中风病偏瘫痉挛“松静”康复观的内涵与应用  

Theory and Application of“Relaxation and Calmness”Rehabilitation Concept in Dealing with Post-stroke Spasticity

作　　者：金贺[1] 陈红[1] 李宗衡[1] 李匡时[1] 邹忆怀[1] JIN He;CHEN Hong;LI Zongheng;LI Kuangshi;ZOU Yihuai(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing,100700)

机构地区：[1]北京中医药大学东直门医院,北京市100700

出　　处：《中医杂志》2023年第3期244-249,共6页Journal of Traditional Chinese Medicine

摘　　要：痉挛是影响中风偏瘫患者肢体功能康复的不利因素之一,中医疗法治疗偏瘫痉挛具有独特优势。中风病“松静”康复观以“松”与“静”作为偏瘫痉挛治疗的指导思想与具体方法,据此所形成的“体用通和”理论以中医藏象理论为基础,以“通”为原则,内通脏腑,外联肢窍,促进肢体功能恢复。并将治疗对象、目的、方法及疗效融为一体,经过不断发展与完善,逐渐形成了融合中药、针灸、推拿等多种中医特色疗法为一体的偏瘫痉挛康复方案。中风病“松静”康复观丰富了中医康复学内涵,为偏瘫痉挛的临床治疗提供了新的思路与方法。Spasticity is one of the unfavorable rehabilitation factors of limb function in stroke patients with hemiplegia,meanwhile,traditional Chinese medicine(TCM)has unique advantages in treating post-stroke spasticity(PSS).The concept of“relaxation and calmness”for stroke takes“relaxation”and“calmness”as the guiding ideology and specific method for the rehabilitation of PSS.Developed from this concept,the theory of“unblocking and harmony between body constituents and function”is formed,taking the TCM theory of the visceral manifestation as the basis,and the“unblocking”as the principle,so as to unblock the zang-fu(脏腑)organs in the interior,and connecting the limbs and orifices in the exterior,and thus promote the recovery of the limb functions.Simultaneously,by integrating the treatment object,purpose,method and curative effect as a whole,a set of post-stroke spasticity rehabilitation program that uniting Chinese materia medica,acupuncture,Tui na and other TCM therapies has been continuously improved and finally formed over the years.The concept of“relaxation and calmness”has enriched the connotation of TCM rehabilitation theory and provided new ideas or methods for clinical treatment of PSS.

关 键 词：中风病 偏瘫痉挛 松静 中医康复理论 

分 类 号：R255.2[医药卫生—中医内科学]