基于“态靶结合”与“内外合邪”论治面肌痉挛  

Treatment of facial spasm based on state target binding and Neiwai Hexie

作　　者：巩祥贺 何平鸽 王鑫 秦瑞 李娜[2] 李可 李金月 尧文海 吴辉[1,2] GONG Xianghe;HE Pingge;WANG Xin;QIN Rui;LI Na;LI Ke;LI Jinyue;YAO Wenhai;WU Hui(Wuhan No.1 Hospital,Wuhan 430022,China)

机构地区：[1]武汉市第一医院,湖北武汉430022 [2]湖北中医药大学,湖北武汉430060

出　　处：《陕西中医》2023年第11期1596-1598,共3页Shaanxi Journal of Traditional Chinese Medicine

基　　金：湖北省卫生健康委员会中医药科研项目(ZY2019F026);武汉市卫生健康委员会仝小林名中医传承工作室建设项目[武卫复(2021)10号]。

摘　　要：面肌痉挛的具体病因及发病机制尚未完全明确,现代医学对于原发性面肌痉挛的治疗手段较为有限。中医治疗原发性面肌痉挛具有得天独厚的优势,但中医辨治本病存在连续性、动态性不足的缺点。在面肌痉挛的辨治中引入“态靶结合”理论体系,从“态靶结合”角度分析面肌痉挛疾病的发生发展过程。本病具有风邪伏络、内外风邪相合的基础病态特征,以“祛风和络止痉方”为靶方进行调态打靶,运用靶药白附子、僵蚕、天南星调节风痰停滞面络的“果态”,联合耳穴调节面神经功能,多维度围绕“风邪扰络”病态,以病为经、以态为纬,提高面肌痉挛的辨治效果。The specific etiology and pathogenesis of facial spasm have not been fully defined.The treatment of primary facial spasm in modern medicine is limited.Traditional Chinese medicine(TCM)has unique advantages in treating primary facial spasm,but it lacks continuity in distinguishing and treating disease.In the treatment of facial spasm,the theory system of state target combination was introduced,the whole process of occurrence and development of facial spasm disease was analyzed from the perspective of state target combination.The disease has basic pathology of Fengxie Fuluo and Neiwaifeng Jiehe.Qufeng Heluo Zhijing decoction as target,the target drugs such as radix aconitae,rigidworm and arnaeus were used to adjust fruit state of wind phlegm’s stasis surface.The multi-dimension accurate target shooting was carried out around Fengxie Raoluo,taken as meridian and state was taken as the latitude,to improve effect of hemifacial spasm disease.

关 键 词：面肌痉挛 态靶结合理论 内外合邪 风邪扰络 耳穴疗法 

分 类 号：R745.1[医药卫生—神经病学与精神病学]