武连仲开窍顺筋法治疗痉挛性斜颈经验  

WU Lian-zhong’s experience in treating spasmodic torticollis by Kaiqiao Shunjin method

作　　者：于丽 苗蓓亮 沈燕[1,2,3,4,5] 李斯琪 王舒 武连仲[1,2] YU Li;MIAO Bei-liang;SHEN Yan;LI Si-qi;WANG Shu;WU Lian-zhong(First Teaching Hospital of Tianjin University of TCM,Tianjin 300380,China;National Clinical Research Center for Acupuncture and Moxibustion of Chinese Medicine,Tianjin 300380;Institute of Acupuncture and Moxibustion,First Teaching Hospital of Tianjin University of TCM,Tianjin 300380;Tianjin Key Laboratory of Acupuncture and Moxibustion Sciences,Tianjin 300380;Key Laboratory of Acupuncture Encephalopathy,State Administration of Traditional Chinese Medicine,Tianjin 300380)

机构地区：[1]天津中医药大学第一附属医院,天津300380 [2]国家中医针灸临床医学研究中心,天津300380 [3]天津中医药大学第一附属医院针灸研究所,天津300380 [4]天津市针灸学重点实验室,天津300380 [5]国家中医药管理局脑病针刺疗法重点研究室,天津300380

出　　处：《中国针灸》2022年第6期679-682,共4页Chinese Acupuncture & Moxibustion

基　　金：天津市科技计划项目:20ZYJDSY00020;长江学者和创新团队发展计划项目:IRT1167。

摘　　要：总结武连仲教授开窍顺筋法治疗痉挛性斜颈的经验。痉挛性斜颈的病机总属窍闭神妄,经筋气乱,具体分为5类:湿热、肝阳上亢、肝肾阴虚、督脉不足、督脉盛实。治疗应先标后本,治标为主,辨证治本。治疗以开窍顺筋(开窍调神、顺筋散结)为主,以君[五心穴(水沟、劳宫、涌泉)]、臣(印堂、上星透百会、郄门)、佐(丰隆、廉泉配合舌针点刺)、使(颔厌)为基本主穴,加局部选穴以开结散聚,再辨证选穴以通经散结、通调督脉、滋阴息风。Professor WU Lian-zhong’s experience in treating spasmodic torticollis by Kaiqiao Shunjin method(resuscitation and regulating muscle)is summarized in this paper.The pathogenesis of spasmodic torticollis is the occluded brain orifices and delirium,qi disorder of meridian tendons,specifically divided into five categories:damp-heat,liver-yang hyperactivity,liver-kidney yin deficiency,deficiency of the governor vessel,excess of the governor vessel.The treatment should be based on the symptoms and the root causes,the symptoms should be the main treatment,and the root cause should be treated based on syndrome differentiation.The main treatment is Kaiqiao Shunjin method(resuscitation and regulating muscle),and to take the chief(five heart acupoints-Shuigou[GV 26],Laogong[PC 8],Yongquan[KI 1]),deputy(Yintang[GV 24+],Shangxing[GV 23]through Baihui[GV 20],Ximen[PC 4]),assistant(Fenglong[ST 40],Lianquan[CV 23],combined with tongue needle prick),envoy(Hanyan[GB 4])as the basic main acupoints,at the same time cooperate with local acupoints to remove knots and accumulation.Finally,syndrome differentiation is adopted to dredge meridians and disperse knots,regulate the governor vessel,and nourish yin and dispel wind.

关 键 词：痉挛性斜颈 开窍顺筋 经筋 名医经验 武连仲 

分 类 号：R246.6[医药卫生—针灸推拿学]