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运用调神开窍法治疗卒中后呃逆重症探析
An Analysis of the Application of the Method of Regulating the Spirit and Opening the Orifices in Treating Severe Post-Stroke Hiccups  [PDF]
刘翔宇, 马钰, 王冠
Traditional Chinese Medicine (TCM) , 2026, DOI: 10.12677/tcm.2026.151025
Abstract: 卒中后顽固性呃逆(PSH)伴格拉斯哥昏迷量表(GCS) ≤ 8分重度意识障碍是脑卒中常见并发症，现代医学药物副作用突出，传统中医针灸多聚焦轻度意识障碍者，难及“窍闭神匿，神不导气”核心病机。本文基于《灵枢》“治神”理论及石学敏院士学术思想，构建以翳风为主穴、攒竹等为配穴的“调神开窍”针刺方案，简化为实、虚、中性3类辨证倾向，主穴操作不变，仅微调配穴补泻适配急救场景。临床案例(GCS 7分患者)显示，治疗后30分钟内止呃，连续6日无复发，且无药物相关副作用。结果表明，该方案精准契合核心病机，验证了中医急救辨证施治的有效性，为此类病症提供新诊疗思路。
Post-stroke Intractable hiccups (PSH) accompanied by severe consciousness impairment (Glasgow Coma Scale ≤ 8) represent a common complication of stroke. Modern medical treatments often carry significant side effects, while traditional Chinese acupuncture primarily targets patients with mild consciousness impairment, failing to address the core pathogenesis of “obstructed orifices, concealed spirit, and spirit failing to guide qi”. This paper develops an acupuncture protocol for “regulating spirit and opening orifices” based on the “Treating the Spirit” theory from the Lingshu and the academic insights of Academician Shi Xuemin. It employs Yifeng (TE17) as the primary point and Zanzhu (BL2), among others, as auxiliary points. The protocol simplifies diagnosis into three patterns—excess, deficiency, and neutral—while maintaining the primary point unchanged. Only the auxiliary points are slightly adjusted for tonification or dispersion to suit emergency scenarios. A clinical case (GCS 7 patient) demonstrated cessation of hiccups within 30 minutes post-treatment, with no recurrence over six consecutive days and no drug-related side effects. These results confirm the protocol’s precise alignment with the core pathogenesis, validating the efficacy of TCM emergency diagnosis and treatment based on syndrome differentiation, and offering a novel therapeutic approach for such conditions.
醒脑开窍针刺法治疗AQP4阳性视神经脊髓炎谱系疾病案
A Case of AQP4-Positive Neuromyelitis Optica Spectrum Disorder Treated with Xingnao Kaiqiao Acupuncture  [PDF]
杨欣欣, 王海荣
Traditional Chinese Medicine (TCM) , 2025, DOI: 10.12677/tcm.2025.144223
Abstract: 视神经脊髓炎谱系疾病(Neuromyelitis Optica Spectrum Disorders, NMOSD)属于中枢神经系统疾病，石学敏院士认为中枢神经系统疾病的发病与脑和脊髓密切相关，故此案在西医治疗基础上采用醒脑开窍针刺法进行治疗，选穴以内关、人中、三阴交、极泉、尺泽、委中等为主，再辅以夹脊穴及辨证加减取穴，取得较好疗效。
Neuromyelitis Optica Spectrum Disorders (NMOSD) are diseases of the central nervous system. Academician Shi Xuemin believes that the onset of central nervous system diseases is closely related to the brain and spinal cord. Therefore, in this case, on the basis of Western medical treatment, the acupuncture method of awakening the brain and opening the orifices was adopted for treatment. The main acupoints selected were Neiguan (PC6), Renzhong (GV26), Sanyinjiao (SP6), Jiquan (HT1), Chize (LU5), Weizhong (BL40), etc., supplemented by the bilateral Jiaji points and additional points based on syndrome differentiation, achieving good therapeutic effects.
基于“脑窍不开，神灵失守”辨治儿童遗尿症思路探析
Exploring the Treatment of Childhood Enuresis Based on the Theory of “Unopened Brain Orifices and Lost Spirit-Mind Governance”  [PDF]
徐闻清, 张伟
Journal of Clinical Personalized Medicine (JCPM) , 2026, DOI: 10.12677/jcpm.2026.54252
Abstract: 儿童遗尿症是儿科临床常见病，传统中医学多从肾虚不固、膀胱失约立论，治疗以温肾固涩为主。然而，临床实践中部分患儿疗效欠佳或易于反复，提示其病机尚有未尽之处。本文基于中医脑神理论，提出“脑窍不开，神灵失守”是儿童遗尿症的重要病机环节——上为脑窍壅闭、神明失用，致使患儿睡眠深沉、有尿意而不得觉醒；下为膀胱失约、小便自遗。治疗上当在传统固肾止遗基础上，佐以醒脑通窍、宁神开窍之品，使脑窍得开、神灵得守，则遗尿自止。本文从理论渊源、病因病机、治法方药及名家经验等角度对这一思路进行系统探析，以期为儿童遗尿症的中医临床诊疗提供新的视角与参考。
Childhood enuresis is a common pediatric condition in clinical practice. Traditional Chinese medicine (TCM) generally attributes its pathogenesis to kidney deficiency with insecure consolidation and bladder loss of restraint, and treatment is mainly based on warming the kidney and astringing enuresis. However, in clinical practice, some children respond poorly to treatment or tend to relapse, suggesting that the pathogenesis is not fully covered by this conventional view. Drawing on the TCM theory of the brain and spirit (Shen), this paper proposes that “unopened brain orifices and lost spirit-mind governance” constitutes an important pathogenic link in childhood enuresis. In the upper aspect, obstruction of the brain orifices leads to dysfunction of the spirit-mind, causing the child to sleep deeply and fail to awaken despite urinary urge; in the lower aspect, the bladder fails to retain urine, resulting in involuntary voiding during sleep. Therapeutically, on the basis of traditional kidney-consolidating and enuresis-arresting strategies, it is advisable to add agents that revive the brain, unblock the orifices, and calm the spirit, so that the brain orifices are opened and the spirit-mind regains its governance, thereby stopping enuresis. This paper systematically explores this approach from the perspectives of theoretical origins, etiology and pathogenesis, therapeutic methods and formulae, as well as renowned physicians’ experiences, aiming to provide a new perspective and reference for the TCM clinical diagnosis and treatment of childhood enuresis.
Ejes transversales del pensamiento de Edith Stein
Caballero Bono,José Luis;
Teología y vida , 2010, DOI: 10.4067/S0049-34492010000100003
Abstract: an author's thoughts can be summarized in few words once his/her key point has been understood. an overview of edith stein's thought legacy detects two main stages and a key concept that is transversal and systematic in said thinking: the concept of the spirit. based on this, other thematic axes that are present throughout her work can be highlighted, some of which are shown in this paper. finally, the key of steinian thinking offers valuable suggestions in order to comprehend spirituality from the spirit.
从“治神调气”探讨针灸论治阿尔茨海默病
Clinical Application of Acupuncture Treatment of Alzheimer’s Disease Based on the Theory of “Regulating Qi and Treating Spirit”  [PDF]
黄艳
Traditional Chinese Medicine (TCM) , 2023, DOI: 10.12677/TCM.2023.121043
Abstract: 阿尔茨海默病(Alzheimer’s disease, AD)是一种以不断发展的认知、个性、精神及行为异常为主要特点的神经退行性疾病。基于中医理论探讨阿尔兹海默病的发病与神与气的关系，探索针灸通过整体观念联系全身机能在“治神调气”方面发挥独特作用，通过调脏腑之气以扶正安神，通行三焦之气激发脏腑机能，强健经络以沟通脑与脏腑，为老年痴呆的治疗提供新的思路。
Alzheimer’s disease (AD) is a progressive neurodegenerative disease characterized by progressive abnormal cognition, personality, mentality and behaviour. Based on the theory of traditional Chinese medicine, this paper discussed the connection between AD and Qi and Spirit. The acupuncture treatment plays a specific role in “regulating the qi and treating the spirit” by connecting the whole body function with the holism concept. Through the methods of regulating the visceral qi to strengthen and calm the spirit, activating the function of the viscera through the qi of the three- jiao and strengthening the meridian and collateral qi to connect the brain and viscera, the acupuncture treatment can provide a new idea for the treatment of AD.
The Selection Principles and Clinical Application of the Eight Confluent Points in the Treatment of Emotional Disorders within Fu Wenbin’s Integrated Acupuncture System  [PDF]
Shunji Wang, Lei Tong, Wenbin Fu, Gaxi Ye
Journal of Biosciences and Medicines (JBM) , 2025, DOI: 10.4236/jbm.2025.1312025
Abstract: As the confluence hub connecting the Eight Extraordinary Meridians and the Twelve Regular Meridians, the Eight Confluent Points possess unique advantages in regulating qi and blood as well as balancing yin and yang, thus playing a crucial role in the treatment of emotional disorders. Based on the integrated acupuncture system incorporating Professor Fu Wenbin’s “soothing the liver and regulating spirit” needling method and “treating emotional disorders based on the heart and gallbladder” theory, this study systematically elaborates on the acupoint selection strategy, the principle of syndrome differentiation with acupoint modification, and the dynamic adjustment approach for applying the Eight Confluent Points. Combined with one typical clinical case, the specific application of this system in emotional-related disorders is discussed, aiming to provide a theoretical basis and clinical reference for the acupuncture treatment of emotional disorders.
符教授整合针灸体系下八脉交会穴治疗情志病的选穴思路与临床实践
Thinking on Point Selection and Clinical Practice of Eight Confluent Points in the Treatment of Emotional Disorders under Professor Fu’s Integrated Acupuncture System  [PDF]
王顺吉, 佟磊, 符文彬, 冶尕西
Advances in Clinical Medicine (ACM) , 2025, DOI: 10.12677/acm.2025.15123699
Abstract: 八脉交会穴作为奇经八脉与十二正经的气血枢纽，兼具疏通经络、调和阴阳、调理气血之效，是针灸治疗情志病的关键穴位体系。符文彬教授基于“疏肝调神”针法与“心胆论治”技术，在整合针灸体系下运用八脉交会穴治疗情志病，形成“辨证定穴、病机配穴、动态调穴”的核心思路。本研究系统阐释该体系下八脉交会穴的选穴原则、辨证加减规律及动态调整策略，结合典型病例解析其在情志病中的具体应用，为该病的针灸临床治疗提供理论支撑与实操参考。
As the vital hub for qi and blood communication between the Eight Extra Meridians and the Twelve Regular Meridians, the Eight Confluent Points possess the effects of dredging meridians, harmonizing yin and yang, and regulating qi and blood, serving as a key acupoint system in acupuncture treatment of emotional disorders. Based on the “liver-soothing and spirit-regulating” acupuncture method and the “heart-gallbladder regulating therapy,” Professor Fu Wenbin has developed a distinctive integrated acupuncture system. In the treatment of emotional disorders using the Eight Confluent Points under this system, he has formed the core thinking of “syndrome-differentiated point determination, pathogenesis-based point combination, and dynamic point adjustment.” This study systematically elaborates on the principles of point selection, rules of syndrome-differentiated modification, and strategies of clinical dynamic adjustment of the Eight Confluent Points within this system. Combined with typical clinical cases, it analyzes their specific application in emotional disorders, providing theoretical support and practical reference for the clinical acupuncture treatment of emotional disorders.
调神通阳法针刺治疗肌萎缩侧索硬化症验案一则
Case of Amyotrophic Lateral Sclerosis with Spirit Regulating and Yang Activating Acupuncture Treatment  [PDF]
毛钰菡, 邹伟
Traditional Chinese Medicine (TCM) , 2024, DOI: 10.12677/tcm.2024.1311450
Abstract: 本文介绍导师邹伟教授通过调神针刺与足三阳经通阳针刺结合的方法治疗肌萎缩侧索硬化症案例，效果显著，以期为临床提供临证经验。
Objective to introduce a clinical case of amyotrophic lateral sclerosis by using an effectively acupuncture method which combines spirit regulation with yang activation.
基于“以神养颜”理论探析昼夜节律紊乱导致黄褐斑的辨治
Exploration of the Differentiation and Treatment of Melasma Induced by Circadian Rhythm Disruption Based on the Theory of “Nourishing the Countenance by Cultivating the Spirit”  [PDF]
杨尧, 段渠
Asian Case Reports in Emergency Medicine (ACREM) , 2026, DOI: 10.12677/acrem.2026.144054
Abstract: 黄褐斑是一种常见的慢性色素沉着性皮肤病，其发生发展与遗传易感性、紫外线暴露、性激素水平变化、氧化应激及心理因素等多种因素相关。中医学强调“形神合一”，认为神志状态和形体表现密切相关，结合中医美容相关思想，提出“以神养颜”“形神俱美”的理论，进一步拓展了神志调养与颜面状态关系的认识，本文基于“以神养颜”的理论，结合现代昼夜节律医学研究，从“神失其养”、“节律失调”和“肌肤失荣”等角度探讨黄褐斑发生发展机制，通过提出神的调养、恢复生命节律、协调脏腑功能，为黄褐斑治疗和长期管理提供潜在思路。
Melasma is a common chronic hyperpigmentary skin disorder, the development of which is associated with multiple factors including genetic susceptibility, ultraviolet exposure, sex hormone level alterations, oxidative stress, and psychological factors. Traditional Chinese Medicine emphasizes the concept of “unity of body and spirit”, holding that mental state and physical appearance are closely interconnected. Integrating this with the principles of Traditional Chinese Medicine cosmetology, the theories of “nourishing the countenance by cultivating the spirit” and “the beauty of both body and spirit” have been proposed, which further extend the understanding of the relationship between mental regulation and facial complexion. This paper, grounded in the “nourishing the countenance by cultivating the spirit” theory and incorporating modern chronomedicine research, explores the pathogenesis and development of melasma from the perspectives of “deprivation of spirit nourishment”, “circadian rhythm disruption”, and “malnourishment of the skin”. By proposing the cultivation of spirit, restoration of biological rhythms, and coordination of visceral functions, this paper provides potential strategies for the treatment and long-term management of melasma.
Numerical Simulation of Stress-Strain State for Nonhomogeneous Shell-Type Structures Based on the Finite Element Method  [PDF]
Eteri L. Hart, Vadim S. Hudramovich, Sergey A. Ryabokon, Elena V. Samarskaya
Modeling and Numerical Simulation of Material Science (MNSMS) , 2013, DOI: 10.4236/mnsms.2013.34022
Abstract:

Projective-iterative version of finite element method has developed for numerical simulation of the stress-strain state of nonhomogeneous shell-type structures (shells with openings). Plastic deformation of the material is taken into account when using the method of elastic solutions that reduce the solution of elastoplastic problems to solution of elastic problems. Developed PIV’s significant savings of computer calculation has been compared with the calculation on a fine mesh of traditional FEM. Designed scheme allows analysis of the mutual influence of openings. Analysis of the transformation zone of plastic deformation is developed. For definiteness, the cylindrical shell structures with several rectangular openings are considered.

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