基于“五脏之五体”探讨“通络”技术对痉挛型脑性瘫痪患儿的治疗作用  

Study on"Tongluo"technology in the treatment of children with spastic cerebral palsy based on"five body constituents of five internal organs"

作　　者：徐文雅 李瑞仕[1] 贺思[1] 冯兆才[1] XU Wenya;LI Ruishi;HE Si;FENG Zhaocai(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院儿科、国家中医针灸临床医学研究中心,天津300381

出　　处：《中国中西医结合儿科学》2022年第4期296-299,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：脑性瘫痪(简称脑瘫)是目前最常见的儿童致残性疾病之一,虽然脑损伤不再进展,但其引起的继发性肌肉骨骼改变是运动障碍、姿势异常等临床表现的重要原因,也是治疗的重点和难点。“通络”技术是我院儿童康复专科常用的针灸、推拿技术,具有改善痉挛型脑瘫患儿肌张力,提高患儿运动功能的临床疗效。文章针对中医五脏所对应的人体形体“筋”“脉”“肉”“皮”“骨”五个方面对“通络”技术的作用机制进行论述,以期该技术能更加科学、合理的应用于临床。Cerebral palsy(CP)is currently one of the most common disabling disease in children.Although brain damage no longer progress,the secondary musculoskeletal lesions because of it are the important causes of the clinical manifestations such as dyskinesia and abnormal posture,which is also the focus of treatment.The"Tongluo"technology is the acupuncture and moxibustion and massage commonly used in the pediatric rehabilitation department of our hospital,which can improve the muscular tension of children with spastic CP and increase the clinical effect on motor function.This article discusses the mechanism of action of"Tongluo"technology regarding the five aspects of tendons,vessels,muscles,skin and bones,corresponding to the five internal organs in TCM,with the aim that this technology can be used more scientifically and properly in clinic.

关 键 词：痉挛型脑瘫 “通络”技术 肌肉骨骼病变 作用机制 

分 类 号：R742.3[医药卫生—神经病学与精神病学]