针灸治疗卒中后肌痉挛的处方规律探讨  

Investigation on Prescription Rules of Acupuncture and Moxibustion for Post-stroke Muscular Spasm

作　　者：吴利[1] 张瀚丹[1] 吴曦[1] 杜晨[1] 兰颖[1] 

机构地区：[1]成都中医药大学,四川成都610075

出　　处：《针灸临床杂志》2013年第4期63-66,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:探讨古今针灸治疗卒中后肌痉挛的处方规律。方法:检索古代和现代针灸治疗卒中后肌痉挛的相关文献,对其选穴、配伍、刺灸方法、手法的规律进行小结和分析。结果:古代针灸治疗多选用局部阳经腧穴,并以灸疗为主;现代针灸治疗在采用局部阳经穴位的基础上,同时重视阴经腧穴的选取,并常用毫针刺补缓泻急、阴阳同调。结论:针灸治疗卒中后肌痉挛应以局部取穴为主,宜阴、阳经腧穴同取,可采用补缓泻急的手法,在此基础上配合康复训练可获得更好的疗效。Objective： To investigate prescription roles of acupuncture and moxibustion for post - stroke muscu- lar spasm. Methods： Review related articles from ancient and recent ten years＇ literatures about acupuncture and moxibustion for post - stroke spastic paralysis, and analyze the prescription rules of acupoint selection, acu- point compatibility, methods and manipulation of needling and moxibustion. Results： Local Yang meridian acu- points and moxibustion method were mainly chosen in ancient acupuncture prescriptions. While modem acu- puncture prescription paid more attention to Yin meridian acupoints and acupuncture methods. It was commonly used to tonify atonia and reduce spasm to regulate Yin and Yang. Conclusion：The prescription rules of acu- puncture and moxibustion on post - stroke spastic paralysis prone to choose local acupoints on both Yin and Yang meridians. Meanwhile the manipulative method of tonifying atonia and reducing spasm can be used, and on this basis rehabilitative training may present better effectiveness.

关 键 词：针灸疗法 中风后遗症 肌痉挛 处方规律 

分 类 号：R246.6[医药卫生—针灸推拿学]