从“浊气在上,则生月真胀”论夹脊穴治疗功能性腹胀

Discussion on Treatment of Functional Abdominal Bloating by Jiaji Points from‘Undescended Turbid Qi Leading to Bloating’

本研究基于对《黄帝内经》“浊气在上,则生[月真]胀”的分析阐释,认为功能性腹胀病机关键在于生理性浊气不归其位,日久生浊邪,使中焦气机升降失常。浊为阴邪,功能性腹胀属阴位疾病,与之相应,背部夹脊穴属阳位,具有借腹气街及任督循环多维联络腹部的功能,为调节腹部诸脏腑经脉气机之枢纽。基于此,笔者提出可从阳治阴,用经络诊察的方式,着重取与腹气街相应的T11~L5夹脊穴区的病证反应点,以散局部有形浊邪;再基于督脉-夹脊穴-足太阳膀胱经三者特殊的位置关系,取夹脊穴通调任督与脏腑之气,整体复升降以还浊气,调阴阳之失衡,解除机体因“浊气在上”而生腹胀的病理状态,以期对针灸临床治疗功能性腹胀提供思路。

Based on the analytical interpretation of‘undescended turbid Qi leading to bloating’in Yellow Emperor's Inner Canon,this study states that the key to the pathogenesis of functional abdominal bloating(FAB)lies in the fact that physiological turbid Qi fails to descend and over time the turbid pathogen is generated,which leads to the disorders of ascending and descending of Qi movement in the middle Jiao.Turbidity is considered a Yin pathogen,and FAB is classified as a Yin disease,corresponding to this concept.Jiaji points on the back belong to the Yang position and have the function of connecting the abdominal Qi and facilitating the multidimensional circulation between the Ren and Du meridians to the abdomen.They serve as a key hub for regulating the Qi of the meridians of the various abdominal organs.Based on this,it is proposed treating Yin disorders through Yang by using meridian diagnostics.This approach focuses on identifying pathological response points in the Jiaji points of T11-L5,which correspond to the abdominal Qi,to disperse localized turbid pathogens.Additionally considering the special positional relationship among the Du meridian,Jiaji points and Foot Yaiyang Bladder meridian,the Jiaji points are used to harmonized the Qi of the Ren and Du meridians and the internal organs.This overall regulation aims to restore the ascending and descending balance to expel turbid Qi,correct the imbalance of Yin and Yang,and alleviate the pathological state of abdominal bloating caused by‘turbid Qi rising’.The goal is to provide insights for the clinical acupuncture treatment of functional abdominal bloating.