双侧内庭、解溪三棱针点刺放血联合基础疗法治疗急性脑出血头痛  

Bilateral Neiting, Jie Xi Pricking Blood Therapy combined with Basic Treatment of Acute Cerebral Hemorrhage Headache

作　　者：王涣群 邹维武 于蕾 商连春 陈伦音 

机构地区：[1]重庆永川区中医院脑病科,重庆402160

出　　处：《实用中医内科杂志》2017年第6期37-38,共2页Journal of Practical Traditional Chinese Internal Medicine

基　　金：基金资助 永川区科委(NO:Ycstc;2015nc5019)~~

摘　　要：急性脑出血起病迅猛,头痛明显,三棱针点刺放血操作简单,可缓解脑出血急性期头痛。附病案3则:第1例右侧丘脑出血12m L,西医常规治疗及连续三棱针点刺放血,入院第1、2、3d双侧内庭、解溪稍上部位向内庭、解溪部位推按,三棱针点刺法直刺4~5mm快进快出,点刺后反复挤压放血,1次/d,每穴挤出血液约8~10滴,病情好转,未出现病情加重。第2例右侧丘脑出血3m L,单纯西医常规治疗,急性期病情反复,治疗时间长,愈后较差;第3例左侧基底节出血12m L,西医常规治疗,入院第2d双颞侧头痛,双侧内庭、解溪、太阳三棱针点刺放血1次(简单操作),病情不稳定,第3d脑干出血死亡。双侧内庭、解溪穴位点刺放血可缓解脑出血急性期头痛;连续实施,规范操作效果更佳。The rapid onset of acute cerebral hemorrhage, change rapidly, the headache is obvious, three edged needle pricking bloodletting is simple, and it can relieve the headache of acute cerebral hemorrhage., with 3 medical cases： first case of right thalamic hemorrhage 12mL,conventional treatment of western medicine and continuous needle pricking bloodletting,admission to first, second,third days, Push the upper part to the point of bilateral points Neiting, JieXi,acupuncture pricking method into 4-5mm fast,repeated bleeding after pricking,1 times per day,About 8-10 drops of blood per acupoint.Condition improved,No exacerbations. Second case of right thalamic hemorrhage 3mL, simple western medicine routine treatment, the acute phase of the disease, treatment time is long, worse after recovery. Third case of left basal ganglia hemorrhage 12mL, conventional treatment of western medicine, admitted to the hospital on the second day of the double temporal headache,1 points （simple operation） were treated by acupuncture and acupuncture on bilateral acupoints ,Neiting, JieXi,Taiyang and the disease was unstable. The death rate of brainstem hemorrhage was the first in the third day.Bilateral acupoint Neiting, JieXi pricking bloodletting can alleviate the acute headache of cerebral hemorrhage.Continuous implementation, standardized operation effect is better.

关 键 词：急性脑出血 中风 阳明实热 三棱针 点刺放血 内庭 解溪 太阳 足阳明胃经 右侧丘脑出血 脑干出血 左侧基底节出血 

分 类 号：R246[医药卫生—针灸推拿学]