子午流注纳甲法对缺血性脑血管病临床症状的影响  

Effects of heavenly stem-prescription of point selection of needling methods of Ziwu Liuzhu on ischemic cerebrovascular diseases

作　　者：韩振翔[1] 刘跃光[2] 魏江磊[1] 

机构地区：[1]上海中医药大学附属曙光医院中风专科,上海200021 [2]南京中医药大学

出　　处：《中国针灸》2008年第12期865-868,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察子午流注纳甲法对缺血性脑血管病运动功能和神经功能缺损的影响。方法:将150例缺血性脑血管病患者随机分为子午流注组和循经取穴组,各30例。循经取穴组穴取肩祸、曲池、外关、环跳、足三里,并配合辨证选穴。子午流注组在循经取穴组基础上,依"阳日阳时开阳经之穴,阴日阴时开阴经之穴"的原则,按照《针灸大全》中子午流注纳甲法逐日按时开穴法取穴。两组患者均于上午辰时或巳时开始治疗,10次为一疗程,治疗3个疗程。观察患者运动功能症状评分(FMA)和神经功能缺损改善情况。结果:子午流注组治疗后FMA症状评分(36.13±21.80)较治疗前(73.50±21.53)明显降低(P<0.01),循经取穴组治疗后(54.43±20.89)也较治疗前(62.27±22.91)降低(P<0.05);子午流注组治疗后神经功能缺损症状评分(15.40±9.34)较治疗前(27.17±10.81)明显降低(P<0.01),循经取穴组治疗后(23.97±1.30)也较治疗前(27.97±7.72)降低(P<0.05);两组治疗后比较,子午流注组FMA症状评分、神经功能缺损症状评分均较循经取穴组改善明显(均P<0.05)。结论:常规取穴基础上配合子午流注纳甲法对改善缺血性脑血管病患者的神经功能和运动功能有良好的效果。Objective To observe effects of heavenly stem-prescription of point selection of the needling methods of midnight-noon ebb-flow on motorial and neurological functional deficit Of ischemic cerebrovascular diseases, Methods The patients were randomly divided into a Ziwu Liuzhu group and a channel acupoint selection group. In the channel acupoint selection group, Jianyu （LI 15）, Quehi （LI 11）, Waiguan （TE 5）, Zusanli （ST 36） were selected, combined with selected acupoints by syndrome differentiation. Inthe Ziwu Liuzhu groupi on the basis of the channel acupoint selection group, according to the principle ＂the acupoints of the yang-channeiwere opened at yang-day-yang-hour and the acupoints of the yin-dhannel were opened at yln-day-yin-hour＇, and acupoints were selected by the day-hour acupoint-opening method of the Ziwu Liuzhu Najia method in Zhenjiu Daquan. The patients inthe both groups began to be treated at the Chen hour （7 00 -- 9 00） or Si hour （9 00 - 11 00） in the morning, 10 times constituting one course. They were treated for 3 courses.Improvement Of the motor function symptom cumulative score, Fugl-Meyer （FMA） and improvement of neurological functional deficit were investigated. Results The FMA score （36.13±21.80） after treatment was significantly lower than （73.50±21.53） before treatment （P〈0. 01） in the Ziwu Liuzhu group, and （54.43± 20, 89） after treatment was significantly lower than （62.27±22. 91） before treatment （P〈0, 05） in the channel acupoint selection group; the neurological functional deficit score （15.40 ± 9.34） after treatment was significantly lower than （27. 17±10.81） before treatment in the ZiwuLiuzhu group, and （23.97±1.30） was lower than （27.97±7.72）before treatment in the channel acupoint selection group. After treatment, FMA and the neurological functional Scores significantly improved inthe Ziwu Liuzhu group as compared with those in the Channel acupoint selection group （P〈0. 05）. Conclusion Ziw

关 键 词：子午流注纳甲法 缺血性脑血管病 中风 

分 类 号：R246.6[医药卫生—针灸推拿学]