胃痛的針灸治療

胃痛的針灸治療腹胃脘部近心窩處疼痛為主癥的病癥。其病因復(fù)雜，由志不暢、素體脾胃虛弱等引起，是臨床的常見(jiàn)病多發(fā)病，也床上根據(jù)病因病機(jī)不同分為寒邪犯胃、飲食傷胃、肝氣犯，根據(jù)“不通則痛，不榮則通”的理論，本病針灸治療當(dāng)以分清寒熱虛實(shí)，辨別病位，采用相應(yīng)的治法才得到較好的治Abstractstomachache，alsocalledepigastricpain，It’smainsymptomispainovertheepigastriumatstomachregion.Theetiologyisverycomplex.itisbelievedthatstomachacheiscausedbythefeelingambitioninternalinjured,inappropriatedrinkingoreating,weakenedspleenandstomach,andsoon.Stomachacheisakindofcommonailmentandfrequentlyencountereddisease,whichacupunctureisoneoftheeffectivetherapeuticmodalities.It’sdividedintosyndromeofcoldpathogenattacking、syndromeofinappropriateeatinganddrinking、syndromeofahepaticqiattackingstomach、syndromeofdamp-heatinthestomach、syndromeofstomach-yinofdeficiency、etcaccordingtodifferentetiologicalfactorsinclinic.Accordingtotcmathogenesisofpainfrom"hinderingpain"and"deficiencypain".RegulatingqiflowingforharmonizingstomachisfundamentalprincipleinacupuncturetreatmentOnacupointsselectionneedtorealizethedifferencesofdeficiencyandexcessandcoldandheat.Treatedbydifferentmethodsrdingtovariousseverityofinjuriescanhaveabettereffectintreatingdisease.Keywordsstomachache、dialectic、acupuncture、acupointsselected有食欲不振，惡心嘔吐嘈雜泛酸等上消化道癥狀。發(fā)病特有明顯誘因，如天氣變化，情緒激動(dòng)，飲食失常，過(guò)飽、過(guò)緩急，寒、胃潰瘍、功能性消化不良、胃粘膜脫垂等病以上腹部疼痛。致寒積于中焦，胃脘氣機(jī)阻滯，不通則通氣機(jī)阻滯主治胃中寒脹[2].針刺用瀉法，多用艾灸法在中脘穴及神闕調(diào)理以溫中散寒理氣止痛的方劑如香致濕熱內(nèi)生或食滯不化內(nèi)有蟲(chóng)積阻滯胃氣食或嘔吐不消化食物，大便不爽，苔厚膩脈滑、脾俞、胃俞、大腸俞理脾胃，促進(jìn)腸道蠕動(dòng)，加強(qiáng)消化功能的作用，針開(kāi)前正中線兩寸的一排經(jīng)穴以點(diǎn)柔法或刮痧療法，以出痧脾俞、胃俞、足三里穴位以治療肝氣不疏，以疏肝解郁，調(diào)理肝氣，配以調(diào)針刺用瀉法。中藥調(diào)理以疏肝解郁，調(diào)和脾嗜食肥甘厚味脾失建運(yùn)，濕熱內(nèi)生，口苦、口中黏膩，心煩口渴，腹中腸鳴，可伴有胃俞、脾俞穴，針刺以瀉法為主，不灸，或以拔罐點(diǎn)刺放血來(lái)胃脘灼痛，得氣后接電針儀中藥調(diào)理以養(yǎng)陰益胃的一貫煎加減遏胃氣，不通則痛如刺割，久痛不愈，食欲不振，實(shí)質(zhì)紫暗，脈細(xì)澀針此聚集，氣血物質(zhì)充斥的范圍巨大如海，故