邵瑛采用通元消敏法推拿治疗小儿慢性荨麻疹的经验

Experience of SHAO Ying in Treating Chronic Urticaria in Children by Tongyuan Xiaomin Massotherapy

慢性荨麻疹是小儿常见反复发作的皮肤黏膜过敏性疾病,中医药辨证治疗小儿慢性荨麻疹临床疗效有一定优势。邵瑛教授传承赖新生导师"通元疗法"的学术思想,结合多年临床经验,认为小儿慢性荨麻疹的根本病机为内有伏风,外邪引动。辨治时删繁就简,审证求因,将其分为虚实二证,简化临床诊疗思路;结合患儿特殊的病理情况及小儿推拿的特色疗法,制定了以通元消敏法为原则的治疗思路,创立通元消敏的基础推拿方。该基础推拿方以点筋分阴阳为起式,以激活诸穴,宣发气血,调和阴阳;以拿肩井为收式,疏散气血,巩固疗效;两者一开一阖,一发一收,调和气血。同时着眼于病机的不同方面,选取顺、逆运内八卦,拿揉血海、膈俞,按揉通元四穴(膻中、双天枢、关元)以调和气血,断"伏风"之源;按揉一窝风、八风和八邪,以及推上三关以疏风解表,除外邪侵扰。

Chronic urticaria is a common and recurrent allergic disease of skin and mucous membrane in children.Till now,the therapeutic effect of Chinese medicine therapy for chronic urticaria in children is unsatisfactory.By inheriting the thoughts of Tongyuan therapy,the therapy for dredging Governor Vessel to regulate mind and conducting Qi back to its source founded by Professor LAI Xin-sheng,and by combining years of the clinical experience,Professor SHAO Ying believes that the fundamental pathogenesis of chronic urticaria in children is due to the exogenous pathogens stirring up the interior insidious wind,and the syndrome differentiation and treatment should follow the principle of simplifying by weeding out superfluities.The chronic urticaria in children can be differentiated into deficiency syndrome and excess syndrome through seeking cause from symptoms,and the basic manipulative techniques for Tongyuan Xiaomin massotherapy were established by following the thoughts of dredging Governor Vessel to regulate mind and conducting Qi back to its source for relieving allergy based on the pathological characteristics and specific features of pediatric massotherapy.The basic manipulative techniques for Tongyuan Xiaomin massotherapy start with finger-pressing on yin meridians or yang meridians for activating the acupoints,dispersing Qi and blood,and regulating yin and yang,and end with grasping Jianjin point for activating Qi and blood to achieve lasting effects.The starting manipulations and ending manipulations have the actions for opening or closing the Qi movement,dispersing or astringing Qi activities,so as to regulate Qi and blood.Meanwhile,according to the variation of pathogenesis,the manipulations such as clockwise and counterclockwise moving Neibagua,grasping and kneading Xuehai and Geshu,pressing and kneading four Tongyuan points(Shanzhong,bilateral Tianshu,and Guanyuan)for regulating Qi and blood to cut off the source of insidious wind,and pressing and kneading Yiwofeng,Bafeng,or Baxie,and pushing Shangsanguan for expelling wind to relieve exterior syndrome and prevent the attack of exogenous pathogens were performed.