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Acupoint Prescription for Vomiting and Nausea

Acupoint Prescription for Vomiting and Nausea: PC6, SP4, CV12, ST36
嘔吐、噁心配穴解析:內關、公孫、中脘、足三里
Clinical Focus|臨床重點: This prescription combines the master points of the Conception and Penetrating Vessels (Neiguan & Gongsun) to stop rebellious Qi, with local abdominal regulation (Zhongwan) and systemic tonification (Zusanli) to harmonize the Stomach and Spleen.
此配方結合了任脈與衝脈的八脈交會穴(內關、公孫)來降逆止嘔,並輔以局部腹部調節(中脘)和全身補益(足三里)來協調脾胃功能。
Overview: Directing Stomach Qi Downward (降逆和胃)

Vomiting in TCM is fundamentally due to **Rebellious Stomach Qi** (胃氣上逆), which is often caused by cold, dampness, food stagnation, or Liver-Stomach disharmony. The core principle of the treatment is to restore the natural downward flow of Stomach Qi and strengthen the Spleen to prevent recurrence.

中醫認為嘔吐根本原因在於**胃氣上逆**,這通常由寒邪、濕邪、食積或肝胃不和引起。治療核心原則是恢復胃氣的自然下降,並健壯脾胃以預防復發。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Core Mechanism: Antiemesis and Neuro-Modulation (內關公孫)
I. 核心機制:止嘔與神經調節(內關公孫)
  • **Neiguan (PC6):** The primary antiemetic point, known for its ability to **harmonize the Stomach, descend rebellious Qi, and calm the Spirit** (降逆止嘔,寧心). Modern studies confirm its effect on regulating the vomiting center and vagus nerve.
    **內關(PC6):** 首選止嘔穴。以其**和胃、降逆、寧心**的能力而聞名。現代研究證實其對調節嘔吐中樞和迷走神經的功效。
  • **Gongsun (SP4):** Paired with PC6 as the Master-Coupled point of the Penetrating Vessel (衝脈), it is crucial for **regulating the Qi of the chest and abdomen**, thereby easing tension and spasm that contribute to nausea.
    **公孫(SP4):** 與內關配對為衝脈的八脈交會穴,對**調節胸腹部氣機**至關重要,從而緩解導致噁心的緊張和痙攣。
II. Harmonizing the Stomach and Tonifying Qi
II. 調和胃氣與補益正氣
  • **Zhongwan (CV12):** The Front Mu point of the Stomach and the Influential Point of the Fu organs. It directly **harmonizes the Stomach and descends rebellious Qi** (和胃降逆), acting locally to resolve the immediate gastric irritation.
    **中脘(CV12):** 胃之募穴,腑之會穴。它直接**調和胃氣、降逆**,局部作用於胃部,以緩解即時的胃部刺激。
  • **Zusanli (ST36):** The He-point of the Stomach Meridian. Used here to **strengthen the Spleen and Qi** (健脾益氣), ensuring long-term recovery of digestive function and preventing the Stomach Qi from becoming weak and rebellious again.
    **足三里(ST36):** 胃經合穴。用於**健脾益氣**,確保消化功能長期恢復,防止胃氣再次虛弱上逆。
III. Clinical Synergy
III. 臨床協同效應
  • The combination of PC6 and SP4 is often considered superior for **nausea and morning sickness**, while the addition of CV12 and ST36 makes the formula highly effective for vomiting due to **digestive weakness** or food stagnation.
    內關和公孫的組合通常被認為對於**噁心和妊娠反應**特別有效,而加入中脘和足三里則使該配方對於因**消化虛弱**或食積引起的嘔吐具有高效性。
Clinical Conclusion

This four-point prescription effectively treats the symptom (vomiting, via PC6 and CV12) and addresses the root cause (Spleen/Stomach deficiency, via ST36 and SP4), making it a highly reliable and comprehensive protocol for common gastrointestinal disorders involving upward Qi rebellion.

這個四穴配方有效地治療了症狀(嘔吐,透過內關和中脘),並解決了根本原因(脾胃虛弱,透過足三里和公孫),使其成為處理常見胃腸道氣機上逆疾病的高度可靠和全面的方案。

🔽 References|參考文獻(折疊) Click to expand|點擊展開
  1. Lee, A., & Fan, L. T. **Stimulation of P6 (Neiguan) for preventing postoperative nausea and vomiting**. *Cochrane Database Syst Rev*. 2009;15(2):CD003281. (Meta-analysis on PC6’s antiemetic effect)
    Lee, A., & Fan, L. T. **刺激內關穴 (PC6) 預防術後噁心和嘔吐**. *Cochrane Database Syst Rev*. 2009;15(2):CD003281. (PC6 止嘔作用的薈萃分析)
  2. Ernst, E., & Pittler, M. H. **Acupressure for nausea and vomiting: an updated systematic review**. *Am J Gastroenterol*. 2008;103(8):1913-1919. (Review covering acupoints, primarily PC6, for nausea/vomiting)
    Ernst, E., & Pittler, M. H. **穴位按摩治療噁心和嘔吐:最新系統綜述**. *Am J Gastroenterol*. 2008;103(8):1913-1919. (涵蓋主要穴位(尤其 PC6)治療噁心/嘔吐的綜述)
  3. 高樹中. **針灸臨床應用與研究**. 人民衛生出版社; 2012. (關於內關、中脘、足三里在胃腸疾病中的經典配伍)

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