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益气升阳法治疗老年性上睑下垂验案1则
郑好1, 韩萌1, 刘恩琦1, 王雪1, 白春瑶1, 韩晶2,3
1.山东中医药大学针灸推拿学院,济南 250355;2.山东中医药大学附属医院针灸科,济南 250011;3.谭奇纹全省名老中医药专家传承工作室,济南 250014
摘要:
文章报道中医辨治老年性上睑下垂验案1则。老年性上睑下垂属中医“上胞下垂”范畴,临床辨证多属脾虚气陷。本案患者在脾虚基础上,兼心阳不足,故针对心脾阳虚、清阳不升的病机,以益气升阳法为核心,采用健脾益气、振奋心阳的治法,心、脾两脏同调,且针刺结合中药,内外兼治。治疗后患者眼裂增大,基本恢复正常,生活质量得以提高。
关键词:  老年性上睑下垂  益气升阳  针刺疗法  针药并用疗法
DOI:10.11656/j.issn.1673-9043.2022.04.10
分类号:R276.7
基金项目:齐鲁医派中医学术流派传承项目(鲁卫函[2020]132号);谭奇纹全省名老中医药专家传承工作室项目(22201906);山东中医药大学科研创新团队(220318)
Case of senile ptosis treated with reinforcing qi and elevating yang method
ZHENG Hao1, HAN Meng1, LIU Enqi1, WANG Xue1, BAI Chunyao1, HAN Jing2,3
1.Institute of Acumox and Tuina, Shandong University of Traditional Chinese Medicine, Jinan 250355, China;2.Department of Acupuncture, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250011, China;3.Chinese Medicine Expert Inheritance Studio of TAN Qiwen, Jinan 250014, China
Abstract:
This paper aims to report a patient with senile ptosis effectively treated with Chinese medicine therapy based on the syndrome differentiation process. Senile ptosis refers to "ptosis" in Chinese medicine. The mechanism of the disease is often identified as spleen deficiency with sunken qi in clinical practice. The patient in the case report was differentiated as spleen deficiency combined with heart yang deficiency. Therefore, we focused on the reinforcing qi and elevating yang method to treat deficiency of the heart and the spleen yang and weakness of the clear yang syndrome. Both the heart and the spleen were regulated by fortifying the spleen and replenishing qi method and upraising the heart yang method. Besides, acupuncture medication combined therapy was adopted following the principle of combined internal and external treatment. The patient's palpebral fissure was enlarged to almost the normal size and her quality of life was improved after treatment.
Key words:  senile ptosis  reinforcing qi elevating yang  acupuncture therapy  acupuncture medication combined therapy
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