中枢性呃逆多继发于脑卒中之后，其不仅仅是因为胃失和降，胃气上逆动膈，也与中风后窍闭神匿、神不导气有一 定关系。治疗上调畅气机、脑膈同治值得关注。足少阳胆经循行所过将头、颈项、膈、胸胁等联络起来，又为少阳经，在 协调气机运动中发挥重要作用。该文基于经络脏腑理论和呃逆反射传导通路，探索胆经治疗中枢性呃逆的理论基础和结构 基础，从胆经与中枢性呃逆病位的经络脏腑关联上分析病因病机，探讨从胆经论治中枢性呃逆，以期为临床提供新的治疗 思路。

Central hiccup frequently occurs secondary to stroke and is not solely attributed to gastric disharmony with ascending counterflow qi disturbing the diaphragm . It is also associated with post-stroke orifice obstruction with spirit concealment and failure of the spirit to guide qi . In treatment，regulating qi movement and simultaneous brain-diaphragm intervention warrant attention. The foot shaoyang gallbladder meridian interconnects the head， neck，diaphragm，and thorax through its pathway，and as a shaoyang meridian，it plays a pivotal role in coordinating qi dynamics. This study investigates the theoretical and structural foundations for treating central hiccup via the gallbladder meridian，based on meridian-viscera theory and the reflex arc of hiccup. By analyzing the meridian-viscera relationships between the gallbladder meridian and the pathological loci of central hiccup， this study elucidates its etiology and pathogenesis， proposing a gallbladder meridian-oriented therapeutic approach to provide novel clinical insights.

R246.9

深圳市“医疗卫生三名工程”资助项目 （编号：SZZYSM202206014）