王颖针刺督脉结合夹脊穴治疗卒中后上肢痉挛经验  

WANG Ying's Experience in Treating Upper Limb Spasm after Stroke by Acupuncture at the Du Vessel and Jiaji Points

作　　者：杨文鑫 王颖[1,2] 计海生 段冕 何洋 韩为 YANG Wenxin;WANG Ying;JI Haisheng;DUAN Mian;HE Yang;HAN Wei(Anhui University of Chinese Medicine,Anhui Hefei 230038,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230061,China;The Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510370,China)

机构地区：[1]安徽中医药大学,安徽合肥230038 [2]安徽中医药大学第二附属医院,安徽合肥230061 [3]广州医科大学附属脑科医院,广东广州510370

出　　处：《中医药临床杂志》2024年第1期73-77,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:81973933);安徽省针灸临床医学研究中心开放基金项目(编号:2021zjzx02);安徽省中医药传承创新科研项目(编号:2020cczd04);安徽省名中医王颖工作室建设项目(编号:中发展[2022]5号)。

摘　　要：总结王颖主任针刺督脉结合夹脊穴治疗卒中后上肢痉挛的临证经验。王颖主任认为卒中后上肢痉挛发病之根本在于阴阳失衡,神机失用;所导致的脏腑经络气血失和,经筋失养为其基本病机。治疗上当以通调阳气,舒筋解痉为原则,基于“形神一体观”及“通督调神”理论提出针刺督脉穴结合夹脊穴,振奋周身阳气,恢复神机功能,以求形神共治。Summarize Director Wang Ying’s clinical experience in treating upper limb spasms after stroke by combining acupuncture at the Du meridian and Jiaji acupoints.Director Wang Ying believes that the fundamental cause of upper limb spasms after stroke lies in the imbalance of yin and yang,and the loss of divine power;The basic pathogenesis is the disharmony of qi and blood in the viscera,meridians,and meridians,as well as the loss of nourishment in the meridians.In treatment,the principle should be to regulate yang qi and relieve spasms.Based on the theory of“the integration of form and spirit”and“the regulation of meridians and spirits”,acupuncture at the acupoints of the Du meridian combined with the Jiaji acupoint is proposed to stimulate the yang qi of the whole body,restore the function of the divine mechanism,and achieve a joint treatment of form and spirit.

关 键 词：卒中后上肢痉挛 针刺 督脉 夹脊穴 

分 类 号：R245.3[医药卫生—针灸推拿学] R249[医药卫生—中医临床基础]