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Acupoint Prescription for Preeclampsia

Acupoint Prescription for Preeclampsia/Eclampsia Management: ST36, PC6, PC7, GB34, Taiyang, SI14
子癇前症/子癇發作輔助配穴解析:足三里、內關、大陵、陽陵泉、太陽、肩外俞
Clinical Focus|臨床重點: This prescription focuses on calming the Wind (seizures), tranquilizing the Mind (anxiety/tension), regulating Qi (hypertension), and alleviating the common prodromal symptoms of preeclampsia, such as headache and nausea.
此配方著重於平熄肝風(痙攣)、鎮靜安神(焦慮/緊張)、調和氣機(高血壓),並緩解子癇前期的常見前驅症狀,如頭痛和噁心。
Overview: Stabilizing the Central Nervous System and Blood Pressure

Preeclampsia and eclampsia are serious, multi-system disorders. In TCM, their acute phase is often categorized as “Internal Stirring of Liver Wind” (肝風內動). This complex acupoint combination integrates points that **sedate the CNS**, **regulate sympathetic nerve activity**, and manage fluid/Qi metabolism to stabilize the pregnant woman’s condition.

子癇前期和子癇是嚴重的多系統疾病。在中醫中,其急性發作常歸類為「肝風內動」。這組複雜的配穴組合了**鎮靜中樞神經**、**調節交感神經活性**以及管理氣機與水液代謝的穴位,以穩定孕婦的病情。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Tranquilization and Seizure/Spasm Management
I. 鎮靜安神與痙攣/抽搐管理
  • **Taiyang (太陽)** and **Yanglingquan (GB34):** **Taiyang** is crucial for quickly resolving severe headache and vertigo, key precursors to eclampsia. GB34 is the Influential Point of Tendons/Sinews (筋會), used to treat muscle spasms and stiffness.
    **太陽**與**陽陵泉(GB34):** **太陽穴**對迅速緩解嚴重頭痛和眩暈(子癇前期的主要前兆)至關重要。 GB34 是筋會,用於治療肢體痙攣和僵硬,有助於「熄風」。
II. Cardiocerebral Protection and Antiemesis
II. 心腦保護與止吐
  • **Neiguan (PC6)** and **Daling (PC7):** Both belong to the Pericardium Meridian. PC6 modulates the autonomic balance to stabilize heart rate and blood pressure variability. PC7 often strengthens the sedating and mind-calming (安神) effects.
    **內關(PC6)**和**大陵(PC7):** 均屬心包經。 PC6 調節自主神經平衡,穩定心率和血壓波動。 PC7 則加強鎮靜安神的效果。
  • Their stimulation is neuropharmacologically linked to the regulation of neurotransmitters (e.g., GABA, Serotonin), which contributes to **hypotensive and sedative effects**.
    從神經藥理學角度來看,刺激這些穴位與調節神經傳導物質(如 GABA、血清素)相關,有助於產生**降壓和鎮靜作用**。
III. Auxiliary Regulation and Stabilization
III. 輔助調控與穩定作用
  • **Zusanli (ST36):** Supports the overall constitution and Spleen-Stomach Qi, maintaining fluid balance and energy levels, which are often depleted by the disease.
    **足三里(ST36):** 補益整體正氣和脾胃之氣,維持水液平衡與能量水平,這些常因疾病而耗損。
  • **Jianwaiyu (SI14):** A point on the back that can relieve upper body tension and promote Qi and blood circulation in the neck and head, subtly assisting in **blood pressure lowering and mental relaxation**.
    **肩外俞(SI14):** 位於背部,能緩解上半身緊張,促進頸部和頭部氣血循環,間接有助於**降壓和心緒放鬆**。
Clinical Conclusion

This broad-spectrum prescription uses distal limb points (ST36, PC6, PC7, GB34) for systemic regulation and local/adjunctive points (Taiyang, SI14) for immediate symptom relief. It addresses both the acute symptoms (headache, seizures) and the underlying imbalance (Liver Wind, Qi stagnation) of preeclampsia and eclampsia.

這個廣泛的配方利用肢體遠端穴位(足三里、內關、大陵、陽陵泉)進行全身性調節,並利用局部/輔助穴位(太陽、肩外俞)來立即緩解症狀。它同時解決了子癇前症與子癇的急性症狀(頭痛、痙攣)和潛在失衡(肝風、氣滯)。

🔽 References|參考文獻(折疊) Click to expand|點擊展開
  1. Lee, K. M., et al. **Acupuncture for hypertension: a systematic review and meta-analysis of randomized controlled trials**. *Int J Cardiol*. 2015;194:9-15. (General evidence on acupuncture’s hypotensive effect)
    Lee, K. M. 等. **針灸治療高血壓:隨機對照試驗的系統評價和薈萃分析**. *Int J Cardiol*. 2015;194:9-15. (針灸降壓作用的一般證據)
  2. Lin, C. Y., et al. **Acupuncture for pregnant women with preeclampsia: A systematic review of randomized controlled trials**. *J Tradit Chin Med Sci*. 2021;8(4):257-264. (Focus on acupuncture in preeclampsia)
    Lin, C. Y. 等. **針灸治療子癇前症孕婦:隨機對照試驗的系統評價**. *J Tradit Chin Med Sci*. 2021;8(4):257-264. (針對子癇前症的針灸研究)
  3. Hori, E., et al. **Brain mechanisms of the tranquilizing effect of acupuncture: from the view of neuroscience**. *Acupuncture Electrother Res*. 2011;36(3-4):205-224. (Explores the central tranquilizing effects of acupuncture)
    Hori, E. 等. **針灸鎮靜作用的腦機制:從神經科學的角度**. *Acupuncture Electrother Res*. 2011;36(3-4):205-224. (探討針灸中樞鎮靜效果)

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