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Acupoint Prescription for Chronic Enteritis

Acupoint Prescription for Chronic Enteritis (IBS): ST36, ST25, ST37, CV4, LR2, ST26
慢性腸炎配穴解析:足三里、天樞、上巨虛、關元、行間、外陵
Clinical Focus|臨床重點: This combination emphasizes strengthening the Spleen/Kidney foundation, regulating intestinal motility (via local and distant points), and managing visceral hypersensitivity (pain relief).
此組合著重於健脾溫腎、透過局部和遠端穴位調節腸道蠕動,以及管理內臟過敏(疼痛緩解)。
Overview: Regulating the Gut-Brain Axis and Spleen/Kidney Foundation

Chronic enteritis, including Irritable Bowel Syndrome (IBS), is viewed in TCM as a core disorder of the Spleen and Stomach, often involving Qi stagnation and Kidney Yang deficiency. The prescription integrates **distal functional points** (ST36, ST37) with **local abdominal points** (ST25, CV4, ST26) to achieve comprehensive gastrointestinal regulation.

慢性腸炎,包含腸易激綜合症(IBS),在中醫看來是脾胃的核心失調,常涉及氣滯和腎陽不足。此配方結合了**遠端功能穴**(足三里、上巨虛)與**腹部局部穴**(天樞、關元、外陵),以達成全面的胃腸道調節。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Direct Regulation of Intestinal Function and Motility
I. 直接調節腸道功能與蠕動
  • **Tianshu (ST25):** The Front Mu point of the Large Intestine. It is a local abdominal point that directly affects the colon, vital for **regulating stool consistency and relieving bloating/stasis**.
    **天樞(ST25):** 大腸募穴。此腹部局部穴位直接影響結腸,對**調節糞便性狀和緩解腹脹/積滯**至關重要。
  • **Shangjuxu (ST37):** The Lower He-point of the Large Intestine Meridian. This distal point is clinically specialized for treating chronic intestinal issues, including **recurrent diarrhea and chronic abdominal pain**.
    **上巨虛(ST37):** 大腸經下合穴。此遠端穴位在臨床上專門用於治療慢性腸道問題,包括**反覆腹瀉和慢性腹痛**。
  • **Wailing (ST26):** A supportive point that aids ST25 in the abdomen, contributing to the **smooth flow of Qi** in the digestive tract and relieving visceral spasms.
    **外陵(ST26):** 協同天樞的腹部輔助穴,有助於消化道的**氣機順暢**,並緩解內臟痙攣。
II. Fortifying Spleen and Warming Kidney (Root Treatment)
II. 健脾溫腎(治本)
  • **Zusanli (ST36):** The cornerstone of gastrointestinal treatment, responsible for **tonifying Spleen Qi and supporting Stomach function**, thereby improving nutrient absorption and strengthening mucosal integrity.
    **足三里(ST36):** 胃腸治療的基石,負責**補益脾氣和支持胃功能**,從而改善營養吸收並增強腸道黏膜的完整性。
  • **Guanyuan (CV4):** The Ren/Three Yin Intersection Point. Considered the root of Yuan Qi, it is used for **warming and consolidating Kidney Yang**, critical for managing chronic deficiency-cold diarrhea (五更瀉,morning diarrhea).
    **關元(CV4):** 任脈與三陰經交會穴。被視為元氣之根,用於**溫暖固澀腎陽**,對管理慢性虛寒性腹瀉(如五更瀉)至關重要。
III. Clearing Heat and Managing Visceral Pain
III. 清熱與管理內臟疼痛
  • **Xingjian (LR2):** The Ying-spring point of the Liver Meridian. Its primary use here is to **clear Liver Fire and smooth Liver Qi**, treating the emotional component (stress, anxiety) that exacerbates IBS symptoms and causes painful spasms.
    **行間(LR2):** 肝經滎穴。在此處的主要作用是**清瀉肝火和疏通肝氣**,治療加劇 IBS 症狀並引起疼痛性痙攣的情緒因素(壓力、焦慮)。
Clinical Conclusion

The strategy of combining the **Large Intestine’s Lower He-point** (ST37) and **Front Mu point** (ST25) with the **Root-Tonifying point** (CV4) and **Neuro-Regulator** (LR2) provides a holistic solution for Chronic Enteritis, stabilizing the internal environment while managing intermittent acute symptoms.

將**大腸下合穴**(上巨虛)與**募穴**(天樞)結合**固本穴**(關元)和**神經調節穴**(行間)的策略,為慢性腸炎提供了一個全面的解決方案,穩定內在環境的同時管理間歇性急性症狀。

🔽 References|參考文獻(折疊) Click to expand|點擊展開
  1. Wu, Y., et al. **Acupuncture and moxibustion for irritable bowel syndrome: a systematic review and meta-analysis of randomized controlled trials**. *J Tradit Chin Med*. 2018;38(1):5-13. (General evidence on acupuncture for IBS)
    Wu, Y. 等. **針刺和艾灸治療腸易激綜合徵:隨機對照試驗的系統評價和薈萃分析**. *J Tradit Chin Med*. 2018;38(1):5-13. (針灸治療 IBS 的一般證據)
  2. Li, H., et al. **Acupuncture for Chronic Diarrhea-Predominant Irritable Bowel Syndrome: A Meta-Analysis**. *Evid Based Complement Alternat Med*. 2016;2016:4012027. (Focuses on efficacy for diarrhea type, often utilizing ST36 and ST37)
    Li, H. 等. **針灸治療腹瀉型慢性腸易激綜合徵:薈萃分析**. *Evid Based Complement Alternat Med*. 2016;2016:4012027. (著重於腹瀉型的療效,常使用足三里和上巨虛)
  3. Wang, Y., et al. **Acupuncture at CV4 (Guanyuan) Regulates the Gut Microbiota in a Rat Model of Chronic Stress-Induced Colitis**. *Front Pharmacol*. 2021;12:697207. (Mechanism of CV4 in chronic gut disease)
    Wang, Y. 等. **關元 (CV4) 針刺調節慢性壓力誘導結腸炎大鼠模型的腸道菌群**. *Front Pharmacol*. 2021;12:697207. (關元穴在慢性腸道疾病中的作用機制)

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