老锦雄运用培元养心法治疗中风后神志异常经验介绍
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R249

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国家自然科学基金资助项目(82430125);广东省名中医传承工作室建设项目(粤中医办函〔2023〕108号)


Introduction to LAO Jinxiong's Experience in Treating Post-Stroke Mental Disorders with the Primordial Qi-Cultivating and Heart-Nourishing Method
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    摘要:

    介绍老锦雄教授运用培元养心法针灸治疗中风后神志异常的临床经验。老锦雄教授认为,中风后神志异常的病机以精元亏虚、髓海失充为根本,气机逆乱、痰瘀内生为枢纽,心神失养、元神失司为核心。治以填精培元、调气疏机、安神养心,并按初期、中期、后期分期论治。临证中,老锦雄教授形成了切脉、望诊、理筋、揣按的四步辨治要诀,选用五脏俞行烧山火及温针灸以培元固本,合谷、太冲开四关以调气通络,内关行迎随泻法以护心开窍,并根据元神与识神受损之不同,施以相应刺激。呈现了老锦雄教授重灸培元、辨证调气、分期养心的临证经验。

    Abstract:

    Abstract: This paper introduces Professor LAO Jinxiong′s clinical experience in treating post-stroke mental disorders with acupuncture and moxibustion using the primordial qi-cultivating and heart-nourishing method. Professor LAO Jinxiong holds that the pathogenesis of post-stroke mental disorders is fundamentally rooted in the deficiency of essence and primordial qi as well as insufficiency of marrow sea,with disordered qi movement and internal generation of phlegm and stasis as the pivotal mechanism, and malnourishment of the heart spirit and failure of governance by the primordial spirit as the core. The treatment is guided by the principles of replenishing essence and cultivating the primordial qi,regulating and unblocking qi movement,and calming the spirit and nourishing the heart,with stagespecific treatment according to the early, middle, and late stages. In clinical practice, Professor LAO Jinxiong has developed a four-step diagnostic and therapeutic approach encompassing pulse palpation,inspection,tendon soothing, and palpatory examination. He selects the five back-shu points to perform the heat-producing needling technique and warm needling moxibustion to cultivate the primordial qi and consolidate the foundation, combines Hegu (LI4) and Taichong (LR3) points to open the four gates for regulating qi and unblocking the collaterals,applies the directional reducing method at Neiguan (PC6) points to protect the heart and open the orifices, and administers corresponding stimulation according to the specific damage of the primordial spirit and the conscious spirit. This paper presents Professor LAO Jinxiong′s clinical experience of emphasizing moxibustion to cultivate the primordial qi, regulating qi based on syndrome differentiation,and nourishing the heart in a stage-specific manner.

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陈彬,李智濠,周思远,田颖,指导:老锦雄.老锦雄运用培元养心法治疗中风后神志异常经验介绍[J].新中医,2026,58(18):207-212

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  • 在线发布日期: 2026-09-29
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