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中醫藥研究論叢
 231.8 《靈樞• 海論》對於腦中風治療之啟發：理論與臨床應用
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TJ TCM.23(1) : 93-106, 2020
DOI : 10.6516/TJTCM.202003_23(1).0008
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《靈樞• 海論》對於腦中風治療之啟發：理論與臨床應用
The Inspiration of Stroke Treatment from Spiritual Pivot Hai-lun: Theory and Clinical
Application
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龔彥綸1 何宗融1,2,3 陳怡真1,3,4*
1 佛教慈濟醫院財團法人花蓮慈濟醫院中醫部，花蓮，台灣
2 佛教慈濟醫院財團法人花蓮慈濟醫院中西醫合療中心，花蓮，台灣
3 慈濟大學學士後中醫學系，花蓮，台灣
4 國立東華大學教育與潛能開發學系教育博士班，花蓮，台灣
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【摘要】
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《靈樞．海論》中提出四海氣血輸注的穴位、相應的病症及調治方法，並強調四海相通，互相調節，互相補充。腦中風是中西醫合療重要項目之一，中風病位在腦，腦為奇恆之府，無專屬經絡，若根據內經經絡循行，以腦為病位的疾病治療與膀胱經、督脈、胃經三經絡有關，四海氣血輸注的對應所通穴位皆位於上述三條經絡上，利用四海理論治療腦中風應具有重要的指導意義。
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【關鍵詞】中風、海論、四海之腧、針灸
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Yen-Lun Kung1Tsung-Jung Ho1,2,3Yi-Chen Chen1,3,4*
1Department of Chinese Medicine, Hualien Tzu Chi General Hospital, Buddhist Tzu Chi
Medical Foundation, Hualien, Taiwan
2Integrated Chinese and Western Medicine Center, Hualien Tzu Chi General Hospital,
Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan
3School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
4Ph.D. Program of Education, Department of Education and Human Potentials Development,
National Dong-Hwa University, Hualien, Taiwan
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【Summary】
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Four seas theory in Spiritual Pivot Hai-lun demonstrates the acupoints which qi and blood in four seas transfer through, the related symptoms when disharmony among four seas has occurred, and the methods to regulate such imbalance. Furthermore, the theory emphasizes that qi and blood in four seas communicate with, coordinate with, and complement each other. Stroke is a significant disease treated with both Chinese and western medicine often in Taiwan. Patients suffering from stroke may get great benefits from the combination of the two medications. According to TCM theory, stroke is a disease located in brain, an extraordinary fu-organ. However, there is no “brain meridian” in the meridian system. Instead,urinary bladder meridian, du vessel, and stomach meridian are relevant to brain most according to Huangdi Neijing. Moreover, acupoints where qi and blood in four seas deliver to body surface are of these three channels. Therefore, this study concludes that four sea theory plays a critical role in treating stroke and accompanied sequelae.
Keywords：stroke, Spiritual Pivot Hai-lun, acupoints of four seas, acupuncture
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