程红亮基于广义的“元神之府”理论运用“化瘀通络药灸”治疗脑病经验撷菁

The Experience of Using“Huayu Tongluo”Herbal-moxibustion to Treat Encephalopathy based on the Theory of“The House of Mental Activity”in a Broad Sense

总结安徽省名中医程红亮教授基于广义的“元神之府”理论运用“化瘀通络药灸”法治疗脑病的临床经验。程师认为脑与督脉、任脉、心经、肾经密切相关,脑-督-任-心-肾共同构成了广义上的“元神之府”。督、任、心、肾四条经脉气血运行通畅,则脑髓充盈,故程师尤为注重通调督、任、心、肾四条经脉的气血运行。经二十余年的临床研究,确立了督任心肾经为主+局部取穴的治疗思路,以督脉之百会-风府-神庭、任脉之气海/关元、肾经之涌泉、心经之神门为核心组穴。并在此理论基础上提出了采用“化瘀通络药灸”法作为主要干预疗法。该法是将艾灸与中草药有机结合以达化瘀通络、开窍醒脑之功效的一种药灸结合疗法,广泛应用于血管性痴呆、中风病及中风后吞咽障碍等相关并发症中,临床疗效显著,为脑病的治疗提供了新思路。

Summarize the clinical experience of Professor Cheng Hongliang in the treatment of encephalopathy by“Huayu Tongluo”herbal-moxibustion based on the Theory of“The House of Mental Activity”in a broad sense.Professor Cheng believes that the brain is closely related to Governor vessel,Conception Vessel,Heart meridian and Kidney meridian.He pointed out that the brain,Governor vessel,Conception Vessel,Heart meridian and Kidney meridian together constitute the“The House of Mental Activity”in a broad sense.Governor vessel,Conception Vessel,Heart meridian and Kidney meridian running smoothly,then the brain is full.Therefore,he pays special attention to the Qi and blood circulation of this four-meridians.After more than twenty years of clinical research,he established the treatment of Governor vessel,Conception Vessel,Heart meridian and Kidney meridian acupoints+local acupoint,The core group of points is Baihui-Fengfu-Shenting of Governor vessel,Qihai/Guanyuan of Conception Vessel,Yongquan of Kidney meridian and Shenmen of Heart Meridian.On the basis of this theory,the method of“Huayu Tongluo”herbalmoxibustion is proposed as the main intervention therapy.This kind of treatment is a combination of moxibustion and Chinese herbal medicine to achieve the effect of removing blood stasis and clearing collaterals,awakening the brain.It has been widely used in vascular dementia,stroke and post-stroke dysphagia and other related complications and with significant clinical efficacy.It provides a new idea for the treatment of encephalopathy.