田从豁“形神共调五部八法”治疗脑卒中肢体麻木经验探析  

TIAN Conghuo's Experience in Treating Post-Stroke Limb Numbness Based on Academic Theory of‘Co-Regulation of Physical Body and Shen by Five Parts and Eight Methods’

作　　者：彭景 王寅[2] 贾卫华[1] 史永梅[1] 邹忆怀[1] 陈星[1] PENG Jing;WANG Yin;JIA Weihua;SHI Yongmei;ZOU Yihuai;CHEN Xing(Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China;Guang'anmen Hospital, China Academy of Chinese Medical Science, Beijing 100053, China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]中国中医科学院广安门医院,北京100053

出　　处：《针灸临床杂志》2022年第6期80-86,共7页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家自然科学基金,编号:81904285。

摘　　要：总结田从豁教授“形神共调”学术思想,结合脑卒中肢体麻木的中医病因病机,探讨“形”“神”的深层含义和关系,“形神共调五部八法”的学术内涵及其在辨证论治过程中的应用特点。从脑卒中肢体麻木的核心组穴方案、针刺手法的选择以及常用临床配穴等方面,深入挖掘“形神共调五部八法”治疗特点,并结合病案举例,在脑卒中肢体麻木的治疗中,总结田从豁教授基于《黄帝内经》形神理论的应用经验,以脑络髓海受损、经络气血失养为病机,治疗以益气宁神、养血调形和形神共调为法则;突出围绕“调神八法”“调形五部”,通过“小而精”的取穴和灵活细致的行针手法,最大限度地增加单次针刺治疗效力、减轻患者负担的特色。田氏“形神共调五部八法”对于脑卒中后感觉障碍的康复有重要的临床意义,可向基层医疗广泛推广。This study summarized professor TIAN Conghuo’s academic thought of‘co-regulation of physical body and Shen by five parts and eight methods’,and discussed the deep meaning and relationship between‘physical body’and‘Shen’in combination with the etiology and pathogenesis of post-stroke limb numbness in TCM.The academic connotation of‘co-regulation of physical body and Shen by five parts and eight methods’and its application characteristics in the process of syndrome differentiation and treatment were concluded in the study.It explored the characteristic of the therapy in terms of key points group,acupuncture manipulation and clinical acupoints compatibility in the treatment of post-stroke limb numbness.Professor TIAN Conghuo’s experience in treating the disease based on the thought of physical body and Shen in Yellow Emperor’s Inner Canon were concluded with clinical case examples.The treatment is based on the principle of supplementing Qi and tranquilizing Shen,nourishing blood and regulating physical body,as well as co-regulating physical body and Shen.It focuses on‘eight methods of regulating Shen’and‘five parts of regulating physical body’,through‘less but essential’acupoints selection and flexible and meticulous needling manipulation,to maximize the effectiveness of per once acupuncture treatment and alleviate the suffering of the patients.Tian’s‘co-regualtion of physical body and Shen by five parts and eight methods’has an important clinical significance for the rehabilitation of sensory disturbance after stroke,and it can be widely used in primary care.

关 键 词：田从豁 形神共调五部八法 名医经验 针刺 脑卒中 麻木 

分 类 号：R246.6[医药卫生—针灸推拿学]