“通关利窍”针刺法治疗中风后吞咽障碍研究进展  

Research Progress on the Treatment of Dysphagia after Apoplexy by Acupuncture of“Clearing Customs and Clearing Orifices”

作　　者：殷之珺 李彦娇 杨敏[1] 吴玉龙 杨鹏程 安军明 YIN Zhijun;LI Yanjiao;YANG Min;WU Yulong;YANG Pengcheng;AN Junming(Shaanxi University of Traditional Chinese Medicine,Xianyang 712000,China;Xi ′an Hospital of Traditional Chinese Medicine,Xi′an 710014,China)

机构地区：[1]陕西中医药大学,咸阳712000 [2]西安市中医医院,西安710014

出　　处：《世界中医药》2021年第21期3261-3264,共4页World Chinese Medicine

基　　金：陕西省方氏头针重点研究室(陕中医药发[2018]32号);陕西省科技厅社会发展领域项目(2017SF-363);西安市中医医院石学敏院士专家工作站基金项目(市科协字[2018]165号);陕西省中医药管理局中医重点专科项目(陕中医药发[2012]55号)。

摘　　要：吞咽障碍是中风的常见并发症之一,严重影响着患者的身心健康及生命质量。石学敏院士在“醒神开窍”针刺法的基础上创立了“通关利窍”针刺法,以“调神导气,滋补三阴,通关利窍”为治疗原则,选取内关、水沟、三阴交、风池、完骨、翳风等穴位,科学量化施术手法,能准确有效地治疗中风后吞咽障碍。现整理近年来相关文献,从中风后吞咽困难的发病机制与治疗原则、“通关利窍”针刺法的穴位选择、施术手法及量学要求、临床疗效等方面,进行系统归纳总结,以期更好地指导临床。Dysphagia is one of the common complications of stroke,which seriously affects the patients′physical and mental health and quality of life.Academician SHI Xuemin established Tongguan Liqiao acupuncture method on the basis of Xingshen and resuscitation method.Based on the treatment principle of“adjusting the mind and guiding qi,nourishing the three yin,Tongguan Liqiao”.Neiguan(P6),Shuigou(GV26),Sanyinjiao(SP6),Fengchi(G20),Wangu(G12),Yifeng(TE17)and other acupoints were selected.The scientific quantitative technique were demonstrated.We can accurately and effectively treat dysphagia after stroke.The author sorted out the relevant literature in recent years and systematically summarized the pathogenesis and treatment principles of dysphagia after stroke,the selection of acupoints,the surgical technique and measurement requirements of the“Tongguan Liqiao”acupuncture method,clinical efficacy achieved.It is hoped that it can better guide the clinic.

关 键 词：针刺 吞咽障碍 通关利窍 中风 综述 @石学敏 醒脑开窍 中风并发症 

分 类 号：R246.1[医药卫生—针灸推拿学]