中药加针刺及星状神经节阻滞治疗脑卒中偏瘫临床观察  

Clinical Observation of Acupuncture Combined with Traditional Chinese Medicine and Stellate Ganglion Block in Treating Cerebral Apoplexy Hemiplegia

作　　者：熊华[1] 

机构地区：[1]四川中医药高等专科学校附属医院,四川绵阳621000

出　　处：《中医学报》2013年第7期1085-1086,共2页Acta Chinese Medicine

摘　　要：目的:观察中药加针刺及星状神经节阻滞治疗脑卒中偏瘫的临床疗效。方法:采用中药内服(以活血化瘀通络为治疗大法,基本方:水蛭、桃仁、赤芍、丹参、红花各15 g,大黄3 g。气虚者加黄芪30 g,白术20 g,红参10 g,茯苓20 g;湿热壅盛者加黄芩、龙胆草、泽泻、木通、厚朴、陈皮各15 g,藿香10 g,薏苡仁20 g;痰湿阻络者加半夏、白术、天南星、茯苓、白芥子各15 g;阴虚内热者加玄参、生地黄、麦冬、龟板、五味子各20 g,知母、黄柏各10 g,牡丹皮15 g)加针灸及星状神经节阻滞等综合治疗30例。结果:30例患者基本痊愈15例,显效12例,有效3例,有效率为90%。结论:中医药加针灸及星状神经节阻滞治疗本病有确切疗效,能明显降低致残率。Objective：To observe the clinical curative effect of acupuncture combined with traditional Chinese medicine and stellate ganglion block in treating cerebral apoplexy hemiplegia.Methods：Use oral Chinese medicine combined with acupuncture and stellate ganglion block in treating 30 cases with cerebral apoplexy hemiplegia.（Activating blood circulation to dissipate blood stasis：Shuizhi,Taoren,Chishao,Danshen,Honghua,each 15 g,Dahuang 3 g.Qi asthenia plus：Huangqi 30 g,Baizhu 20 g,Hongshen 10 g,Fuling 20 g.Dampness（heat plus：Huangqi,Longdancao,Zexie,Mutong,Houpu,Chenpi,each 15 g,Huoxiang 10 g,Yiyiren 20 g.Phlegmatic hygrosis plus：Banxia,Baizhu,Tiannanxing,Fuling,Baijiezi,each 15 g.Yin asthenia generating intrinsic heat plus：Xuanshen,Shengdihuang,Maidong,Guiban,Wuweizi,each 20 g,Zhimu,Huangbai,each 10 g,Mudanpi 15 g）.Results：50% were recovered,40% had marked effect and 10% effective.Conclusion：TCM combined with traditional Chinese medicine and stellate ganglion block has exact curative effect for cerebral apoplexy hemiplegia with lower morbidity.

关 键 词：偏瘫 脑卒中 中药 针刺 星状神经节阻滞 

分 类 号：R255.2[医药卫生—中医内科学]