引火归原法治疗阵发性交感神经过度兴奋综合征

Treatment of Paroxysmal Sympathetic Hyperactivity by the Method of“Returning Fire to Its Origin”

总结运用引火归原法治疗阵发性交感神经过度兴奋综合征(PSH)的临证体会。根据PSH发病原因及临床特点,认为肾元亏虚、阴阳俱损是PSH的发病基础,惊则气乱是PSH的诱发机制,虚阳浮越、火不归原是PSH的病机关键。治疗应以滋阴敛阳、引火归原为主,内服方用引火汤加味,外治首推温灸,穴位宜选关元、命门和双侧涌泉穴;预防方面应注重顾护胃气,扶正培元。

This paper summarized the clinical experience of using the method of“returning fire to its origin”for treatment of paroxysmal sympathetic hyperactivity(PSH).According to the causes and clinical characteristics of PSH,the author believes that the deficiency of kidney qi,and the loss of yin and yang are the basis of the pathogenesis of PSH.Fright causes qi to be chaotic as the triggering mechanism of PSH.The key mechanism of PSH is that the deficiency yang with upper manifestation,and the fire does not return to its origin.The treatment should be nourishing yin and astringing yang,by taking modified Yinhuo Decoction(引火汤)internally,and receiving warm moxibustion as the first choice externally with selected acupoints Guanyuan(CV 4),Mingmen(GV 4),and bilateral Yongquan(KI 1);For prevention,attention should be paid to take care of stomach qi,support healthy qi,and cultivate original qi.