彭旭明基于解结理论治疗偏头痛经验介绍

Introduction of PENG Xuming's Experience in Treating Migraine Based on Theory of Untying Knot

摘要:

介绍彭旭明老师基于解结理论治疗偏头痛的临床经验。彭旭明老师认为，偏头痛的核心病机在于 “邪气聚结，阻塞清窍”，并基于《黄帝内经》的解结理论，将“结”分为“脉络之结”与“经筋之结”两个层 次。“脉络之结”关乎气血运行，通过触诊头面动脉辨明虚实（分为壅结或匿结），分别施以刺络放血或毫针补 泻；“经筋之结”关乎形体结构，远近循筋诊断并运用推拿与恢刺手法松解筋结。将“分层解结”的诊疗思路 与针刺及推拿之法相结合，将整体与局部的诊治相统一，故临床可获良效。

Abstract:

Abstract：This article introduces PENG Xuming's clinical experience in treating migraine based on the theory of untying knot. PENG Xuming believes that the core pathogenesis of migraine lies in "pathogenic qi accumulating and knotting， obstructing the clear orifices." Guided by the theory of untying knot from Huang Di Nei Jing （The Yellow Emperor's Inner Classic），he categorizes "knots" into two levels："knot in the collaterals" and "knot in the sinews." The "knot in the collaterals" pertains to the movement of qi and blood. By palpating the arteries of the head and face to differentiate deficiency and excess （categorized as excess knots or hidden knots），treatment involves either collateralpricking and bloodletting or reinforce and reduce with filiform needles accordingly. The "knot in the sinews" relates to the physical structure. Diagnosis involves tracing the sinews proximally and distally，and release is achieved using tuina and the lateral needling technique. By integrating the diagnostic and therapeutic approach of "untying knots by layer" with acupuncture and tuina，and unifying holistic and local treatment，satisfactory clinical effect can be achieved.