从“恢刺恢筋急”探讨针刺治疗卒中后痉挛性偏瘫  

Discussion on acupuncture for spastic hemiparesis after stroke from the perspective of‘waggle needling relieving sinew contracture’

作　　者：孙天祎 马良宵[1,2] 钱旭 马凌慧 张秦墉 王修琰 修靖云 SUN Tianyi;MA Liangxiao;QIAN Xu;MA Linghui;ZHANG Qinyong;WANG Xiuyan;XIU Jingyun(School of Acupuncture-moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China;KeyLaboratory of Evaluation of Characteristic Acupuncture Therapy,National Administration of Traditional Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学针灸推拿学院,北京100029 [2]国家中医药管理局针灸特色疗法评价重点研究室,北京100029

出　　处：《中华中医药杂志》2024年第10期5293-5297,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.82274655)。

摘　　要：经筋理论对痉挛型运动障碍类疾病的治疗意义重大,是中医针灸与现代康复疗法的重要交汇点。卒中后痉挛性偏瘫是由脑络受损所致的经筋病,而恢刺法恰为抗痉挛的经典刺筋之法,治疗卒中后痉挛性偏瘫疗效显著。文章围绕经筋理论,从气血、阴阳、脑神3个方面探讨了恢刺法抗卒中后痉挛性偏瘫效应的中医理论基础及西医机制,并提出应注重将恢刺法与脑源性经筋病适宜刺激的外周部位有机结合,充分发挥刺法的优势以及经筋理论的指导意义,以提高“恢刺恢筋急”的效果。The theory of meridian sinew is of great significance in the treatment of spastic dyskinesia.It is an important intersection of traditional Chinese acupuncture and modern rehabilitation therapy.Spastic hemiparesis after stroke is a meridian sinew disease caused by the damage of the meridians and collaterals in the brain.Correspondingly,waggle needling is just the classic method of anti-spastic acupuncture acting on meridian sinew,which has a significant therapeutic effect on spastic hemiparesis after stroke.Around the theory of meridian sinew,this paper discusses the theory of Chinese medicine and the mechanism of modern medicine related to the effect of waggle needling on spastic hemiparesis after stroke from the three aspects,including qi and blood,yin and yang,as well as brain spirit.This paper also puts forward that we should pay attention to the organic combination of waggle needling and the stimulation sites suitable for brain-derived meridian sinew disease peripherally,give full play to the advantages of needling technique and the guiding significance of the meridian sinew theory,so as to improve the effect of‘waggle needling relieving sinew contracture’.

关 键 词：针刺 恢刺 中风 痉挛性偏瘫 经筋 

分 类 号：R246.6[医药卫生—针灸推拿学]