1 case of Sun's medical record
Acupuncture therapy of nourishing yin to reduce fire and tranquilizing mind to treat madness
Medical history: omitted
Western medicine diagnosis: mania
Traditional Chinese medicine diagnosis: madness, the syndrome belongs to yin deficiency and fire flourishing. The treatment should be nourishing yin to reduce fire, calming the heart and calming the nerves.
Prescription: Baihui, Emotional Area, Abdominal 1 Area, Sleeping (Double), Neiguan (Double), Sanyinjiao (Double), Zhao Hai (Double) and Taichong (Double).
Operation: Baihui and Emotional Zone require small-scale light twisting, and the twisting speed is more than 200 revolutions per minute for 3-5 minutes continuously. When needling the first area of abdomen, it is required to pierce the acupoint at the level of skin surface 15, so as not to hurt internal organs. The technique is mainly to twist in a small range, not to lift and insert, to get angry. With G6805-Ⅱ electroacupuncture instrument, after qi circulation, each acupoint was stimulated by continuous wave, and the intensity was subject to the patient's tolerance, once a day, 1 course of treatment, and the course of treatment was 2 weeks. Ask Baihui and emotional team leader to keep the needle for 8 hours.
After 4 treatments, it was cured in one course.
Reporter: akathisia is a common adverse reaction after using antipsychotic drugs. He usually feels uneasy and uneasy, which is difficult to describe clearly. In this case, Baihui point is the intersection of the three yang of hands and feet and the du meridian, which plays a role in strengthening the brain and calming the nerves. The emotional area is located directly above the Tang Yin point, with the depth of 1.0 1.5 inch at the hairline before entering, and the inner canthus is parallel to the points on both sides of the needle, with the depth of 1.0 1.5 inch. It is the head point selected according to the relationship between the functional orientation of cerebral cortex and the projection of scalp surface, which is equivalent to the frontal lobe of the brain. Here, special emphasis should be placed on the acupuncture techniques at Baihui point and emotional area, which require small-scale light twisting and occasional insertion, and the twisting speed is above 200 rpm for 3~5 minutes continuously. Clinically, Sun Lao often chooses the corresponding scalp acupoint therapy according to the relationship between brain function orientation and scalp body surface projection. He believes that acupuncture must be operated by special means, so that its stimulating signals act on the corresponding brain regions and play a role in regulating brain function. Therefore, acupuncture effect cannot be achieved without a certain amount of stimulation. Therefore, it is required that the performer must twist carefully according to the specified time and then add the lifting technique, that is to say, there must be a certain stimulation time, frequency and intensity, in order to achieve a certain amount of stimulation and achieve the purpose of treating diseases.
The first abdominal region comes from Sun Shi Abdominal Acupuncture Therapy (unpublished) initiated by Sun Lao. Different from the thin abdominal acupuncture therapy, abdominal acupuncture therapy divides the abdomen into ten acupoints. The first point is located 0.5 inches below the xiphoid process of the first part of the abdomen, and the three points are selected 0.5 inches next to this point. At the same time, from the three points down 1.5 inches deep, the point area slightly twisted, reaching the degree of qi. It has a good therapeutic effect on emotional disorder, depression, anxiety, insomnia and various mental diseases.
In the treatment of mental illness, according to the principle of syndrome differentiation and combined with the relationship between brain function orientation and scalp surface projection, Sun Lao proposed the application of "regulating the mind and improving intelligence" treatment, in which Baihui, Tang Yin, emotional area and "abdomen 1 area" were selected as the main prescriptions, and acupoints were selected according to syndrome differentiation, such as Zhao Hai as the intersection of eight veins, and Yinqiao pulse was filled to make them close their eyes and fall asleep; Palpitation and palpitation plus Neiguan; Insomnia, forgetfulness, sleep; Manic, irritable and impulsive; Upset and upset plus sanyinjiao, etc. Acupoint selection is not limited to the usual methods, and the clinical effect is outstanding.
Wang Guocai medical record
Treatment of insomnia by invigorating spleen and nourishing heart
Medical history: omitted
Traditional Chinese medicine diagnosis: insomnia, which belongs to deficiency of both heart and spleen. Treatment should strengthen the spleen and nourish the heart, calming the heart and calming the nerves.
(1) Massage technique: The patient lies on his back and the operator sits on the bed. First of all, he pushed up from Tang Yin to Shenting for 3 5 times, then from Tang Yin to both sides along the eyebrow arch to the temple for 3 5 times, then pushed around his eyes in an ∞ shape for 3 5 times with a finger Zen technique, and then welcomed incense from Tang Yin along both sides of his nose.
Finally, rub your hands along the above-mentioned treatment site for 3~5 times. Massage Tang Yin, Jingming, Yaozhu, Fish Waist, Sibai, Baihui, Sishencong, Head and Tail, Jiaosun, Lvgu, and Brain Hole. To sweep away the gallbladder meridians on both sides, grasp the five meridians, rub the Fengchi point, and take the neck and shoulder wells on both sides. Rub your abdomen clockwise, press Zhong Wan, Qi Hai and Guan Yuan, and clap your hands in Zhong Wan. Then press Kneading Shenmen, Neiguan, Zusanli, Sanyinjiao, Taixi and Taichong. The patient takes a prone position, and the operator treats the bladder meridians on both sides of the back spine in a rolling way, which are divided into Pishu, Shu Wei, Jueyinshu, Xinshu, Ganshu and Shenshu. Then directly knead the Du meridian on the back, and horizontally knead the eight points on Shenshu, Mingmen and sacrum, with heat penetration as the degree.
(2) Acupuncture: selecting points: Tang Yin, Baihui, Touwei (double), Fengchi (double), Fengfu, Quchi (double), Neiguan (double), Shenmen (double), Zhongwan, Qihai, Guanyuan, Zusanli (double) and Taichong (double). Zen acupuncture is the main technique, and no needles are left. Every day 1 time.
Second visit (March 24, 2003): conscious, in good spirits, normal complexion, dark eyes and natural expression. The patient complained that his sleep was obviously better than before, and he could sleep for about 5 hours at night. The symptoms of consciousness and fatigue are obviously better than before, and the headache and head weight basically disappear. Reception, palpitation, chest tightness are relieved, and the abdomen is slightly swollen. There are fewer dreams at night. The treatment is the same as before.
Press: Sleep is dominated by the mind, and the normal operation of Ying Wei Yin is the basis to ensure that the mind regulates sleep. Anything that affects the normal operation of qi, blood, yin and yang in Wei Ying and makes people uneasy will become the cause and pathogenesis of insomnia. The location of the disease is always caused by the loss of mind, but it is closely related to the liver (gallbladder), spleen (stomach) and kidney. The essence of disease is always a syndrome of disharmony between camp and health, disharmony between yin and yang, loss of mind and excess of deficiency. Treatment is always based on regulating yin and yang, with peace of mind as the solution. Taiyang, Tang Yin, Shenting, Baihui, Jiaosun and Fengchi are located in the head, which can dredge local meridians and regulate local qi and blood, and have a direct effect on the accompanying symptoms of insomnia, such as headache, dizziness, tinnitus and dizziness. Moxibustion on the abdomen and pressing points such as Zhongwan and Zusanli can strengthen the spleen and regulate the stomach, which is the source of qi and blood biochemistry. Du meridian "enters the collaterals in the brain" and "the brain is the mansion of Yuan God", so wiping Du meridian can play the role of warming meridians, calming the heart and calming the nerves.
Wang Guocai's Zen acupuncture method is to apply the luck method and vibration method of massage to acupuncture. The characteristic of Zen acupuncture is that the operator holds the needle with his thumb and fingers, and transports the needle in the form of vibration force in the state of luck. The needle twisting frequency is very fast (about 8 times per second), and the needle twisting range is between 180 ~ 360, which can be adjusted at will. In clinical visits, according to the needs, methods such as lifting, twisting, flying, bouncing, vibrating and shaking can be combined at will. Zen acupuncture is durable and uniform, with high gas recovery rate, good conductivity, adjustable stimulation amount, painless, safe and non-needle stagnation. To master this technique, you must have a solid foundation of internal strength and be proficient in acupuncture and massage.
Three medical records in Chen Quanxin.
1. treatment of acute lumbar sprain with point of hand and lumbago
Prescription: Shenshu (left), stomach middle (right), Dazhui, lumbago of hands and feet (right)
Manipulation: Shenshu and Weizhong points adopt the method of catharsis, and Weizhong points twist the needle counterclockwise to guide the air upward, so that the needle sensation can be transmitted to the waist; The method of flat repair of large vertebral body; When the needle is placed in the middle of the acupoint, the patient feels a tingling sensation in his right thigh. Although the acupuncture sensation can't be transmitted to the waist after the air-guiding manipulation, the patient is required to stand after taking out the needle, and the waist pain is slightly relieved after acupuncture.
Second visit (2009 165438+ 10/9): The patient can walk without support. The patient complained that after 6 times of acupuncture treatment, the low back pain was relieved and he could bend over, but there was still a dull pain in his waist. The tongue is pale and white, the fur is thin and white and slightly greasy, and the pulse is slippery. After acupuncture, most patients' waist pain was relieved. Although it is an acute lumbar sprain, the course of treatment is longer than that of ordinary acute lumbar sprain because of sedentary qi stagnation and blood stasis. Selecting points alternately with Shenshu and Houxi to adjust Du meridian, and the other methods are the same as before.
Third visit (June 5438+February 23, 2009): The patient was mentally healthy and walked freely. The patient's waist pain is relieved, he walks as usual, his waist moves as usual, and he can sleep and adjust his stool. The tongue is red, the coating is thin and greasy, and the pulse is thin. The former method is consistent with the initial diagnosis, and the original method is still the purpose.
Press: Chen Lao thinks that acute lumbar sprain is a common disease in acupuncture clinic. According to clinical reports, you only need to choose one acupoint, such as Shuigou or Houxi, to get the effect. This kind of lumbar sprain mostly belongs to local temporary stagnation of qi and blood, and dredging meridians through acupuncture can have an immediate effect. However, acute lumbar sprain caused by long-term stagnation of qi and blood can not be cured by single acupoint or multiple acupuncture, which is the pathogenesis of "sedentary injury to meat" in Su Wenxuan Wu Mingqi Tablet. Therefore, the clinical treatment of acute lumbar sprain should clearly judge the severity of qi stagnation and blood stasis and make a curative effect judgment.
2. Acupuncture and moxibustion can tonify qi and blood and liver and kidney to treat acute lumbar sprain in the elderly.
Press: The patient with low back pain in this case belongs to qi-blood disharmony, and the elderly also have kidney deficiency. Therefore, the treatment is mainly to reconcile qi and blood, but also to regulate liver and kidney. Acupoints are selected according to the method of viscera matching, and Shenshu and Ganshu can be selected. Because the Du meridian passes through, it can regulate the whole body and tonify the liver and kidney. Therefore, the application of Guanyuan, Qihai and Renmai points has the meaning of attracting yin and taking yang. The local acupoints are Ashi and Guanyuanshu, while the distal acupoints are Zhong Wei and Weiyang to regulate menstruation. After two treatments, the patient's low back pain was obviously relieved.
**3. Acupuncture combined with Bushen Jianpi therapy for lumbar muscle strain * *
Acupoints: Shenshu (double), Pishu (double) and Stomach (double).
Acupuncture method: Professor Chen used tonic method to acupuncture Shenshu and Pishu points. After getting angry with the needle during the operation, he repeatedly twisted the needle and pushed his thumb forward. At the same time, he slowly lifted the needle from shallow to deep and briskly. Needle transport is based on light twisting, slow pressing and light lifting. When the needle is transported, the qi of the meridians under the needle is transmitted to the waist. When the purging method is used to acupuncture Weizhong point, the tip of the needle inclines upward, the needle twisting range is larger, and the thumb is inclined to pull back and then twist. When Professor Chen twisted the needle to guide the gas, the patient gradually felt that there was a gas radiating from the waist to the feet under the needle, and the pain in the waist was relieved. Leave the needle for 30 minutes.
Moxibustion: After acupuncture, use moxa sticks to moxibustion both sides of Shu Ge and Guanyuanyu.
After treatment, the patient felt less pain in the waist. Apply Vaccaria seed to the waist and kidney points of the right ear.
Second visit (May 22, 2007): The patient complained that after acupuncture treatment, the waist pain at night was greatly reduced, and there was no discomfort in moving the waist. Last night, the number of nocturia was reduced to three. But it's still tinnitus and dizziness, and the intake is still not good. Acupoints are: Qihaishu (double), Tinggong (double) and Yinlingquan (double). Stab Qi Hai Shu with tonic method; Acupuncture at Tinggong point, supplemented by acupuncture. After inserting the needle, only rotate the needle and push the thumb forward without inserting the needle; Acupuncture at Yinling Spring strengthens the spleen and eliminates dampness by calming the spleen and stopping diarrhea. Leave the needle for 30 minutes.
Because of frequent micturition and nocturia, Professor Chen used moxa stick to warm moxibustion at Guanyuan and Zhongji points after acupuncture to strengthen the function of fixing and absorbing qi. After returning to China, moxa sticks can still be used to warm moxibustion abdominal Shenque, Qihai and Guanyuan points to strengthen the curative effect.
The third diagnosis (May 25th, 2007): After yesterday's treatment, the patient complained that the symptoms of tinnitus and dizziness were relieved, and his spirit improved, and the frequency of thinking about food and urinating decreased. The frequency of nocturia last night was 1 time. Check the pulse of the tongue, the tongue is pale with thin coating and thin pulse. Professor Chen believes that the former method is compatible and the symptoms continue to improve. The acupoints are Baihui, Yifeng (Shuang), Mingmen, Dachangshu (Shuang) and Yanglingquan (Shuang). Baihui, Mingmen and Dachangshu all stabbed them with tonic method; Purging and stabbing Yifeng and Yangling Springs by flat method. After the needle is inserted, only twist the needle to guide the air, not to mention the needle. Moxibustion on Shu Ge (double) and Zusanli (double). Leave the needle for 30 minutes.
The fourth diagnosis (July 9th, 2007): The patient complained happily. After more than 1 month of treatment, the low back pain that had troubled him for many years disappeared, and now he goes as usual, with free waist movement, increased appetite and no tinnitus and dizziness. Seeing refreshed, the tongue coating is thin and moist, the pulse is flat, and the disease has recovered. It is effective to remove the pressure from the right ear, treat the upper part and then acupuncture 1 Zhou Gonggu. Tell him to pay attention to avoid catching cold at the waist, take part in sports properly and strengthen his physique.