符文彬教授从心、胆、脾论治顽固性呃逆经验

Professor Fu Wenbin's experience in treating intractable hiccup from the perspectives of the heart,gallbladder and spleen

介绍符文彬教授运用整合针灸疗法治疗顽固性呃逆的经验。符文彬教授认为顽固性呃逆的基本病机在于胃气上逆,脾失健运是其发病的关键,气机不畅是其发病的首要因素。临床治疗当以理气健脾为原则。临证时,符文彬教授强调病症结合,究其发病根源,以排除相关病因,并根据气与神之间的联系和脾升胃降理论提出气逆与情志互为影响,治呃必先调气;而调气的关键在于调神,调神重在调心胆;脾虚贯穿病机始终。故临床治疗从心、胆、脾论治,强调神的重要作用,身心同治,并总结提出“一针二灸三巩固”整合针灸治疗模式,综合运用毫针针刺、灸法、针挑疗法、皮内针等针灸技术,收获良效,以期为临床针灸医生治疗顽固性呃逆提供参考。

This paper introduces Professor Fu Wenbin's experience in treating intractable hiccup with an integrated acupuncture therapy.He believes that its basic pathogenesis lies in the adverse rising of stomach qi,and the key to its onset is the dysfunction of spleen in transportation,with a poor qi movement as the primary factor.The clinical treatment of intractable hiccup should be based on the principle of regulating qi and invigorating the spleen.In his clinical practice,Professor Fu Wenbin emphasizes the combination of the disease and its symptoms,investigating its root cause so as to rule out the related causes,and puts forward that qi inversion and emotion are influenced by each other according to the relationship between qi and spirit and the theory of spleen ascending and stomach descending and that qi must first be regulated before treating hiccup.The key to regulating qi lies in regulating spirit,which focuses on regulating the heart and gallbladder,while spleen deficiency runs throughout its pathogenesis.Therefore,its clinical treatment focuses on the treatment of the heart,gallbladder and spleen,emphasizing the important role of the spirit,and treating both the body and the spirit.Professor Fu Wenbin also summarizes and proposes the integrated acupuncture treatment mode of"first acupuncture,then moxibustion and third consolidation",and comprehensively uses acupuncture manipulations such as filiform needle acupuncture,moxibustion,needle picking therapy and intradermal needle to obtain good results.The paper summarizes Professor Fu Wenbin's experience in treating intractable hiccup so as to provide a reference for clinical acupuncturists in this respect.