针刺治疗韦尼克脑病案  

Acupuncture for Wernicke encephalopathy: a case report

作　　者：陈翔宇 毛钰菡 姚嘉永 于学平[2] 邹伟[2] CHEN Xiangyu;MAO Yuhan;YAO Jiayong;YU Xueping;ZOU Wei(First Clinical Medical College,Heilongjiang University of CM,Harbin 150040,China;Third Department of Acupuncture and Moxibustion,First Affiliated Hospital of Heilongjiang University of CM,Harbin 150040)

机构地区：[1]黑龙江中医药大学第一临床医学院,哈尔滨150040 [2]黑龙江中医药大学附属第一医院针灸三科,哈尔滨150040

出　　处：《中国针灸》2025年第2期262-264,共3页Chinese Acupuncture & Moxibustion

基　　金：黑龙江省中医药管理局省级名中医专家传承工作室项目:20190529。

摘　　要：介绍邹伟教授运用调神通阳针法头体针结合治疗韦尼克脑病验案1例。本案患者证属脾胃亏虚、肝风内动,以调神醒脑、健脾熄风舒筋为治则,选取调神通络以醒脑(百会、前神聪及双侧太阳、风池等)、调脾胃和气血(双侧天枢、大横、太溪等)、通经以柔筋舒筋(双侧外关、合谷、阳陵泉、悬钟)3组腧穴行针刺治疗,每次留针50min,每日1次,每周7d。治疗16周后,患者可在搀扶下缓慢行走数步,余症状恢复正常;随访2个月,患者病情稳定,可行走距离进一步增加,整体状况较前更加良好。This case report introduces Professor ZOU Wei's experience of treating a patient with Wernicke encephalopathy using the"regulating spirit and promoting yang acupuncture method".The patient was diagnosed as spleen and stomach deficiency with internal liver wind.The treatment principle focused on regulating spirit and awakening the brain,strengthening the spleen,calming wind,and relaxing the tendons.Three groups of acupoints were selected:①acupoints for awakening the brain by regulating spirit and unblocking meridians(Baihui[GV20],Qianshencong[EX-HN1]and bilateral Taiyang[EX-HN5],Fengchi[GB20]),etc.;②acupoints for harmonizing the spleen,stomach,qi,and blood(bilateral Tianshu[ST25],Daheng[SP15],Taixi[KI3],etc.);③acupoints for relaxing and softening the tendons(bilateral Waiguan[TE5],Hegu[LI4],Yanglingquan[GB34],Xuanzhong[GB39]).The needles were retained for 50 min per session,once daily,7 days a week.After 16-week treatment,the patient was able to walk a few steps slowly with assistance,and other symptoms returned to normal.A two-month follow-up showed the patient's condition remained stable,walking distance further increased,and overall health significantly improved.

关 键 词：韦尼克脑病 针刺 调神 

分 类 号：R246.6[医药卫生—针灸推拿学] R249[医药卫生—中医临床基础]