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《靈樞.海論》對於腦中風治療之啟發:理論與臨床應用

The Inspiration of Stroke Treatment from Spiritual Pivot Hai-lun: Theory and Clinical Application

摘要


《靈樞.海論》中提出四海氣血輸注的穴位、相應的病症及調治方法,並強調四海相通,互相調節,互相補充。腦中風是中西醫合療重要項目之一,中風病位在腦,腦為奇恆之府,無專屬經絡,若根據內經經絡循行,以腦為病位的疾病治療與膀胱經、督脈、胃經三經絡有關,四海氣血輸注的對應所通穴位皆位於上述三條經絡上,利用四海理論治療腦中風應具有重要的指導意義。

關鍵字

中風 海論 四海之腧 針灸

並列摘要


Four seas theory in Spiritual Pivot Hai-lun demonstrates the acupoints which qi and blood in four seas transfer through, the related symptoms when disharmony among four seas has occurred, and the methods to regulate such imbalance. Furthermore, the theory emphasizes that qi and blood in four seas communicate with, coordinate with, and complement each other. Stroke is a significant disease treated with both Chinese and western medicine often in Taiwan. Patients suffering from stroke may get great benefits from the combination of the two medications. According to TCM theory, stroke is a disease located in brain, an extraordinary fu-organ. However, there is no "brain meridian" in the meridian system. Instead, urinary bladder meridian, du vessel, and stomach meridian are relevant to brain most according to Huangdi Neijing. Moreover, acupoints where qi and blood in four seas deliver to body surface are of these three channels. Therefore, this study concludes that four sea theory plays a critical role in treating stroke and accompanied sequelae.

參考文獻


Shih CC, Liao CC, Sun MF, Su YC, Wen CP, Morisky DE, Sung FC, Hsu CY, Lin JG: A retrospective cohort study comparing stroke recurrence rate in ischemic stroke patients with and without acupuncture treatment. Medicine, 2015; 94(39): e1572.
琴峰、劉婕:針灸治療痴呆的臨床規律探討。中西醫結合心腦血管病雜誌2010;8(7):799-801。
林昭庚:新編彩圖針灸學,知音出版社,台北 2009;466。
王穎、楊駿:針刺風池風府穴對中風後遺症患者腦血流速度的影響。中醫藥臨床雜誌 2005;17(3):251-253。
DynaMed: Complications and prognosis of stroke. [updated 2018 Nov 30, cited 2019 Jun 15]. Available from http://www.dynamed.com/topics/dmp~AN~T922866/Complications-and-prognosis-of-stroke

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