基于经络辨证治疗动眼神经麻痹经验  

Experience in Diagnosis and Treatment of Oculomotor Nerve Palsy based on Channel Pattern Differentiation

作　　者：朱涛 邓星佑[2] 郭艳萍[2,3] 李松 梁俊 奠云丽 黄丽君 施静 林忆平[2] ZHU Tao;DENG Xingyou;GUO Yanping;LI Song;LIANG Jun;DIAN Yunli;HUANG Lijun;SHIJing;LIN Yiping(Yunnan University of Chinese Medicine,Kunming,650500;Yunnan Provincial Hospital of Traditional Chinese Medicine;The First Affiliated Hospital of Yunnan University of Chinese Medicine;Hospital of Traditional Chinese Medicine of Guangnan County,Yunnan Province)

机构地区：[1]云南中医药大学,云南省昆明市650500 [2]云南省中医医院 [3]云南中医药大学第一附属医院 [4]云南省广南县中医医院

出　　处：《中医杂志》2023年第22期2372-2376,共5页Journal of Traditional Chinese Medicine

基　　金：云南省“兴滇英才支持计划”名医项目;国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75)。

摘　　要：认为动眼神经麻痹的基本病机为气血亏虚、经络瘀阻。临证以经络辨证为核心,提出以辨位、辨证、辨经虚实为主的针刺治疗方法,其中辨位归经主要遵循“经络所过,主治所及”的原则,常用督脉、手少阳三焦经、手太阳小肠经、足三阳经及手少阴心经、足厥阴肝经等腧穴,并以头针联合电针加强经络刺激;辨证归经根据相关症状表现,结合脏腑辨证辨别归属经络;重视辨经虚实,治疗遵循“虚则补之,实则泻之”的原则,结合腧穴自身的补泻之别,针对患者实际情况合理使用补泻之法。同时重视针刺手法与刺激量效相结合的应用。It is believed that the basic pathogenesis of oculomotor nerve paralysis(ONP)is qi and blood deple?tion and channel obstruction.Taking channel pattern differentiation as the core,it is recommended to use acupunc?ture mainly based on location,syndrome and channel deficiency-excess differentiation.Location and channel tropism differentiation mainly follows the principle of“where the channels and collaterals pass,the main treatment can reach”,and commonly uses acupuncture points on Dumai(督脉),the hand Shaoyang(少阳)Sanjiao(三焦)channel,the hand Taiyang(太阳)small intestine channel,three yang channels of the foot,the hand Shaoyin(少阴)heart channel,the foot Jueyin(厥阴)liver channel,and others,and combines scalp acupuncture with electro-acupuncture to enhance channel stimulation.Pattern and channel tropism differentiation is to differentiate the entered channel according to clinical symptoms and zang-fu patterns.The differentiation of deficiency-excess should be payed atten?tion to,and the principle of“supplementing the deficiency,and draining the excess”should be followed.The supple?menting and draining method should be used rationally by considering the differences in the supplementing and drain?ing acupoints themselves,as well as the actual condition of the patients.Simultaneously,it is suggested to com?bine manipulation and stimulation amount and effect in clinical practice.

关 键 词：动眼神经麻痹 针刺 经络辨证 

分 类 号：R277.7[医药卫生—中医学]