论“泻阴补阳”针刺在缺血性中风痉挛期的应用  

The appliation of "reducing yin and nourishing yang" acupuncture method on ischemic stroke in convulsion period

作　　者：裴久国 彭秀娟[1] 胡琼 张平[1] 彭力 PEI Jiuguo;PENG Xiujuan;HU Qiong;ZHANG Ping;Peng Li(Shiyan Hospital of Chinese Medicine of Hubei Province,Shiyan 442012)

机构地区：[1]湖北省十堰市中医医院,湖北十堰442012

出　　处：《湖北中医药大学学报》2021年第4期55-57,共3页Journal of Hubei University of Chinese Medicine

基　　金：湖北省卫生计生委中医药重点科研项目(项目编号:ZY2019Z012)。

摘　　要：中风在所有疾病中属发病率高的一种,中风导致的残疾率、病死率以及再度发生的几率均较高,属脑血管疾病常见病、多发病。中风后个人身体功能出现不同程度的障碍,除了自身会丧失相应的劳动力外,家庭人力、物力支出变大,也会造成一定的社会负担。中风痉挛期偏瘫侧上肢的伸肌肌群处于弛缓性瘫痪状态而屈肌肌群处于痉挛状态;下肢的屈肌肌群处于弛缓性瘫痪状态而伸肌肌群处于痉挛状态。中医学认为脑卒中后肢体痉挛状态的病机是阴阳失调所致的阳缓阴急。现代医学认为中枢运动神经元受损后,对脊髓等低级中枢的抑制作用减弱,脊髓反射活动活跃,进而出现异常运动模式(痉挛)。针刺治疗中风病由来已久,寻求一种有效的针刺方法更显重要。"泻阴补阳"针刺法在阴阳理论的指导下产生,与现代康复理念中协调痉挛肌和拮抗肌的平衡有异曲同工之妙。大量的临床研究及现代研究表明此法疗效肯定,值得临床推广。Stroke has high incidence,high disability,high mortality and high recurrence rate,which brings heavy burden to individuals,families and society.Modern medical treatment includes drug treatment and surgical treatment,but the side effects are large.In the spastic stage of stroke,the extensor muscles of the upper limbs of the hemiplegic side were in the state of flaccid paralysis,while the flexor muscles of the lower limbs were in the state of flaccid paralysis,and the extensor muscles of the lower limbs were in the state of spasm.According to TCM,the pathogenesis of post-stroke limb spasticity is caused by the imbalance of yin and yang.Modern medicine believes that after the central motor neuron is damaged,the inhibitory effect on the spinal cord and other low-level centers is weakened,the spinal cord reflex activity is active,and then abnormal movement mode(spasm)appears.Acupuncture has a long history in treatment of stroke,so it is more important to find an effective acupuncture method.Under the guidance of the theory of yin and yang,the acupuncture method of "reducing yin and nourishing yang" is similar to the balance of spasmodic and antagonistic muscles in the modern rehabilitation concept.A large number of clinical and modern studies have shown that this method is effective and worthy of clinical promotion.

关 键 词：缺血性中风 泻阴补阳 痉挛性瘫痪 

分 类 号：R246[医药卫生—针灸推拿学]