中医杂志2026，Vol.67Issue(17)：1830-1834,1844,6.DOI:10.13288/j.11-2166/r.2026.17.005
从脑、少阳、咽的相关性探析调枢通窍针刺法在中风后吞咽障碍中的运用
Application of Pivot-Regulating and Orifices-Unblocking Acupuncture in Post-Stroke Dysphagia:from the Perspective of the Relationship among the Brain,Shaoyang(少阳)and Pharynx
摘要
Abstract
Based on the close structural and functional associations of the Shaoyang(少 阳)channel and related zang-fu(脏腑)organs with the brain and the pharynx,this paper proposes that the pathogenesis of post-stroke dysphagia involves constraint and stagnation of the pivot mechanism,binding of phlegm and stasis,frenetic stirring of ministerial fire,and incoordination of the spirit mechanism,ultimately leading to loss of pharyngeal function.An acupuncture therapy centered on regulating the pivot and unblocking the orifice is established.Acupoints of the Shaoyang channel,including Fengchi(GB 20),Wangu(GB 12),Yifeng(SJ 17),and Waiguan(SJ 5),are selected to regulate the piv-ot and treat the root;acupoints of the Du(督)and Ren(任)channels,including Fengfu(GV 16),Lianquan(CV 23),and Tiantu(C V 22),are used to unblock the orifice and treat the branch.In addition,staged treatment can be ap-plied according to syndrome differentiation.In the acute stage with predominant phlegm turbidity,Fenglong(ST 40),Yinlingquan(SP 9),Jinjin(EX-HN 12),and Yuye(EX-HN 13)are added to resolve phlegm and facilitate orifice function.During the recovery stage with excess ministerial fire scorching the pharynx,Zulinqi(GB 41)and Zhaohai(KI 6)are added to drain fire and nourish yin;when ministerial fire disturbs the spirit,Tongli(HT 5)and Neiguan(PC 6)are added to calm the spirit and the heart.During the chronic stage with blood deficiency and collateral stasis,Zusanli(ST 36)and Sanyinjiao(SP 6)are added to nourish blood and unblock collaterals.In clinical practice,the angle and depth of needling are adjusted based on the stage of dysphagia,with the combination of elongated needles and medicinal moxibustion are used to enhance the therapeutic effect.关键词
中风后吞咽障碍/针刺疗法/调枢通窍/少阳Key words
post-stroke dysphagia/acupuncture/regulating pivot and unblocking orifices/shaoyang(少阳)引用本文复制引用
刘应泉,姬宏杰,叶宇,褚骏豪,白琳,苏星星,程红亮..从脑、少阳、咽的相关性探析调枢通窍针刺法在中风后吞咽障碍中的运用[J].中医杂志,2026,67(17):1830-1834,1844,6.基金项目
国家自然科学基金(82575188) （82575188）
安徽省名中医工作室项目(皖中医药秘[2025]9号) （皖中医药秘[2025]9号）
安徽中医药大学"常青藤工程"重点攻关领域专项课题(DC2600000194) （DC2600000194）
安徽省卫健委科研重大项目(AHWJ2024Aa40010) （AHWJ2024Aa40010）
安徽省临床医学研究转化专项(202304295107020123) （202304295107020123）
安徽中医药大学2024年度国家中医药管理局中医治未病学科临床科研项目(2024LC086) （2024LC086）
