基于通项入脑属目系针刺治疗基底动脉尖综合征验案1则  

Acupuncture in the Treatment of Top of the Basilar Syndrome Based on Dredging the Neck into the Brain Belongs to the Eye System for One Proved Case

作　　者：王琼瑶 杨声强 朱重政 WANG Qiongyao;YANG Shengqiang;ZHU Zhongzheng(Department of Rehabilitation Medicine,Hubei Provincial Government Hospital/Hubei Rehabilitation Hospital,Hubei Province,Wuhan 430071,China;Department of Rehabilitation Medicine,HuizhouHospital of Traditional Chinese Medicine,Guangdong Province,Huizhou 516000,China)

机构地区：[1]湖北省直属机关医院/湖北省康复医院康复医学科,湖北武汉430071 [2]惠州市中医医院康复医学科,广东惠州516000

出　　处：《光明中医》2025年第3期549-552,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：湖北省中医药管理局项目(No.ZY2023M016)。

摘　　要：基底动脉尖综合征(top of the basilar syndrome,TOBS)是基底动脉顶端2 cm以内“树干”状血管结构狭窄或闭塞,造成局部循环障碍,导致以丘脑、中脑、桥脑、小脑以及颞叶内侧面、枕叶等部位梗死为特点的临床综合征。此病归属中医“中风”范畴,多为气血阴阳失衡,瘀血、痰浊、肝风等病理因素引起气血逆乱、上犯脑窍而发。文章列举1例累及双侧动眼神经导致双侧上睑下垂的TOBS患者验案,在西医常规治疗基础上,运用“通项入脑属目系”理论行针刺治疗,疗效显著。Top of the basilar syndrome(TOBS)is a clinical syndrome characterized by the stenosis or occlusion of the“trunk”-shaped blood vessel structure within 2 cm of the top of the basilar artery,resulting in local circulation disturbance and resulting in infarction of the thalamus,midbrain,pontine,cerebellum,medial side of the temporal lobe and occipital lobe.This disease belongs to the category of“stroke”in traditional Chinese medicine,mainly for the imbalance of qi and blood yin and yang,blood stasis,turbid phlegm,liver wind and other pathological factors caused by qi and blood disorder.This article listed a case of a patient with TOBS involving bilateral oculomotor nerve leading to bilateral ptosis.On the basis of conventional Western medicine treatment,acupuncture was applied to the theory of“dredging the neck into the brain belongs to the eye system”,and the effect is significant.

关 键 词：中风 基底动脉尖综合征 通项入脑属目系 针刺疗法 验案 

分 类 号：R246.6[医药卫生—针灸推拿学]