石学敏院士“司气海,调血压”针刺技术浅析

Brief discussion on acupuncture technique “controlling Qihai to regulate blood pressure” proposed by academician SHI Xuemin

石学敏院士从"气海理论"出发,创立了以人迎穴为主穴的"司气海,调血压"针刺技术,在临床应用中取得了良好效果。本文立足于"气海理论",从中医的元气、宗气、营气、卫气以及气、血、脉之间的关系和现代医学中心排血量、交感神经活性、血管等方面阐释对高血压病的认识。二者在对高血压形成的认识中达到了较完美的契合,体现本针刺技术的科学性和实用性。此外,文中还详细介绍了石学敏院士根据《内经》中气海理论和"无风不作眩"等理论提出高血压的主要病机为"气海失司"的思想源流以及本针刺技术的穴位选择——人迎、曲池、合谷、足三里、太冲,重点论述了各个穴位针刺的量学操作规范,并基于中医理论和现代临床研究阐述各个穴位的选穴依据。

According to Qihai theory, academician SHI Xuemin established the acupuncture technique ＂controlling Qihai to regulate blood pressure＂ which focused on Renying（ST 9）, and achieved favorable effects in clinical application. In this paper, based on the Qihai theory, from aspects of Yuanqi, Zongqi, Yingqi and Weiqi and relations among qi, blood and veins in TCM, and cardiac output, sympathetic nerve activity and blood vessels in modern medicine, the understanding on hypertension was explained. As a result, both TCM and modern medicine had consistency in the understanding of hypertension, reflecting the scientificity and practicability of this acupuncture technique. Besides, according to Qihai theory and ＂wind leading to vertigo＂ theory, academician SHI Xuemin brought forward the key pathogenesis of hypertension was ＂dysfunction of Qihai＂, and the acupoint selected Renying（ST 9）,Quchi（LI 11）, Hegu（LI 4）, Zusanli（ST 36） and Taichong（LR 3）. At the same time, the operation specification of each acupoint was mainly discussed, and the references of acupoint selection was explained based on TCM theory and modern clinical research.