山东大学耳鼻喉眼学报 ›› 2022, Vol. 36 ›› Issue (4): 103-107.doi: 10.6040/j.issn.1673-3770.0.2021.412

• 学术探讨 • 上一篇    

浅析“颈部七线法”针刺治疗突发性耳聋的内涵

石安妮1,张佳佳2,白鹏2,张重阳2   

  1. 1. 北京中医药大学东直门医院, 北京 100700;
    2. 北京中医药大学第三附属医院, 北京 100029
  • 发布日期:2022-07-11
  • 通讯作者: 白鹏. E-mail:baipeng1978@163.com
  • 基金资助:
    全国中医药创新骨干人才培训项目[国中医药人教函(2019)128号]

Analysis of a therapeutic modality for sudden deafness utilizing neck acupuncture comprising seven lines of treatment

SHI Anni1, ZHANG Jiajia2, BAI Peng2, ZHANG Chongyang2   

  1. 1. Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing 100700, China;
    2. Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing 100029, China
  • Published:2022-07-11

摘要: 突发性耳聋的针灸疗效毋庸置疑,如何突破传统选穴思路,寻求更有效的针灸选穴处方值得重视。通过梳理《内经》中关于“暴聋”的相关论述,结合近现代医家应用颈项部腧穴治疗突发性耳聋机制,阐明应用“颈部七线法”各穴线治疗突聋的内涵。“颈部七线法”不同于传统针刺拘泥于耳部穴位,选穴以颈项部为主,结合局部穴位的组织结构特点,同时遵循局部选穴与整体观念相结合,为临床治疗突发性耳聋提供新的思路,以求进一步提高针灸治疗突发性耳聋的临床疗效。

关键词: 颈部七线, 突发性耳聋, 黄帝内经, 针法

Abstract: The efficacy of acupuncture in the treatment of sudden deafness is well substantiated. However, it is necessary to assess traditional methods in order to identify the most efficient acupuncture treatment modalities. This article links an exposition of “sudden deafness” in Huangdi Neijing, with an illustration of the mechanism of treatment of sudden deafness by modern doctors using acupoints on the neck. It further presents a discussion and summary of the theoretical source of the application of neck acupoints, and explains the basis of the seven-line neck method in treating sudden deafness. In comparison to traditional methods, our treatment combines a consideration of the characteristics of acupoints, with their respective tissue structures, providing a new approach to the clinical treatment of sudden deafness, in the hope of improving the efficacy of this modality.

Key words: Neck acupuncture with seven lines treatment, sudden deafness, Huangdi Neijing, acupuncture manipulation

中图分类号: 

  • R764.43
[1] 中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会. 突发性聋的诊断和治疗指南(2005年, 济南)[J]. 中华耳鼻咽喉头颈外科杂志, 2006, 41(8): 569. doi:10.3760/j.issn: 1673-0860.2006.08.003. Chinese Otorhinolaryngology Head and Neck Surgery Society of Chinese Medical Association,Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery. Guideline of diagnosis and treatment of sudden deafness(2005, Jinan)[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2006, 41(8): 569. doi:10.3760/j.issn: 1673-0860.2006.08.003.
[2] 乔怡歆, 蒲晓兵, 刘一瑾, 等. 突发性聋治疗现状及进展[J]. 四川医学, 2020, 41(1): 10-15. doi:10.16252/j.cnki.issn1004-0501-2020.01.003.
[3] Marx M, Younes E, Chandrasekhar SS,等. 突发性聋治疗的国际共识[J]. 听力学及言语疾病杂志, 2018, 26(4): 451-452.doi:10.3969/j.issn.1006-7299.2018.04.029.
[4] 苑文佳. 颈部七线法治疗感音神经性耳聋的临床疗效观察[D]. 北京: 北京中医药大学, 2019.
[5] 陈子杰, 翟双庆. 《内经》耳鸣耳聋与五脏相关理论探讨[J]. 辽宁中医药大学学报, 2014, 16(6): 123-125. doi:10.13194/j.issn.1673-842x.2014.06.045. CHEN Zijie, ZHAI Shuangqing. Theoretical discussion for tinnitus and deafness related to five Zang-organs in neijing[J]. Journal of Liaoning University of Traditional Chinese Medicine, 2014, 16(6): 123-125. doi:10.13194/j.issn.1673-842x.2014.06.045.
[6] 李玲, 张豪斌, 牛文民, 等. 《内经》发蒙针法治疗耳聋[J].世界针灸杂志(英文版), 2015,25(3): 26-30. LI Ling, ZHANG Hao-bin, NIU Wen-min.Treatment of hearing loss with “fameng needling” in Nèijīng[J]. World Journal of Acupuncture-Moxibustion, 2015,25(3): 26-30.
[7] 韦永政, 钟沛丽, 林诗雨, 等. 林国华针灸治疗难治性突发性耳聋经验撷要[J]. 中国针灸, 2021, 41(3): 321-324. doi:10.13703/j.0255-2930.20200110-k0003. WEI Yongzheng, ZHONG Peili, LIN Shiyu, et al. Professor LIN Guo-hua's experience in treating intractable sudden deafness with acupuncture and moxibustion[J]. Chinese Acupuncture & Moxibustion, 2021, 41(3): 321-324. doi:10.13703/j.0255-2930.20200110-k0003.
[8] 游伟, 魏嘉, 温雅丽, 等. 从《灵枢》“天牖五部”出发探讨应用颈项部腧穴的学术渊源与特点[J].环球中医药, 2020, 13(3): 491-494. doi:10.3969/j.issn.1674-1749.2020.03.037.
[9] 孟言, 白鹏, 王新茹, 等. 基于数据挖掘技术探讨针刺治疗突发性耳聋的取穴规律[J]. 中国医药导报, 2021, 18(4): 131-134. MENG Yan, BAI Peng, WANG Xinru, et al. Exploration on acupoint selection rules of acupuncture in treating sudden deafness based on data mining[J]. China Medical Herald, 2021, 18(4): 131-134.
[10] 李嫣然, 魏福良. 魏福良针灸治疗耳鸣耳聋选穴经验初探[J]. 中医药临床杂志, 2018, 30(10): 1808-1810. doi:10.16448/j.cjtcm.2018.0554. LI Yanran, WEI Fuliang. Exploration of professor WEI fulang's experience in selecting acupoints for tinnitus and deafness treated by acupuncture and moxibustion[J]. Clinical Journal of Traditional Chinese Medicine, 2018, 30(10): 1808-1810. doi:10.16448/j.cjtcm.2018.0554.
[11] 余丽, 高扬, 张瑞, 等. 艾炳蔚运用针灸治疗耳鸣、耳聋经验[J]. 河南中医, 2018, 38(12): 1814-1817. doi:10.16367/j.issn.1003-5028.2018.12.0482. YU Li, GAO Yang, ZHANG Rui, et al. Ai Bing-wei's experience of treating tinnitus and deafness with acupuncture[J]. Henan Traditional Chinese Medicine, 2018, 38(12): 1814-1817. doi:10.16367/j.issn.1003-5028.2018.12.0482.
[12] 李鼎. 针灸学释难[M]. 重修本. 上海: 上海中医药大学出版社, 2006.
[13] 刘振, 秦黎虹. 颈项针结合耳周腧穴治疗突发性耳聋[J]. 中医药临床杂志, 2015, 27(4): 531-533. doi:10.16448/j.cjtcm.2015.0202. LIU Zhen, QIN Lihong. Nape acupuncture combined with the points around ear in the treatment of sudden deafness[J]. Clinical Journal of Traditional Chinese Medicine, 2015, 27(4): 531-533. doi:10.16448/j.cjtcm.2015.0202.
[14] 刘铁宁, 金钰钧. 金安德矩阵针灸思想阐述[J]. 西部中医药, 2013, 26(3): 50-52. doi:10.3969/j.issn.1004-6852.2013.03.019. LIU Tiening, JIN Yujun.On JIN Ande's Thinking of Matrix Acupuncture[J]. China Digital Medicine, 2013, 26(3): 50-52. doi:10.3969/j.issn.1004-6852.2013.03.019.
[15] 贺海霞, 袁琨, 陈伟. 突发性耳聋及听力损失程度相关因素分析[J]. 华南预防医学, 2019, 45(4): 373-375. doi:10.13217/j.scjpm.2019.0373. HE Haixia, YUAN Kun, CHEN Wei. Relationship between sudden deafness and hearing loss degree[J]. South China Journal of Preventive Medicine, 2019, 45(4): 373-375. doi:10.13217/j.scjpm.2019.0373.
[16] 刘峻, 周鸿飞, 金鑫. 项丛刺治疗后循环缺血疗效观察[J]. 辽宁中医药大学学报, 2016, 18(5): 165-167. doi:10.13194/j.issn.1673-842x.2016.05.054. LIU Jun, ZHOU Hongfei, JIN Xin. Observation of curative effect of nape-aligned acupuncture to vertebro-basilar artery insufficiency[J]. Journal of Liaoning University of Traditional Chinese Medicine, 2016, 18(5): 165-167. doi:10.13194/j.issn.1673-842x.2016.05.054.
[17] Yang ZX, Yu HB, Rao XD, et al. Effects of electroacupuncture at the conception vessel on proliferation and differentiation of nerve stem cells in the inferior zone of the lateral ventricle in cerebral ischemia rats[J]. Chung I Tsa Chih Ying Wen Pan, 2008, 28(1): 58-63. doi:10.1016/s0254-6272(08)60015-1.
[18] Chen JW, Hu B, Qin P, et al. Altered brain activity and functional connectivity in unilateral sudden sensorineural hearing loss[J]. Neural Plast, 2020, 2020: 9460364. doi:10.1155/2020/9460364.
[19] 王永炎, 张伯礼. 中医脑病学[M]. 北京: 人民卫生出版社, 2007.
[20] 孟凡磊, 程慧明, 熊俊伟, 等. 升阳通督法温针灸治疗感音神经性耳聋1例[J]. 内蒙古中医药, 2017, 36(12): 127-128. doi:10.16040/j.cnki.cn15-1101.2017.12.132.
[21] 程璐, 田鸿芳, 王舢泽, 等. 针灸诊疗中经络腧穴施术的形气神之辨[J]. 中医学报, 2022, 37(2): 240-244. doi:10.16368/j.issn.1674-8999.2022.02.044. CHENG Lu, TIAN Hongfang, WANG Shanze, et al. Analysis of form, qi, and spirit of meridian and acupoint application in acupuncture and moxibustion treatment[J]. Acta Chinese Medicine, 2022, 37(2): 240-244. doi:10.16368/j.issn.1674-8999.2022.02.044.
[22] Zhan XP, Pongstaporn T, Ryugo DK. Projections of the second cervical dorsal root ganglion to the cochlear nucleus in rats[J]. J Comp Neurol, 2006, 496(3): 335-348. doi:10.1002/cne.20917.
[23] 高忻洙, 胡玲. 中国针灸学词典[Z]. 南京: 江苏科学技术出版社, 2010.
[24] 陈晶, 胡新颖, 刘勇, 等. 电针风池、供血穴治疗椎-基底动脉供血不足性眩晕的临床研究[J]. 世界中西医结合杂志, 2018, 13(3): 387-389, 394. doi:10.13935/j.cnki.sjzx.180323. CHEN Jing, HU Xinying, LIU Yong, et al. Clinical research on Vertigo caused by vertebral-basilar insufficiency treated with electroacupuncture at Fengchi(GB20)and Gongxue point(Extra)[J]. World Journal of Integrated Traditional and Western Medicine, 2018, 13(3): 387-389, 394. doi:10.13935/j.cnki.sjzx.180323.
[25] 刘勇, 孙嘉婧, 陈伊. 电项针对后循环缺血大鼠模型脑干听觉诱发电位影响的实验研究[J]. 针灸临床杂志, 2019, 35(1): 64-67. doi:10.3969/j.issn.1005-0779.2019.01.017. LIU Yong, SUN Jiajing, CHEN Yi. Effects of electro-nape acupuncture on BAEP in rats with posterior circulation ischemia: an experimental study[J]. Journal of Clinical Acupuncture and Moxibustion, 2019, 35(1): 64-67. doi:10.3969/j.issn.1005-0779.2019.01.017.
[26] 黄河银, 张勤修, 蒋路云, 等. 突发性耳聋患者的心理障碍及相关因素分析[J]. 中华耳科学杂志, 2018, 16(2): 187-192. doi:10.3969/j.issn.1672-2922.2018.02.012. HUANG Heyin, ZHANG Qinxiu, JIANG Luyun, et al. Psychiatric disorders in sudden deafness patients and associated factors[J]. Chinese Journal of Otology, 2018, 16(2): 187-192. doi:10.3969/j.issn.1672-2922.2018.02.012.
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