符文彬整合针灸治疗小儿抽动障碍经验介绍

Introduction to FU Wenbin's Experience in Treating Pediatric Tic Disorder with Inte⁃ grated Acupuncture and Moxibustion

摘要:

介绍符文彬教授运用“一针二灸三巩固”整合针灸疗法治疗小儿抽动障碍的临床经验。符文彬教 授认为，小儿抽动障碍的基本病机为情志不畅、心胆失调，关键环节在于阳郁不疏、筋脉失养，治疗应以调畅 心胆、温通阳气为法则。一针，调心胆首当调神，取百会、印堂、头维、鸠尾为调神五针，另配八脉交会穴， 随症加减；二精灸，从阳治重在通阳温阳，常取四花穴、腰奇、悬钟、涌泉为主穴；三巩固，穴位埋压，增强 疗效，常选取厥阴俞、阳纲埋针，取心、胆、脑为主穴行耳穴贴压。

Abstract:

Abstract：This article introduces Professor FU Wenbin's clinical experience in treating pediatric tic disorder using the "first acupuncture， second refined moxibustion， third consolidation" integrated acupuncture and moxibustion therapy. Professor FU believes that the basic pathogenesis of pediatric tic disorder lies in emotional constraint and heartgallbladder disharmony. The key pathological link is yang qi stagnation and failure to nourish sinews and vessels. Treatment should follow the principle of regulating the heart and gallbladder and warming and unblocking yang qi. The therapeutic approach consists of：first，acupuncture to regulate the heart and gallbladder，with emphasis on regulating the spirit，using Baihui（ GV20） point，Yintang（ EX-HN3） point，Touwei（ ST8） point，and Jiuwei（ CV15） point as the five spirit-regulating acupoints，supplemented by eight confluent points with modifications according to symptoms； second， refined moxibustion to address yang aspects， focusing on unblocking and warming yang， often selecting Sihua （BL17，BL19） points，Yaoqi （EX-B9） point，Xuanzhong （GB39） point，and Yongquan （KI1） point as main acupoints；third，consolidation therapy using acupoint embedding pressure to enhance therapeutic efficacy，commonly employing intradermal needle embedding at Jueyinshu （BL14） point and Yanggang （BL48） point，and auricular point pressing with heart，gallbladder，and brain as main points.