于海波运用“健脾益肾三针组穴”治疗小儿脑瘫经验探析

An Analysis of YU Hai-Bo’s Experience in Treating Paediatric CerebralPalsy by Using“Jianpi Yishen Triple-Needle Grouping Acupoints”

介绍名老中医于海波教授运用“健脾益肾三针组穴”治疗小儿脑瘫的临证思路与针法特色。以“脏腑-经络-脑”生长发育理论为指导,于海波教授认为“脾肾不足”是小儿脑瘫的核心病机,提出“从脾、肾论治”的治疗理念。传承与创新三针组穴疗法,建立“健脾益肾三针组穴”体系。常规针刺前点刺腹背,畅调中焦,临证时选上肢组穴“合谷、外关、曲池(手三针)+内关”;下肢组穴“足三里、三阴交、太冲(足三针)”;“申脉、照海、涌泉”,脾肾同调,头部穴位包括四神聪、智三针、脑三针、颞三针、定神针、风府和双侧风池。以调神益智,配穴因病因证加减。同时辅以音乐疗法、耳穴压豆。强调“患儿-家长-医者”之神同调和“治人”重于“治病”。

This article introduces the clinical approach and acupuncture characteristics of the traditional Chinese medicine practitioner Professor YU Hai-Bo in treating paediatric cerebral palsy using the“Jianpi Yishen Triple-Needle Grouping Acupoints”.Guided by the theory of growth and development of“viscera-meridian-brain”growth and development,Professor YU believed that“insufficiency of spleen and kidney”is the core pathogenesis of paediatric cerebral palsy,and the treatment concept of“treating from the spleen and kidney”was proposed.He inherited and innovated the triple-needle grouping acupoints therapy and establishing the system of“Jianpi Yishen Triple-Needle Grouping Acupoints”.Before regular acupuncture,the abdomen and dorsum are pricked to freely regulate the middle energizer,and the upper limbs are selected as“Hegu(LI4),Waiguan(SJ5),Quchi([LI11),three acupoints on the hand]+Neiguan(PC6)”;the lower limbs are selected as“Zusanli(ST36),Sanyinjiao(SP6),Taichong([LR3),three acupoints on the foot]”;“Shenmai(BL62),Zhaohai(KI6),Yongquan(KI1)”,spleen and kidney are regulated simultaneously,and the head acupoints include Sishencong(EX-HN1),intelligence tri-needling,cerebral tri-needling,temporal tri-needling,mind-calming needling and bilateral Fengchi(GB20).In order to regulate the spirit and benefit the intellect,the matching acupoints are modified according to the disease and the syndromes.At the same time,it is supplemented with music therapy and auricular point seed-pressing.Emphasis is placed on the simultaneous regulation of“child-parent-doctor”and“treating the person”rather than the“treating the disease”.