张晋运用开阖六气针法治疗排便异常经验

Zhang Jin′s Experience in Treating Abnormal Defecation with Kai He Six Qi Acupuncture

排便异常的病因病机在于气机紊乱,治疗应以调整气机升降,使气的功能恢复正常为原则,从阴阳气机的动态运动中认识疾病,通过司天-司人-司病证的治疗思路,运用开阖六气针法选取阳明位、太阴位为主穴进行配伍治疗。具体操作时多以头部作为治疗部位,寻找敏感点进针,沿顺时针方向平刺入皮下,进针时寻找手下的突破感及患者感受到的酸胀感,若进针受阻,气机阻滞较重,可先在下一点位进针,再在该点位施针。开阖六气针法不同于常规针刺,在各取穴位针刺时不强调施行补泻手法,留针30~40 min即可。

The etiology and pathogenesis of abnormal defecation lies in the disorder of Qi.The treatment should be based on the principle of adjusting the rise and fall of Qi to restore the function of Qi to normal,and recognize the disease from the dynamic movement of Yin and Yang Qi.Through the treatment idea of"Si Tian-Si Ren-Si Bing(Disease)Zheng(Syndrome)′,the Yangming position and Taiyin position are selected as the main points for compatibility treatment by using the method of Kai He Six Qi needles.In specific operation,the head is often used as the treatment site,with the sensitive points being searched for needle insertion and the needle being inserted horizontally under the skin in the clockwise direction.When the needle is inserted,the sense of breakthrough of the staff and the feeling of soreness and swelling felt by the patient are searched.If the needle insertion is blocked,which means the serious block of Qi movement,the needle can be inserted at the next acupoint,and then the needle is applied at that point.The method of Kai He Six Qi needles is different from the conventional acupuncture,and the reinforcing and reducing method is not emphasized when the acupuncture acupoints are selected,and the needle can be kept for 30-40 minutes.