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中华针灸电子杂志 ›› 2026, Vol. 15 ›› Issue (02) : 117 -120. doi: 10.3877/cma.j.issn.2095-3240.2026.02.010

理论探讨

基于脑心同治理论阐述醒脑开窍针刺法主穴内关的重要性
张昕桐, 刘佳琳()   
  1. 300381 天津中医药大学第一附属医院针灸部;300381 天津,中医国家临床医学研究中心
  • 收稿日期:2025-04-19 出版日期:2026-05-15
  • 通信作者: 刘佳琳
  • 基金资助:
    天津市教委科研计划项目(2021KJ142); 天津中医药大学第一附属医院“拓新工程”基金(院2020041)

Elaborating the importance of Neiguan (PC6), the main acupoint of Xingnao Kaiqiao Acupuncture Method based on the theory of simultaneous treatment of brain and heart

Xintong Zhang, Jialin Liu()   

  1. Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China; National Clinical Research Center for Chinese Medicine, Tianjin 300381, China
  • Received:2025-04-19 Published:2026-05-15
  • Corresponding author: Jialin Liu
引用本文:

张昕桐, 刘佳琳. 基于脑心同治理论阐述醒脑开窍针刺法主穴内关的重要性[J/OL]. 中华针灸电子杂志, 2026, 15(02): 117-120.

Xintong Zhang, Jialin Liu. Elaborating the importance of Neiguan (PC6), the main acupoint of Xingnao Kaiqiao Acupuncture Method based on the theory of simultaneous treatment of brain and heart[J/OL]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2026, 15(02): 117-120.

醒脑开窍针刺法是国医大师石学敏院士创立的治疗中风的针刺方法,不仅立意创新、选穴精妙,而且疗效显著。石学敏院士在继承古代医家理论的基础上,结合现代医学,明确提出中风病的主要病机是窍闭神匿,神不导气,亦即“元神之府”失用,脑窍闭塞则神无所依,治疗的重点虽为通闭塞之脑窍,但也不局限于治脑。内关穴属手厥阴心包经,是醒脑开窍针刺法主穴之一,具有调神益气、疏通经络之功效,可通过调心神以安脑神,通心脉以养脑髓,与脑心同治理论具有异曲同工之妙。内关穴可作为醒脑开窍针刺法与脑心同治理论衔接的桥梁,为中风病临床治疗中心脑功能的协同调控提供理论与实践支撑。脑心同治理论提出心脑疾病的发生发展是心脑协同失衡所致,因此,在中风病的临床治疗中,应确立心脑同治的核心治疗原则。本文以脑心同治理论为基础,从脑心同血、脑心同神、脑心同络等方面,详细阐述内关穴在醒脑开窍针刺法中的重要性。

The Xingnao Kaiqiao Acupuncture Method was established by Academician Shi Xuemin, a Master of Chinese Medicine, for the treatment of stroke. It features innovative theoretical conception, exquisite acupoint selection and remarkable clinical efficacy. On the basis of inheriting the theories of ancient physicians and combining modern medicine, Academician Shi Xuemin clearly proposed that the core pathogenesis of stroke lies in orifice blockage and mental concealment, as well as spirit failing to govern qi. Namely, the mansion of primordial spirit loses its function; blockage of brain orifices leads to the spirit having no attachment. Although the treatment focuses on unblocking the obstructed brain orifices, it is not limited to treating the brain alone. Neiguan (PC6) belongs to the Pericardium Meridian of Hand-Jueyin and is one of the main acupoints of the Xingnao Kaiqiao Acupuncture Method. It possesses the effects of regulating spirit and replenishing qi, as well as dredging meridians and collaterals. It can soothe brain spirit by regulating heart spirit and nourish brain marrow by unblocking heart vessels, sharing the same profound mechanism with the theory of simultaneous treatment of brain and heart. Neiguan (PC6) can serve as a key link connecting the Xingnao Kaiqiao Acupuncture Method and the theory of simultaneous treatment of brain and heart, providing theoretical and practical support for the synergistic regulation of cardiac and cerebral functions in the clinical treatment of stroke. The theory of simultaneous treatment of brain and heart holds that the occurrence and progression of cardiovascular and cerebrovascular diseases result from the imbalance of brain-heart coordination. Therefore, the core therapeutic principle of simultaneous treatment of brain and heart should be established in the clinical management of stroke. Based on the theory of simultaneous treatment of brain and heart, this paper elaborates on the importance of Neiguan (PC6) in the Xingnao Kaiqiao Acupuncture Method from the perspectives of brain-heart sharing blood, brain-heart governing spirit together, and brain-heart connecting via meridians and collaterals.

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