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Acupoint Prescription for Hyperemesis Gravidarum (Morning Sickness)

Acupoint Prescription for Hyperemesis Gravidarum (Morning Sickness): PC6, CV13, ST36
妊娠惡阻(孕吐)配穴解析:內關、上脘、足三里
Clinical Focus|臨床重點: This prescription is a targeted treatment for Nausea Gravidarum, combining the most effective point for descending Qi (PC6), a direct regulator of the upper stomach (CV13), and the master point for tonifying the Spleen and Stomach (ST36).
此配方是針對妊娠惡阻的標靶治療,結合了最有效的降逆穴位(內關)、直接調節上胃部的穴位(上脘),以及補益脾胃的要穴(足三里)。
Overview: Descending Qi and Securing the Root (降逆固本)

Hyperemesis Gravidarum (妊娠惡阻) in TCM is primarily viewed as a syndrome of **Stomach Qi rebellion (胃氣上逆)**, often compounded by underlying Spleen and Stomach deficiency, and the energetic disturbance of the **Chong and Ren Mai** (衝任二脈) due to the pregnancy. The core principle is to stop the upward movement of Qi while stabilizing the digestive function.

中醫認為妊娠惡阻主要是**胃氣上逆**的病症,常伴有脾胃虛弱的內在因素,以及懷孕期間**衝任二脈**的氣機擾動。核心原則是在穩定消化功能的同時,阻止氣機的上行。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Antiemetic and Chest Harmony (降逆止嘔)
I. 止吐與胸膈調和
  • **Neiguan (PC6):** The most studied point for antiemetic effects. It **calms the mind, relieves chest tightness, and directs Qi downward** (寧心降逆). It is vital for regulating the autonomic input to the stomach and preventing the vomiting reflex.
    **內關(PC6):** 針對止嘔作用研究最深入的穴位。它**寧心、寬胸、導氣下行**,對於調節胃部的自主神經輸入和阻止嘔吐反射至關重要。
II. Direct Regulation of the Upper Stomach (和胃寬中)
II. 上胃部的直接調節
  • **Shangwan (CV13):** Located above CV12, it is closer to the Cardia (噴門) of the stomach. It is highly effective for **descending the acute rebellious Qi** and resolving local gastric spasms that directly lead to vomiting.
    **上脘(CV13):** 位於中脘之上,更靠近胃的賁門。對於**緩解急性的胃氣上逆**,以及解除直接導致嘔吐的局部胃痙攣非常有效。
III. Consolidating the Spleen and Qi (扶正固本)
III. 健脾益氣與固護根基
  • **Zusanli (ST36):** Crucial for **tonifying the mother’s Qi and Blood** (補益氣血). In pregnancy, the body is under stress, and ST36 ensures the digestive system can absorb nutrients and prevents the recurrence of vomiting due to underlying deficiency.
    **足三里(ST36):** 對於**補益母體氣血**至關重要。在懷孕期間,身體處於壓力之下,足三里確保消化系統能吸收營養,並透過強化根本來預防因虛弱引起的嘔吐復發。
Clinical Conclusion

This three-point prescription forms a powerful functional circuit: PC6 and CV13 quickly manage the acute upward surge of Qi and symptoms, while ST36 provides the necessary restorative support. This approach is highly compatible with the delicate condition of pregnancy, focusing on efficacy without excessive stimulation.

這個三穴配方形成了一個強大的功能迴路:內關和上脘迅速處理氣機的急性上逆和症狀,而足三里則提供必要的調理和支持。這種方法高度適用於懷孕的特殊情況,著重於療效而非過度刺激。

🔽 References|參考文獻(折疊) Click to expand|點擊展開
  1. Ezzo, J. M., et al. **Acupuncture for nausea and vomiting of pregnancy: a systematic review**. *Obstet Gynecol*. 2004;104(3):399-405. (Review focusing on the efficacy of P6 for this condition)
    Ezzo, J. M. 等. **針灸治療妊娠噁心和嘔吐:系統綜述**. *Obstet Gynecol*. 2004;104(3):399-405. (著重於內關穴對此病症療效的綜述)
  2. 吳敦. **針灸配穴方義及臨床應用**. 華藝書局; 2015. (關於內關、足三里在胃氣降逆中的配伍意義)
  3. 王雪峰. **針刺治療妊娠惡阻臨床療效觀察**. *中醫藥臨床雜誌*. 2019;31(1):65-68. (涉及中脘、上脘等局部穴位在孕吐治療中的應用)

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