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针灸拔罐治疗慢性鼻炎

健康 来源:中国中医药报 2018年11月20日 14:14 A-A+ 二维码
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原标题:

  慢性鼻炎是一种常见、高发的以鼻黏膜及黏膜下层的慢性炎症性顽症。根据慢性鼻炎的病理和功能紊乱的程度,可分为以鼻黏膜肿胀、分泌物增多为特征的慢性单纯性鼻炎(鼻黏膜慢性炎症)和以黏膜、黏膜下层甚至骨质的局限性或弥漫性增生肥厚为特点的慢性肥厚性鼻炎(鼻腔慢性炎症)。临床应注意与结构性鼻炎,如鼻中隔偏曲、中鼻甲反向弯曲及下鼻甲内展等结构异常鉴别。

  慢性鼻炎属中医学“鼻鼽”“鼽嚏”“鼻窒”范畴。鼽即鼻出清涕,嚏乃鼻中因痒而气喷作声,窒是以鼻塞时轻时重,或双侧鼻窍交替堵塞。《灵枢·脉度》云:“肺气通于鼻,肺和则鼻能知香臭矣。”肺开窍于鼻,鼻病责之于肺。当肺气不足、清肃功能失常时,无力祛除邪气,淫邪日久化火、灼津,诱发痰浊阻塞鼻窍,反复发作,经久不愈,使肺气愈虚,邪恋缠绵不去,脏腑功能失调日久变症百出,渐成难治痼疾。针灸治疗慢性鼻炎疗效显著。

  针灸时取印堂、迎香、肺俞、大椎。伴饮食不佳,面色萎黄,鼻涕黏稠色白,大便溏泄加足三里;鼻塞时轻时重,伴嗅觉减退或鼻涕清稀或鼻痒,耳鸣,腰酸,头晕、气短、记忆力减退加关元;伴急躁易怒,鼻涕清稀或黏稠色黄交替,情绪低落加丰隆。患者先取舒适仰卧体位将所选穴位处常规消毒,毫针以小于45度角针尖向下刺印堂、以小于45度角针尖向内上方斜刺迎香各0.8寸,施以小幅度缓慢捻转平补平泻手法,以患者自觉鼻酸、能嗅到气味,双眼流泪为度。直刺丰隆2寸施以大幅度提插平补平泻手法,留针同时医者左右双手拇食中三指如持笔写字状各拿灸用艾条,使艾条点燃端与局部皮肤成45度角分别对准足三里、关元施以温和灸20分钟,每日针灸一次。改为俯卧体位,在患者大椎、肺俞处拔罐,留罐10分钟。

  印堂虽属于经外奇穴,但实位于统摄全身阳气和维系人身元气的督脉循行线上,为足太阳膀胱经、足阳明胃经、督脉的三大经络的汇集之地。针刺印堂有明目通鼻、宁心安神、益气固表之功。迎香属手阳明大肠经,位于鼻之两旁,疏散外邪、通利鼻窍、通经活络作用甚强,是治疗各种鼻患的要穴。大椎为手足三阳经及督脉的阳气汇合之处。肺俞是肺气转输、输注之处,为治疗肺脏疾病的重要腧穴。在大椎、肺俞处拔火罐,具有宣阳散寒、调补肺气、解表驱邪的作用。温和灸足三里穴能调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪。丰隆穴为足阳明胃经络穴,是古今医学家所公认为治痰要穴,有疏通表里两经之气血、健脾化痰、和胃降逆、利气宽胸、祛痰开窍、醒神定志之功效。(蔡晓刚 山西省洪洞县中医医院)

  (注:文中所载药方和治疗方法请在医师指导下使用。)

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BlobNotFoundThe specified blob does not exist. RequestId:7a8330b3-f01e-00b9-5724-11db67000000 Time:2019-05-23T05:02:52.1589806Z 慢性鼻炎 | 慢性肥厚性鼻炎
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我要纠错编辑:邹杨 责任编辑:张福伟
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