基于“玄府-络脉”理论探讨针刺治疗脑卒中后便秘诊疗思路

Exploration on Diagnosis and Treatment of Acupuncture for Post-Stroke Constipation Based on the Theory of "Sweat Pores and Collateral Vessels"

摘要:

玄府与络脉作为人体气机升降与津液代谢的通道，二者相互关联。玄府主司开阖，调控气机升降；络脉渗灌滋养，输布气血濡润肠腑。脑卒中后便秘的病机为大肠传导失司，而基于玄府-络脉理论分析认为，玄府贵“开”忌“阖”、以“通”为顺的生理特点与大肠以“通”为用的功能有其共通之处，临证采用头针启闭法和腹针导滞法以开玄通络治疗脑卒中后便秘。

Abstract:

Abstract：As the channels for the ascending and descending of qi movement and the metabolism of body fluids in the human body，the sweat pores and collateral vessels are closely interconnected. The sweat pores govern opening and closing，regulating the ascending and descending of qi movement；the collateral vessels are responsible for percolating and nourishing，distributing qi and blood to moisten the intestines. The pathogenesis of post-stroke constipation lies in dysfunction of the large intestine in transportation. Based on the sweat pores and collateral vessels theory，it is proposed that the physiological characteristic of the sweat pores—valuing opening and avoiding closure， with patency as its normal state—shares common ground with the function of the large intestine，which also relies on patency. In clinical practice， scalp acupuncture for opening the blockage and abdominal acupuncture for relieving stagnation are used to open the sweat pores and unblock the collaterals in the treatment of post-stroke constipation.