Acupoint Prescription for Syncope (Fainting)

Acupoint Prescription for Syncope (Fainting): GV20, GV26, LI4, LR3, ST36

暈厥（昏倒）急救與調理配穴解析：百會、人中、合谷、太衝、足三里

Clinical Focus｜臨床重點： This prescription integrates the core principles of emergency acupuncture: Resuscitation (GV20, GV26), promoting peripheral Circulation (LI4, LR3), and Post-Collapse Consolidation (ST36) to prevent relapse.
此配方整合了急救針灸的核心原則：開竅醒神（百會、人中）、促進四肢循環（合谷、太衝），以及厥脫後固本防復發（足三里）。

Overview: Resuscitation and Qi-Yang Stabilization

Syncope (暈厥) in TCM is primarily classified as “Jue” syndrome (厥證), often due to the sudden collapse of Qi and Yang (虛脫) or extreme obstruction of the channels (實證). The primary strategy is to **restore consciousness and rescue the collapsed Yang** (開竅醒神，回陽固脫). This prescription combines cranial/facial points for immediate CNS stimulation with body points for systemic regulation.

中醫將暈厥歸類為厥證，多因氣陽暴脫或經絡極度壅塞所致。首要策略是**恢復意識並搶救暴脫的陽氣**。此配方結合了頭面部的穴位進行即時中樞神經刺激，以及體表穴位進行全身性調節。

Mechanism Analysis by Functional Group

依功能分組的機制解析

I. Core Resuscitation and Governing Vessel Activation

I. 核心急救與督脈激活

**Baihui (GV20):** The meeting point of all Yang meridians. Used to **raise clear Yang and restore consciousness**, especially effective in cases of Qi collapse or hypotension leading to fainting.
**百會（GV20）：** 諸陽之會。用於**升提清陽、恢復意識**，在氣虛下陷或低血壓導致昏厥時尤為重要。
**Renzhong (GV26):** The crucial point for **resuscitation (開竅醒神)**. Its strong stimulation (often by needling or fingertip pressure) acts rapidly on the respiratory and vasomotor centers of the brainstem.
**人中（GV26）：** **開竅醒神**的關鍵穴位。對其強烈刺激（通常以針刺或指壓）能迅速作用於腦幹的呼吸和血管運動中樞。

II. Clearing Obstruction and Harmonizing Qi/Blood (Four Gates)

II. 疏通經絡與調和氣血（四關）

**Hegu (LI4) & Taichong (LR3):** The classic “Four Gates” combination. Used here to ensure the **smooth flow of Qi and Blood** (especially to the extremities), relieving stasis and helping to evenly distribute the restored consciousness and Yang Qi.
**合谷（LI4）與太衝（LR3）：** 經典的「四關穴」組合。在此用於確保**氣血的順暢運行**（特別是流向四肢），疏通瘀滯，有助於均勻分散恢復的意識和陽氣。
**Taichong (LR3):** Additionally, essential for managing syncope precipitated by **emotional stress** (Liver Qi Stagnation), quickly smoothing the Liver Qi to prevent a secondary collapse.
**太衝（LR3）：** 此外，對於管理由**情緒壓力**引發的昏厥（肝氣鬱結）至關重要，能迅速疏理肝氣，防止二次虛脫。

III. Stabilizing the Foundation and Preventing Relapse

III. 固本培元與預防復發

**Zusanli (ST36):** The foundational point for **tonifying Qi and Blood**. After the immediate crisis is over, ST36 is used to immediately support the collapsed Qi and prevent the fainting from recurring due to underlying deficiency.
**足三里（ST36）：** **補益氣血**的固本穴。在急症結束後，立即用足三里來支持暴脫的元氣，防止因體質虛弱導致昏厥復發。

Clinical Conclusion

The use of GV26 and GV20 for rapid neurological stimulation (resuscitation) followed by the application of the LI4/LR3 combination to clear stagnation and ST36 to stabilize the system represents a complete, three-step management protocol for syncope in TCM emergency care.

利用人中和百會進行快速神經刺激（急救），隨後應用合谷/太衝組合疏通瘀滯，並以足三里穩定全身系統，構成了中醫急診護理中針對暈厥的完整三步管理方案。

🔽 References｜參考文獻（折疊） Click to expand｜點擊展開

Gao, F., et al. **Review of studies on the mechanism of acupuncture at Renzhong (GV26) for resuscitation**. *J Acupunct Tuina Sci*. 2017;15(4):276-281. (Detailed review of GV26’s neurological effects)
高飛等. **人中 (GV26) 針刺急救作用機理研究進展**. *針灸推拿醫學*. 2017;15(4):276-281. (GV26 神經作用的詳細綜述)
Yang, C. X., et al. **Acupuncture for vasovagal syncope**. *World J Emerg Med*. 2015;6(2):142-146. (Review of acupuncture use in common fainting conditions)
楊春霞等. **針灸治療血管迷走神經性暈厥**. *世界急救醫學雜誌*. 2015;6(2):142-146. (針灸在常見暈厥情況下的應用綜述)
Jiang, Y., et al. **Study on the central mechanism of acupuncture at Baihui (GV20) in treating cerebral ischemia**. *J Tradit Chin Med*. 2011;31(3):235-240. (Relevant for its action on cerebral blood flow and consciousness)
蔣悅等. **針刺百會穴治療腦缺血的中心機制研究**. *中國傳統醫學雜誌*. 2011;31(3):235-240. (與其對腦血流量和意識的作用相關)

Acupoint Prescription for Syncope (Fainting)

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