt to form virtual thermal pathogenesis, phlegmy wet constitution is apt to form subtle material transport change disorder pathogenesis, blood stasis constitution is apt to form qi, blood stasis and pathogenesis, etc. Distinguishes the body treatment on the basis of people's constitution, the object of cognition for preventing and controlling principle, choose the corresponding treatment, prevention and health preservation methods, and thus for the "suit measures to different persons" intervention measures. Such as to qi deficiency constitution of the patients, appropriate sijunzi decoction or fill in beneficial gas ShangPei complement vigour, tonifying qi spleen, Yang deficiency constitution of the patients, with moxibustion gate of life hole, rn6 hole isothermal kidney Yang, again on this foundation to disease to give specific treatment is more likely to receive the twice the result with half the effort effect. Modern Chinese medicine clinical doctor is the most important thinking mode is the diagnosis and treatment of combination of disease and syndrome differentiation and treatment with a combination of. Distinguishes the body treatment and the combination of syndrome differentiation and treatment for needle medicine and expand the broader space, to clinical acupuncture and moxibustion or one of the traditional Chinese medicine physique and intervention as part of another kind of method to treat disease has more advantages. Distinguishes the body treatment and the combination of syndrome differentiation and treatment can be used for various allergic disease (allergic asthma, allergic rhinitis, urticaria), metabolic disorder diseases (obesity, diabetes, hyperlipidemia), gynecopathy (climacteric syndrome, polycystic ovary syndrome, menstrual disorder), and other physical factors in pathogenesis and progress is of important significance in the process of the treatment of the disease. In traditional Chinese medicine acupuncture or in a kind of method distinguishes the body treatment correct physical deviation to another method for treatment of syndrome differentiation and treatment of diseases.

        6. Local treatment and the overall treatment in combination with clinical often in the treatment of local disease (trigeminal neuralgia, gouty arthritis, shoulder joint around the inflammation, cervical spondylosis, etc.) and ent diseases, skin diseases in the local and the overall combination of needle medicine and way. Acupuncture and moxibustion with local treatment, by Chinese traditional systemic treatment; Or by drugs for external use local treatment, acupuncture and moxibustion treatment to the whole body. Such as the treatment of acute gout arthritis with fire acupuncture inter-row, trap valley, five will, "is a hole and local hole, cooperate with concretion run smoothly, eliminating stasis dispelling the turbidity action rhubarb, turmeric, glabrous greenbrier rhizome, so as to obtain good curative effect. Acupuncture take the will, wind pool, wind mansion, neck clamp ridge hole, in order to clear away heat drying wet of Chinese herbal medicine in treating hepatic syndrome neck source vertigo, acupuncture and moxibustion treatment is local, traditional Chinese medicine treatment of systemic needle medicine and way. In addition, according to the Chinese medicine and acupuncture efficacy is different, needle medicine and priorities and pathogenesis, causal and governance, body and mind and governance, symptomatic treatment and the syndrome differentiation and treatment, such as combination of different form, the above-mentioned content have reciprocal cross, such as priorities and specimens, local and the internal and external, list and the internal and external, internal organs and meridians exterior-interior, etc., but for clinical thinking for, the needle in the form of medicine and it is existing. For the same patient, the same kind of disease state, can consider to needle medicine from the exterior-interior relationship with, also can from the aspects of internal and external relations, partial and whole to application. At the same time needle medicine and complementary relationship is not limited to the above theory content, other from false or true, chills and fever, congenital the day after tomorrow, viscera five lines of relationship can also were applied acupuncture, traditional Chinese medicine and so on the different treatment. (excerpt from "Chinese journal, 15 (2012))