在瑞士基于“开玄府法”的针药结合治疗相关疾病临床探讨

Clinical Study on Combination of Acupuncture and Medicine in Treatment of Related Diseases Based on “Method of Opening Sweat Pore” in Switzerland

玄府的概念是藏象理论的基本内容之一,是人体气机流动的门户,是气血津液、脏腑神机的通道。风药,是一类具有中医“开通玄府”作用的药物,根据“诊疗证候相关组”方法,被作者应用于临床。瑞士地处欧洲中部,阿尔卑斯山脉之下,受气候、地理环境、饮食、文化等多因素影响,造就了瑞士人独特的体质特点;作者在受委派到瑞士工作期间,从中医“三因制宜”角度阐释了瑞士人“气阴两虚”的体质基础;文章系统论述中医玄府学说、开玄府法的特色,并阐述玄府学术理论和气阴两虚体质特征的关联性,以开通玄府法应用于瑞士的阴虚或者气阴两虚体质患者,并分别列举应用开玄府法治疗新冠肺炎恢复期、便秘、抑郁障碍3则案例,针对中医药治疗以上3则瑞士气阴两虚体质患者案例进行推广分析和讨论。总结出在基于瑞士人群体质特点的临床工作中,中医治疗因地制宜,采取辨证论治配合开玄府的方法,收到较佳的临床疗效,得到瑞士患者的广泛赞誉。

The concept of sweat pore is one of the basic contents of the theory of viscera-state.It is a channel for Qi, blood, body fluid, viscera and organs, and is unconstrained by the physical characteristics of the human body.Expelling wind drug, is a kind of medicine that has the function of “opening the sweat pore” of traditional Chinese medicine.According to the method of “diagnosis and treatment syndrome related group”,it is applied to the clinic by the author.Switzerland is located in central Europe, under the Alps.It is affected by many factors such as climate, geographical environment, food, culture, etc.,which has created the unique physical characteristics of Swiss people.During the assignment to Switzerland, the author explained the physical basis of the Swiss people “deficiency of both Qi and Yin” from the perspective of “adjusting conditions for three reasons” in traditional Chinese medicine.The article systematically discussed the characteristics of sweat pore theory and opening the sweat pore method of traditional Chinese medicine and expounded the correlation between sweat pore academic theory and the physical characteristics of deficiency of both Qi and Yin, so as to apply the opening the sweat pore method to the patients with Yin deficiency or deficiency of both Qi and Yin in Switzerland, and enumerated three cases of the application of opening the sweat pore method in the treatment of COVID-19 in the recovery period, constipation and depression, The above 3 cases of Swiss patients with deficiency of both Qi and Yin were analyzed and discussed.It is concluded that in the clinical work based on the physical characteristics of the Swiss population, the traditional Chinese medicine treatment is adapted to local conditions and adopts the method of syndrome differentiation and treatment in combination with opening the sweat pore method, which received better clinical efficacy and has been widely praised by Swiss patients.