基于“培土生金”与肠道微生态探讨慢性阻塞性肺疾病的针灸治疗思路

Discussion on Acupuncture Point Selection of Chronic Obstructive Pulmonary Disease based on“Reinforcing Earth to Generate Metal”and Intestinal Micro-ecology

肠道微生态在机体防御感染,调节免疫和代谢等方面具有重要作用,与慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Diseases,COPD)有密切关系。针灸在调节肠道菌群和防治COPD中均有较好的疗效,该文从针灸改善肠道菌群与防治COPD的古籍文献论述与现代研究文献入手,总结临床针灸治疗该病取穴规律,进一步探讨培土生金理论指导下的针灸取穴思路,临证选取手太阴、足太阴、足阳明经穴,以调理脾胃功能为主,辅以补肺,肺、脾、胃俞调理肺脾,定喘、膻中、中脘纳气平喘,根据五行相生理论选取太渊、太白穴,并结合全身兼证,随证(症)配穴。

Intestinal micro-ecology plays an important role in the body’s defense against infection,regulation of immunity and metabolism,and is closely related to chronic obstructive pulmonary diseases(COPD).Acupuncture has good efficacy in regulating intestinal flora and preventing and treating COPD.This article starts with the ancient literature and modern research literature on acupuncture improving intestinal flora and preventing and treating COPD,and summarizes the acupoint selection rules for clinical acupuncture treatment of this disease.Further explore the idea of acupuncture point selection under the guidance of the theory of cultivating soil to generate metal.The acupoints of Hand Taiyin,Foot Taiyin and Foot Yangming meridian are selected clinically to regulate the function of the spleen and stomach,supplemented by nourishing the lungs,lung,spleen and Weishu to regulate the lungs and spleen.Dingchuan,Tanzhong and Zhongwan can relieve Qi and relieve asthma.Taiyuan and Taibai acupoints are selected based on the theory of the five elements’mutual development,and are combined with systemic syndromes to match acupoints according to the syndrome(disease).