此綜合配方針對中醫呃逆的三大主要病因：胃氣上逆（中脘、足三里）、膈肌痙攣（膈俞、內關），以及胸膈氣滯痰阻（天突）。
Hiccups in TCM are often attributed to the **rebellious movement of Stomach Qi** (胃氣上逆) due to Liver Qi stagnation, cold invasion, or excessive heat. The key therapeutic principle is **directing Qi downward and regulating the diaphragm** (順氣降逆，調和膈肌), involving the harmonizing of the Stomach (CV12, ST36) and the calming of the chest (PC6, BL17).
中醫認為呃逆多歸因於**胃氣上逆**，通常由肝氣鬱結、寒邪入侵或內熱過盛引起。治療核心原則是**順氣降逆、調和膈肌**，涉及調和胃腑（中脘、足三里）和安撫胸膈（內關、膈俞）。
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**Gesu (BL17):** The Influential Point of Blood and located near the diaphragm. It is critical for **regulating Qi in the diaphragm** (理氣和膈), easing its spasmodic movement which is the physiological cause of hiccups.
**膈俞（BL17）：** 八會穴之血會，位於膈肌附近。對**調節膈肌氣機**至關重要，能緩解膈肌痙攣（呃逆的生理原因）。
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**Neiguan (PC6):** Essential for **descending rebellious Qi and unbinding the chest** (降逆寬胸). It regulates the vagus nerve and cardiac function, which is often crucial in persistent or post-operative hiccups.
**內關（PC6）：** 對於**降逆氣、寬胸膈**至關重要。它調節迷走神經和心臟功能，對於持續性或術後呃逆常起關鍵作用。
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**Tiantu (CV22):** Located in the suprasternal notch. Used to **disperse accumulated Qi and phlegm in the chest** and neck, helping the smooth passage of air and resolving the upper-most point of obstruction.
**天突（CV22）：** 位於胸骨上窩。用於**宣散胸頸部的氣滯和痰飲**，有助於氣機順暢，解決梗阻的最上端。
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**Zhongwan (CV12):** Directly acts on the Stomach to **harmonize the Middle Jiao** (和中焦) and stop the gastric Qi from moving upward, addressing the root cause of the upward rebellion.
**中脘（CV12）：** 直接作用於胃部，**調和中焦**並阻止胃氣上行，解決氣機上逆的根本問題。
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**Zusanli (ST36):** Used for **systemic strengthening and anchoring rebellious Qi** (調中益氣). It directs the Qi flow downward, preventing recurrence by strengthening the Spleen/Stomach foundation.
**足三里（ST36）：** 用於**全身性強化和錨定上逆之氣**。它將氣流向下引導，透過強化脾胃根基來預防復發。
This five-point protocol creates a powerful functional unit: BL17 and PC6 manage the diaphragm/chest spasm; CV12 and ST36 regulate the gastric function; and CV22 clears the upper respiratory pathway. This comprehensive approach is suitable for various etiologies of hiccups, whether acute or persistent.
這個五穴配方構成了一個強大的功能整體：膈俞和內關管理膈肌/胸部的痙攣；中脘和足三里調節胃功能；而天突清除上呼吸道。這種全面的方法適用於各種病因的呃逆，無論是急性的還是持續性的。
Jade Health Acupuncture 
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