以辨病位为核心探讨中风后遗症的针灸诊疗思路  

Ideas of acupuncture diagnosis and treatment of stroke sequela based on the differentiation of disease location

作　　者：杨一涵 谭程[1] 杨超[1] 杨雪冬[1] 王燕 桂迎莹 王敏元 李春黇 张婉娇 YANG Yihan;TAN Cheng;YANG Chao;YANG Xuedong;WANG Yan;GUI Yingying;WANG Minyuan;LI Chuntian;ZHANG Wanjiao(Department of Acupuncture and Moxibustion,Dongzhimen Hospital of Beijing University of CM,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院针灸科,北京100700

出　　处：《中国针灸》2024年第11期1317-1322,共6页Chinese Acupuncture & Moxibustion

基　　金：北京中医药大学新教师启动基金项目:2023-BUCMXJKY017。

摘　　要：梳理中医古代文献中“脑”的相关记载,初步分析人体“脑-经络-经筋运动系统”及“脑-经络-皮部感知系统”的潜在结构与功能,继而以中风后遗症的病症特点为出发点,以辨病位为核心,结合辨病性,确立中风的病机为“髓海失养、经筋失调、皮部营卫失和”,树立“补髓健脑、疏调经筋、补气理血和络”的基本治法,依此理清针灸治疗的选穴与刺灸法,以期为针灸临床提供参考,为中风患者提供个体化的诊疗方案。Through collecting the relevant records of"brain"in ancient traditional Chinese medicine literature,the potential structure and function of the"motor system of brain-meridian-muscle region"and"perception system of brain-meridian-cutaneous region"of the human body are analyzed preliminarily.In view of the characteristics of the symptoms of stroke sequela,focusing on the differentiation of disease location and associated with the identification of disease property,the pathogenesis of stroke is determined,"malnutrition of the sea of marrow,dysfunction of meridian muscle region and disharmony of the nutrient and the defensive in the meridian cutaneous region",while,the basic principle of treatment is formulated,"filling up the marrow,replenishing the brain,regulating meridian muscle regions,tonifying qi and facilitating blood circulation in meridians and collaterals".Based on the above,the acupoints selected in treatment and the techniques of acupuncture and moxibustion are clarified.This article presents the references for the clinical practice of acupuncture and moxibustion and provides the individual therapeutic regimen for stroke patients.

关 键 词：中风后遗症 针灸 辨病位 辨证 

分 类 号：R246.6[医药卫生—针灸推拿学]