基于“玄府-络脉”理论探讨针灸治疗面瘫后遗症  

Discussion on acupuncture and moxibustion treatment of sequelae of facial palsy based on the"Xuanfu⁃Luomai"theory

作　　者：马飞 徐湘洁 王海龙[2] MA Fei;XU Xiangjie;WANG Haiong(College of Acupuncture,Moxibustion and Tuina,Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250355,China;Department of Acupuncture and Moxibustion,Jining Hospital,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Jining,Shandong 272000,China)

机构地区：[1]山东中医药大学针灸推拿学院,山东济南250355 [2]中国中医科学院西苑医院济宁医院针灸科,山东济宁272000

出　　处：《上海中医药杂志》2024年第9期13-16,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(国中医药人教函〔2022〕76号);山东省卫健委中医药科技面上项目(M2022060)。

摘　　要：基于“玄府-络脉”理论探讨面瘫后遗症的病机及针灸治疗策略,认为玄府闭郁、气血不畅、络脉受阻是面瘫后遗症的基本病机,当以开玄通络(开通玄府、祛瘀通络)为治。具体针灸治疗方法包括拔罐法、梅花针叩刺法、腕针配合双侧透刺法、毫火针刺络放血法、扶正通络针法、通元针法、麦粒灸、热敏灸、穴位埋线疗法等。玄府及络脉畅通,气血调和,疾病自愈。The pathogenesis of sequelae of facial palsy and acupuncture-moxibustion treatment strategies are discussed based on the"Xuanfu-Luomai"theory.It posits that the basic pathogenesis of the sequelae of facial palsy involves the obstruction of Xuanfu(mysterious orifices),stagnation of qi and blood,and blockage of Luomai(collaterals).The treatment should focus on Kaixuan Tongluo(opening Xuanfu,removing stasis,and unblocking the collaterals).Specific acupuncture and moxibustion treatment methods include cupping,plum-blossom needle tapping,wrist acupuncture with bilateral trans-point needling,fine fire needle collateral-puncturing and bloodletting,Fuzheng Tongluo needling,Tongyuan needling,grain-sized moxibustion,heat-sensitive moxibustion,and thread embedding acupuncture.When Xuanfu and Luomai are unobstructed,and qi and blood are harmonized,the disease can naturally resolve.

关 键 词：面瘫 后遗症期 针灸 玄府 络脉 中医病机 治疗策略 理论探讨 

分 类 号：R246.6[医药卫生—针灸推拿学]