摘要
Abstract
This article explored the thinking of acupuncture point selection for the treatment of Hashimoto's thyroiditis by acupuncture and moxibustion based on"middle qi"theory described in Huang Yuanyu's Si Sheng Xin Yuan.Huang's middle qi theory holds that humans and nature share the same qi,and that the middle qi determines the operation of the qi mechanism of the"circulation of one qi".Starting from the"middle qi"theory,the etiology and pathogenesis of this disease were analyzed.The depression of the liver is the key factor hindering the circulation of the qi mechanism.The kidney yang deficiency and cold coagulation as well as the dampness encumbering the spleen lead to the inability of the middle qi to ascend and descend.Over time,the internal generation of phlegm and blood stasis is the basic pathogenesis of this disease.Clinically,Renying,Qishe,and Tiantu were selected to improve the local blood flow.Taichong,Hegu,and the three needles on the forehead were used to soothe the liver and regulate emotions.Yinlingquan,Zusanli,and Baihui were used to invigorate the spleen and promote the lifting of qi.Fenglong,Zhubin,and Xuehai were used to expel pathogenic qi.Moxibustion at Shenque was used to strengthen the foundation and consolidate the origin,achieving good clinical efficacy.关键词
桥本甲状腺炎/《四圣心源》/黄元御/中气/取穴思路Key words
Hashimoto's thyroiditis/Si Sheng Xin Yuan/Huang Yuanyu/middle qi/thinking of acupuncture point selection
