吴旭序贯疗法治疗周围性面瘫经验撷菁  

WU Xu′s experience of sequential therapy for peripheral facial paralysis

作　　者：邹洋洋 张涵逸 叶菁菁[2] 陆斌[3] 李邗峻 ZOU Yang-yang;ZHANG Han-yi;YE Jing-jing;LU Bin;LI Han-jun(Department of Acupuncture and Moxibustion,Qinhuai District Hospital of TCM,Nanjing 210006,Jiangsu Province,China;Department of Rehabilitation,Jiangsu Province Official Hospital;Department of Acupuncture and Moxibustion,Jiangsu Province Hospital of Chinese Medicine)

机构地区：[1]秦淮区中医医院针灸科,江苏南京210006 [2]江苏省省级机关医院康复科 [3]江苏省中医院针灸科

出　　处：《中国针灸》2022年第4期425-428,共4页Chinese Acupuncture & Moxibustion

基　　金：全国和省名老中医药专家传承工作室基层工作站建设项目:苏中医科教(2018)3号。

摘　　要：介绍吴旭教授序贯疗法治疗周围性面瘫的经验。该序贯疗法依据分期治疗,但又不拘泥于疾病分期,根据患者病程中症状的变化灵活变换针灸治疗方案。急性期以完骨穴温针灸为主,面部穴位不建议使用电针;恢复期以足三里温针灸为主,面部酌情使用电针,久刺不愈者配合梅花针或皮肤针叩刺局部;后遗症期根据僵硬型、挛动型、弛缓型不同类型可分别采用点刺放血和艾灸、缪刺法强刺激、“通督温阳”法,以缩短病程。The paper introduces professor WU Xu′s experience of sequential therapy for peripheral facial paralysis.The sequential therapy refers to a staging treatment,but not rigidly adheres to it.With this therapy,the acupuncturemoxibustion regimen is modified flexibly in line with the specific symptoms of illness.At the acute phase of peripheral facial paralysis,warm acupuncture at Wangu(GB 12)is predominated and electroacupuncture is not recommended at the acupoints on the face.At the recovery phase,warm acupuncture at Zusanli(ST 36)is the main therapy and electroacupuncture is applied to the acupoints on the face appropriately.Besides,for the intractable case,the tapping technique with plum-blossom needle or skin needle should be combined and exerted in the local affected region.At the sequelae phase,in order to shorten the duration of illness,depending on the different types of facial paralysis,i.e.stiffness type,spasmodic type and flaccid type,the corresponding needling techniques are provided,i.e.bloodletting and moxibustion,strong stimulation with contralateral acupuncture and the technique for promoting the governor vessel and warming up yang.

关 键 词：周围性面瘫 针灸 序贯疗法 名医经验 吴旭 

分 类 号：R246.6[医药卫生—针灸推拿学]