Acupuncture treatment using six-channel differentiation method guidance

Time: 2015-11-12

Source: China's traditional Chinese medicine

Author: Ma Ruming

The application of acupuncture and moxibustion therapy, more is given priority to with syndrome differentiation of zang-fu organs and meridians, and then determine the card type, choose acupuncture point therapy, some practitioners on the basis of this experience with hole. The author found in clinical, according to the syndrome differentiation of zang-fu organs and meridians to find or previous experience with holes, curative effect is often limited.

The author since follow professor Feng Shiguan learning Hu Xishu the doctrine, the soup liquid medicine of doctor of traditional Chinese medicine has a more in-depth understanding, has obtained the good curative effect in clinical. The author reflection, six-channel differentiation method whether can like hu sent six-channel eight principles theory guide the application of traditional Chinese medicine, in the field of acupuncture treatment to use?

Nearly stage, the author try to Hu Xishu the theory application of ideas, combining previous experience of acupuncture meridians, seeking and through every agent corresponding acupuncture point, and then using six-channel differentiation theory to guide the clinical application of the eight principles gradually obtained the certain effect.

This case is I recently the six-channel differentiation theory guide the acupuncture treatment of a successful case, involving the puerarin, small bupleurum soup and plaster medicine card corresponding match point, in this introduction is as follows.

The typical medical record.

Generation of a male, 45 years old. On November 2, 2014 to begin.

Patients complained of occipital numb, neck up early difficulties. And saw dry not bitter mouth, chest side bilge full, no heart palpitations, dry stool, urine is normal and easy to lose his temper, no fever, sweat out of the normal, no abdominal pain bilge, no obvious four inverse bad cold. Red tongue, micro greasy moss. Numbness, near the door hole after neck tenderness.

Syndrome differentiation: three Yang (Yang Yang Ming sun less) disease.

By the dialectical prescription: patients with occipital numb, neck discomfort, differentiation of the sun; Breast bilges full, easy to lose his temper, syndrome differentiation for little Yang; Dry mouth syndrome differentiation for Yang Ming, close to three Yang diseases. By the party a prescription for small bupleurum decoction and puerarin tonga gypsum, but patients are reluctant to take medicine, so according to the recipe ideas for acupuncture treatment.

Needle thought analysis: puerarin soup idea choose cave foot three mile, chung wan, blood, wind, wind pool house, brain and neck is point o, ideas for small bupleurum soup choose cave door, plaster certificate idea choose pin hole day, li 11.

Acupuncture prescription: st 36, chung wan, the bloodshed, wind, wind pool house, cerebral door, door, li 11, days pivot and neck is point o.

Operation method: three mile, often used in the filling method, or flat of blood, the phase gate with flat, pivot, li 11 with reducing method, wind pool, o wind mansion, brain and neck is cavity there is no gimmick. The wind pool, o wind mansion, cerebral door, li 11 and neck is pit retaining needle for 30 minutes, more than not retaining needle. Once a day.

1 patient treatment, were markedly improved after 3 times to heal.

【 】 the mechanism analysis

Treatise on febrile disease article 1 yue: "of the sun to disease, pulse, evil head a strong pain and cold." This one is the sum of the disease, which can be seen from here, typhoid table, the typical symptoms are mainly concentrated in the head of a department. And acupuncture clinical treatment head pain, whether exogenous internal injuries, curative effect good points are mostly concentrated in the head, like a temple, the rate of valley point and save bamboo wind, wind pool, fu Yin tang, such as hole, often in the clinical application, and the curative effect is remarkable, visible these meridians have nourish the effects. Article 24 the "treatise on febrile diseases", which again yue: "at the beginning of the sun, take cassia twig decoction, the tired don't understand, first wind pool, wind mansion, with guizhi soup more." This also give us a hint, wind pool, and the wind have nourish effect. Of these points are equivalent to the nourish the medicine application done right, and the party have the same effect.

Treatise on febrile disease article 31 yue: "the sun, than a few a few, no sweat, evil wind, kudzu root soup of god." This mentioned "than a few a few", the an obvious medicine of radix puerariae is evident, in dealing with the clinical symptoms, is acupuncture point is a good choice. Of course, there are a lot of points, it can choose, like hand three mile, between the two, three, and so on. The author in this prescription mainly choose the partial is point o. Secondly, besides ephedra, puerarin in pueraria lobata bind, actual guizhi soup containing a reduction. Guizhi soup from cassia twig, peony, main licorice, ginger, jujube of mixed drugs, Mr Hu Xishu thinks it has jianwei, raw or insufficiency of body fluid, so the choice of the foot three mile, blood, often with jianwei tonify deficiency.

Article 143 of the treatise on febrile disease yue: "the woman stroke, heat evil cold, suitable to the water, the seven, eight, heat and pulse ChiShen cool. The full chest REINS, such as" chest, delirious speech, this is heat into blood chamber also, when the stage door, according to the actually diarrhea." Stroke and article 144 of the yue: "woman, seven, eight, duration of fever, sometimes, the water right off, this is a hot room into the blood, the blood will knot, allowing such as malaria, attack, sometimes small bupleurum decoction of god." From which you can see, thorn stage door and there is a similar relationship between small bupleurum soup, so the clinical application of thorn stage door instead of small bupleurum decoction of radix bupleuri, radix scutellariae, "according to the actually reducing the", while the small bupleurum of dangshen, pinellia tuber, the effect of main licorice, ginger, jujube, in some selected corresponding acupuncture point above guizhi soup has expressed, so choose not repeat.

Gypsum certificate in Mr Hu Xishu the party system is given priority to with QingYang Ming of heat, so choose day pivot, li 11 purging heat, and less thorn period MenQing Yang hot, both actual complementary to each other.

The author found that, by observing clinical curative effect of acupuncture and moxibustion can be guided by theory of zang-fu organs and meridians syndrome differentiation system application, also can be in Hu Xishu six-channel differentiation under the guidance of the theory of application of acupoint application and the application of the party, as long as the accurate syndrome differentiation, choose acupuncture point, and the application will be philosophical theory system to guide the party was just as effective treatment. This case is the author in the process of attempt and exploration, a preliminary understanding, also need more time to explore and validate, a more in-depth study and application, can be perfect.