“灸刺督脉”疗法治疗气虚血瘀型缺血性脑卒中的理论探讨

Theoretical Study on the Treatment of Ischemic Stroke of Qi Deficiency and Blood Stasis Type with“Moxibustion and Acupuncture at the Governor Vessel”

缺血性脑卒中以高发病率、高致残致死率、高复发率为特点,严重影响了中老年人的健康。缺血性脑卒中属中医“中风”范畴,临床多以气虚血瘀型常见。中医认为,随着年龄的增长,人体元气亏损,是中风发病的基础,病机多为气虚为本,瘀血为标,当以益气活血为治疗原则。“灸刺督脉”疗法是延续张道宗教授“通督调神”的治疗思路,属于“通督调神针法”范畴,以“督脉入络脑”为理论基础,取百会、大椎为主要施治点,艾灸、刺络为治疗手段,2穴合用,以达气旺血行、祛瘀生新、气血互生之功,通过督脉通、精气升来达到脑髓充之目的。文章从传统中医理论出发,并结合现代临床应用该法治疗该病的成功案例及相关实验研究,着重阐述“灸刺督脉”的中医机制。

Ischemic stroke is characterized by high incidence rate,high disability mortality and high recurrence rate,which seriously affects the health of middle-aged and elderly people.This disease belongs to the category of“apoplexy”in traditional Chinese medicine,and it is commonly seen in clinic as the type of Qi deficiency and blood stasis.Traditional Chinese medicine believes that with the growth of age,the loss of vitality of the human body is the basis for the onset of stroke.The pathogenesis is mostly based on Qi deficiency,and blood stasis is the standard.The treatment principle should be to replenish Qi and promote blood circulation.The therapy of“Moxibustion and Acupuncture on the Governor Vessel”is a continuation of Professor ZHANG Daozong’s therapeutic idea of“activating the governor and regulating the mind”,which belongs to the category of“activating the governor and regulating the mind”acupuncture method.This method is based on the theory of“Du Vessel enters the collateral and brain”,takes Baihui and Dazhui as the main therapeutic points,moxibustion and collateral puncture as the therapeutic means,and uses the two points together to achieve the purpose of replenishing the brain through the Du Vessel and the essence.Starting from the tra-ditional Chinese medicine theory,combined with the successful cases of modern clinical application of this method in treating this disease and related experimental research,the article focuses on the Chinese medicine mechanism of“Moxibustion and Pricking the Du Meridian”.