从合谷、三阴交论导气同精针法促排宫内残留作用

Effect of Daoqi Tongjing needling method on intra-uterine residue after drug abortion from the perspectives of Hegu(LI 4)and Sanyinjiao(SP 6)

总结庄礼兴教授针刺治疗药物流产后宫内组织残留、恶露不止的临床经验。庄礼兴教授认为本病病机为“冲任失调,气虚血瘀,宫内浊气不下”,治则上以“调理冲任,补气祛瘀,通畅气机”为核心。取穴在合谷、三阴交的基础上增加任脉腧穴,并灵活运用导气同精针法代替补泻手法,共奏补气、下瘀之效。

The paper introduces professor ZHUANG Li-xing’s clinical experience in treatment of intra-uterine residue and lochia after drug abortion.Professor ZHUANG believes that this disorder is related to"dysfunction of the thoroughfare vessel and the conception vessel,qi deficiency and blood stagnation,and retention of turbid qi in the uterus"in pathogenesis.The treating principle should focus on"regulating the functions of the thoroughfare vessel and the conception vessel,tonifying qi and eliminating stasis,as well as promoting qi movement".Besides Hegu(LI 4)and Sanyinjiao(SP 6),the acupoints are added from the conception vessel.The Daoqi Tongjing needling technique(the specific technique for directing qi and preserving essence)is exerted flexibly instead of traditional reinforcing and reducing technique of acupuncture to tonify qi and remove stasis.