旴江“上补下泻”针法治疗风起㖞偏急症特色

Clinical emergency characteristics of Xujiang ‘upper reinforcing and downward purging’ acupuncture in the treatment of paralytic strabismus

旴江"上补下泻"针法为旴江明代李梴倡导,属"异穴补泻"针法,该法颇宜于治疗人体上部五官清窍疾病,谢强教授应用此法治疗风起?偏急症疗效颇佳。临床以上病下取、穴分主应、远取为主为治疗原则和针法特色,该法取四肢部腧穴为主穴,以五官局部腧穴为应穴。采取刺营放血及针刺体穴治疗。刺营放血:先刺下部健侧少冲或中冲放血,然后刺上部患侧太阳、耳尖、耳垂放血;针刺体穴:先针刺下部健侧合谷、神门或外关、神门,针尖朝上,使针感反应向上,强刺激;然后针刺上部患侧瞳子髎、四白或翳风、丝竹空,弱刺激以应答合谷、外关、神门,使经气上下呼应。此法简便易行,疗效显著,为五官科特色适宜技术。

LI Chan in the Ming dynasty supported the‘up-reinforcing and down-reducing’acupuncture manipulation of Xu jiang medical sect,belonging to the‘different acupoint of reinforcing and reducing manipulation’.The method is quite adaptable to treat the five sense organs in upper body features.Professor XIE Qiang applies the method to treat the acute illness,such as stroke and facial paralysis.The curative effect is good.The treatment principle and the characteristics of acupuncture were that the above clinical diseases should be taken down,the acupoints should be divided into the main acupoints and the distant acupoints should be taken as the main points,and the acupoints of the limbs should be taken as the main points,and the local acupoints of the five organs should be taken as the main points.Puncture-ying bloodletting and acupuncture point treatment were also carried out.The puncture-ying bloodletting:Shaochong(HT9)or Zhongchong(PC9)in the lower part first in the flush bloodletting,then needle puncture Taiyang,Erjian(EX-HN6)or puncture-ying bloodletting Taiyang and ear lobule in the upper part.Acupuncture body acupoint:puncture Hegu(LI4)and Shenmen(TF4)in the lower part or Waiguan(TE5),and Shenmen(TF4),pointing up,so that the needle sense reaction up,strong stimulation;Then acupuncture upper Tongziliao(GB1),Sibai(ST2)or Yifeng(SJ17),Sizhukong(SJ23),weak stimulation to respond Hegu(LI4),Waiguan(TE5),Shenmen(TF4),and make the meridian energy up and down.This method is simple,effective and suitable for ophthalmology and otorhinolaryngology.