浅析严光俊药穴指针治疗中虚气逆型胃食管反流病的经验

An analysis of YAN Guangjun’s experience of medicine acupoint pointer in the treatment of gastroesophageal reflux disease of deficiency and Qi-reverse type

严光俊药穴指针疗法将中药外用与指针治疗相结合,对胃食管反流病具有很好的临床疗效。此疗法乃“严光俊三论五法脾胃通痞学说”学术理论的临床创新,其结合江汉平原潮湿的气候特点及楚人的饮食生活习惯,对董建华院士及唐旭东教授“脾胃通降学说”学术理论继承创新,是严光俊基于30余年躬耕临床总结出的针对胃食管反流病的有效疗法,其学术思想来源于临床,并广泛应用于临床。药穴指针疗法乃中药与指针结合,其中中药为严师自拟清化通降汤,指针为药棒按压特定穴,中药通过按、揉、搓、捻等手法通过人体肌表将药物渗透至皮下、肌肉、效穴,达到通降气机,清化脾胃之功效,且药物通过特殊煎煮,较口服时药力更强、更容易被人体吸收。中虚气逆型胃食管反流病在临床中为常见类型,患者常出现反酸、烧心、口干等不适,长期患病可产生焦虑、抑郁等不良情绪,降低患者生活质量,由于脾胃失和,升降受阻,肝木过旺,上犯胃土,导致上焦肺卫邪气侵袭中焦脾胃,亦或是下焦肝肾不足,导致脾胃阴液内耗,胃气失和,发为此病。药穴指针疗法在临床治疗消化道疾病方面已十分普遍,为中医指针、中药结合的临床应用提供了新的思路和方法,并以其独特的优势在治疗胃食管反流病中发挥重要作用。

YAN Guangjun medicine acupoint pointer therapy is a combination of external use of TCM medicine and pointer therapy,which has a good clinical effects on gastroesophageal reflux disease.This therapy is a clinical innovation of the academic theory of YAN Guangjun’s Three Treatises and Five Methods of Spleen and Stomach to Relieve Fluffia.Combining the humid climate characteristics of Jianghan Plain and the diet and lifestyle of Chu people,it inherits and innovates the academic theory of Spleen and Stomach to Relieve Fluffia of Academician DONG Jianhua and Professor TANG Xudong.After more than 30 years of clinical practice,YAN Guangjun summarizes the effective therapy for gastroesophageal reflux disease.The academic ideas come from clinical practice and are widely used in clinical practice.Medicine acupoint pointer therapy is a combination of TCM medicine and pointer,in which the TCM medicine is the Qinghua Tongjiang decoction(清化通降汤)prepared by YAN Guangjun,and the pointer is the medicine stick pressing specific points.TCM medicine penetrates into the skin,muscles and effect points through the muscle surface of the human body by means of pressing,kneading,rubbing and twisting,so as to achieve the effect of regulating and lowering Qi(气)movement and clearing the spleen and stomach.Besides,the medicine is stronger and easier to be absorbed by the human body through special decocting.Gastroesophageal reflux disease of deficiency and Qi-reverse type is a common type in clinical practice.Patients often suffer from acid reflux,heartburn,dry mouth and other discomfort,which can bring about anxiety,depression and other adverse emotions in the long term,and reduce the quality of life of patients.Due to the disharmony between the spleen and stomach,obstructed elevation,excessive liver wood and the stomach soil being invaded,the invasion of the evil Qi attacks the lung in the upper Jiao(上焦),which in turn attacks the spleen and stomach in the middle Jiao(中焦),or the insufficiency of the liver and kidney in the lower Jiao(下焦)results in internal depletion of the fluid in the spleen and stomach,which leads to the disharmony and finally causes the disease.This therapy has been very common in the clinical treatment of digestive tract diseases,provides a new idea and method for the clinical application of TCM pointer combined with TCM medicine,and plays an important role in the treatment of gastroesophageal reflux disease with its unique advantages.