合谷刺治疗中风后手痉挛的临床经验  

Clinical experience of Hegu thorn in the treatment of hand spasm after stroke

作　　者：李光辉[1] 邢俊标 LI Guang-hui;XING Jun-biao(NO.1 Encephalopathy Department,Wuqing District Traditional Chinese Medicine Hospital,Tianjin 301700,China)

机构地区：[1]天津市武清区中医医院脑病一科

出　　处：《中国城乡企业卫生》2019年第11期126-128,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：中风后手痉挛为中风后较顽固后遗症,严重影响患者的生活质量。现代医学治疗中风后手痉挛多以肌松药物、理疗为主,临床效果不明显。而中医针灸在临床中治疗中风后手痉挛可取得良好疗效,其中合谷刺为治疗中风后手痉挛的常用有效刺法,多为临床医师所熟悉。但其并非是治疗手痉挛的专用针法,且临床各家多以各自经验为主,并未形成系统针刺方法,难以利于临床推广。邢俊标导师提出以肌肉功能定位为基础,针刺向第1、2、3、4、5掌骨下缘,以手指出现抽动为量化标准对传统合谷刺进行改良,为临床治疗中风后手痉挛的针灸推广提供了良好的思路。Hand spasm after stroke is a more stubborn sequela after stroke,which seriously affects the quality of life of patients. Modern medical treatment of hand spasm after stroke is mainly based on muscle relaxants and physiotherapy,but the clinical effect is not significant,while traditional Chinese medicine acupuncture can achieve good curative effect in the treatment of hand spasm after stroke. Among them,Hegu thorn is a commonly used effective method for treating hand spasm after stroke. It is familiar to clinicians,but it is not a special needle for treating hand spasm,and most of the clinical doctors have their own experience. There is no systematic acupuncture method,which is difficult to promote clinical promotion. Xing Junbiao tutor proposed to use muscle function positioning as the basis,acupuncture to the lower edge of the first,second,third,fourth,and fifth metacarpal,with finger twitch as the quantitative standard for the traditional Hegu thorn. The improvement of Hegu thorn provides a good idea for the promotion of acupuncture in the treatment of hand spasm after stroke.

关 键 词：合谷刺 肌肉功能 中风后手痉挛 

分 类 号：R246.1[医药卫生—针灸推拿学]