浅谈五心穴的临床应用
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摘要
五心穴是天津中医药大学第一附属医院武连仲教授的经验用穴,在临床上广泛运用。武老运用五心穴治疗失眠、癔病等神志病,更以"神"对人身的统御意义为基础,强调其对不同疾病患者的全身性调整作用。"水沟"、双"劳宫"、双"涌泉"分别位于人体头面部的中央、手心和脚心故名"五心穴"。其作用机制并不单纯局限于狭义的"神"本身。在针刺调畅气血的基础上,更进一步深化"神"与脑-心-血-肾-督轴的内部联系和相互作用,从而达到治神目的,恢复其导气的功能。通过阐释"神"、"治神"的意义,介绍五心穴在临床上的应用及五心穴的作用机制,强调"治神"在疾病中的重要地位。
Wuxin points are widely used by Professor Wu Lianzhong who works in the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine. Professor Wu uses them to treat insomnia,hysteria and other mental diseases. He emphasizes the importance of holistic adjustment based on ruling "Shen" for different diseases. Wuxin points refer to five points-point DU26( Ren zhong),point PC8( Lao gong)and point KI1( Yong quan), which are respectively located in the center of the face, palms and feet. Their mechanism is not simply limited to regulate the narrow sense of "Shen". They regulate Qi and blood on the basis on acupuncture,and regulate " Shen" by deepening the internal contact and interaction between " Shen" and brain, heart, blood, kidney and governor meridian. The purpose of this paper is to explain the meaning of "Shen", to introduce the clinical application and the mechanism of Wuxin points, and to emphasize the important role of "Shen" in the treatment of diseases.
Wuxin points are widely used by Professor Wu Lianzhong who works in the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine. Professor Wu uses them to treat insomnia,hysteria and other mental diseases. He emphasizes the importance of holistic adjustment based on ruling "Shen" for different diseases. Wuxin points refer to five points-point DU26( Ren zhong),point PC8( Lao gong)and point KI1( Yong quan), which are respectively located in the center of the face, palms and feet. Their mechanism is not simply limited to regulate the narrow sense of "Shen". They regulate Qi and blood on the basis on acupuncture,and regulate " Shen" by deepening the internal contact and interaction between " Shen" and brain, heart, blood, kidney and governor meridian. The purpose of this paper is to explain the meaning of "Shen", to introduce the clinical application and the mechanism of Wuxin points, and to emphasize the important role of "Shen" in the treatment of diseases.
引文
1樊同涛,樊小农,武连仲.武连仲教授针刺治神思想浅析[J].四川中医,2013,32(8):1-2.
2武连仲.针灸新悟[M].北京:人民卫生出版社,2014.
3周敏杰.浅谈《黄帝内经》之治神[J].世界最新医学信息文摘,2017,17(86):163-166.
4姜青松,王庆其.从“三才”视角谈针灸临床中的治神原则[J].中国针灸,2016,36(10):1009-1012.
5部爱贤,王立国.“神”在针刺取效中的作用[J].中医研究,2017,30(10):43-45.
6刘晓霞,武连仲.武连仲教授针刺治疗特发性震颤经验[J].辽宁中医药大学学报,2009,11(11):96-97.
7李林,魏海峰,张兰,等.中医“肾生髓,脑为髓海”现代生物学基础探讨[J].中国中药杂志,2006,31(17):1397-1400+1417.
8焦素林,武连仲.武连仲临证运用“五心穴”经验[J].辽宁中医杂志,2007,34(12):1692.
9唐艳,殷丽莉.武连仲教授治疗顽固性失眠之特穴特效[J].中国针灸,2007,27(12):927-928.
10毕晓菊,何秀堂,李继恩.针刺五心穴治疗失眠症40例临床观察[J].中国民族民间医药,2014,23(19):68-71.
11李继恩,杨贤海,柴进华.以针刺“五心穴”法为主治疗38例中风后睡眠觉醒综合征患者的临床体会[J].求医问药(下半月),2011,9(9):246.
12刘宝虎,郭彤彤,国树超,等.武连仲教授治疗痉挛性斜颈经验总结[J].西部中医药,2018,31(11):41-43.
13彭建东.治疗痉挛性斜颈重用五心穴[N].健康报,2012-12-12(006).
14刘慧琴,吴洲红,武连仲.针刺五心穴治疗痉挛性斜颈50例[J].中国中医药科技,2009,16(1):72.
15王茜茹,武连仲,张春红.武连仲教授“君臣佐使”组穴辨治痉挛性斜颈[J].黑龙江中医药,2015,44(6):32-33.
16盛茹雅,高达,张春红,等.武连仲教授谈人中穴[J].针灸临床杂志,2018,34(11):58-60.
17徐磊,林荣,胡雅寒,等.针刺五心穴结合高压氧对颅脑外伤昏迷患者促醒作用的临床研究[J].中国中医急症,2018,27(12):2145-2147.
18李鼎.针灸学释难[M].上海:上海中医学院出版社,1986.
19刘柳,张晓彤.武连仲教授针刺五心穴为主治疗痉挛性斜颈1例[J].针灸临床杂志,2011,27(11):58.
20盛锋.掌中珍宝-劳宫穴[J].中医健康养生,2018,4(2):58-59.
21吴琳,王宽.“五心穴”配穴作用的整体观探析[J].针灸临床杂志,2014,30(1):54-55.
2武连仲.针灸新悟[M].北京:人民卫生出版社,2014.
3周敏杰.浅谈《黄帝内经》之治神[J].世界最新医学信息文摘,2017,17(86):163-166.
4姜青松,王庆其.从“三才”视角谈针灸临床中的治神原则[J].中国针灸,2016,36(10):1009-1012.
5部爱贤,王立国.“神”在针刺取效中的作用[J].中医研究,2017,30(10):43-45.
6刘晓霞,武连仲.武连仲教授针刺治疗特发性震颤经验[J].辽宁中医药大学学报,2009,11(11):96-97.
7李林,魏海峰,张兰,等.中医“肾生髓,脑为髓海”现代生物学基础探讨[J].中国中药杂志,2006,31(17):1397-1400+1417.
8焦素林,武连仲.武连仲临证运用“五心穴”经验[J].辽宁中医杂志,2007,34(12):1692.
9唐艳,殷丽莉.武连仲教授治疗顽固性失眠之特穴特效[J].中国针灸,2007,27(12):927-928.
10毕晓菊,何秀堂,李继恩.针刺五心穴治疗失眠症40例临床观察[J].中国民族民间医药,2014,23(19):68-71.
11李继恩,杨贤海,柴进华.以针刺“五心穴”法为主治疗38例中风后睡眠觉醒综合征患者的临床体会[J].求医问药(下半月),2011,9(9):246.
12刘宝虎,郭彤彤,国树超,等.武连仲教授治疗痉挛性斜颈经验总结[J].西部中医药,2018,31(11):41-43.
13彭建东.治疗痉挛性斜颈重用五心穴[N].健康报,2012-12-12(006).
14刘慧琴,吴洲红,武连仲.针刺五心穴治疗痉挛性斜颈50例[J].中国中医药科技,2009,16(1):72.
15王茜茹,武连仲,张春红.武连仲教授“君臣佐使”组穴辨治痉挛性斜颈[J].黑龙江中医药,2015,44(6):32-33.
16盛茹雅,高达,张春红,等.武连仲教授谈人中穴[J].针灸临床杂志,2018,34(11):58-60.
17徐磊,林荣,胡雅寒,等.针刺五心穴结合高压氧对颅脑外伤昏迷患者促醒作用的临床研究[J].中国中医急症,2018,27(12):2145-2147.
18李鼎.针灸学释难[M].上海:上海中医学院出版社,1986.
19刘柳,张晓彤.武连仲教授针刺五心穴为主治疗痉挛性斜颈1例[J].针灸临床杂志,2011,27(11):58.
20盛锋.掌中珍宝-劳宫穴[J].中医健康养生,2018,4(2):58-59.
21吴琳,王宽.“五心穴”配穴作用的整体观探析[J].针灸临床杂志,2014,30(1):54-55.