试论中风后痉挛性瘫痪病机及针灸取穴原则  

Analysis on the Pathogenesis of Apoplectic Spastic-paralysis and the Principles for Selecting Acupoints

作　　者：訾明杰[1] 刘志顺[1] 刘保延[1] 

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《针刺研究》2006年第6期365-368,共4页Acupuncture Research

摘　　要：本文从阴阳失衡、经筋失养、阳气被损、本虚标实等角度分析中风后痉挛性瘫痪的病机,认为针灸治疗该病的取穴应遵从平衡阴阳、经筋刺法、温补阳气、扶正祛邪等原则,以提高临床疗效。In the present paper, the authors, in the light of Yin-Yeng theory of Chinese medicine, analyze the pathogenesis of apoplectic spastic-paralysis from a） imbalance between yin and yang, b） impairment of yang-qi, c） malnutrition of muscles and tendons, and d） deficiency in origin and excess in superficiality, In view of the abovementioned analysis, the principles for selecting acupoints are 1 ） yin-yang balancing method by selecting acupoints on the healthy side of the body as the main acupoints in combination with those on the affected side, and taking acupoints of the yin meridians as the main acupoints in combination with those of yeng meridians, which includes a） scalp-points for regulating yin and yang, b） opposing needling for regulating yin and yeng, c） paired needling for modulating yin and yeng, d） penetrative needling for modulating yin and yeng, and e） motor-tenion-regulating needling for balancing yin and yang; 2） musculotendon needling, 3） yang-warming and-reinforcing needling, In the coming days, more clinical studies on acupuncture treatment of apoplexy by using international standards should be conducted further so as to raise the therapeutic effect and improve the patient＇s life quality.

关 键 词：中风 痉挛性瘫痪 病机 取穴原则 

分 类 号：R743.3[医药卫生—神经病学与精神病学]