于涛教授运用“调阴和阳”针法治疗中风肢节病的理论及应用探讨  

Theoretical and Practical Exploration of Professor Yu Taos“Regulating Yin and Yang”Acupuncture Method for Treating Post-Stroke Limb Dysfunction

作　　者：张军风 于涛[1] 李孝波 王猛 钱玉林 范诗宇 ZHANG Junfeng;YU Tao;LI Xiaobo;WANG Meng;QIAN Yulin;FAN Shiyu(National Clinical Research Center for Traditional Chinese Medicine Acupuncture and The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300380,China;Basic Medical College,Shanxi University of Chinese Medicine,Taiyuan 030619,China)

机构地区：[1]天津中医药大学第一附属医院国家中医针灸临床医学研究中心,天津300380 [2]山西中医药大学基础医学院,山西太原030619

出　　处：《中医药学报》2025年第3期52-56,共5页Acta Chinese Medicine and Pharmacology

基　　金：天津市卫生计生行业高层次人才选拔培养工程—津门医学英才(〔2017〕18)。

摘　　要：脑卒中后患者常遗留肢体痉挛等运动功能障碍,其由患者血脉偏虚,感受内外刺激,阴阳失衡而发,后经筋瘀阻,气血难以和合而致肢体挛缩不伸。于涛教授基于《灵枢·刺节真邪》及相关中医理论,结合现代康复理论,提出“调阴和阳”针法。依据脑卒中后Brunnstrom分期,以经络辨证施治,选择不同的针刺操作手法。临床疗效确切,有效提高患肢肌力,避免肌张力亢进,可应用于神经及运动康复领域,现试分享同道以助临床。Post-stroke patients often experience limb and other motor function impairments.Based on the theories from“Miraculous Pivot·Needle the Real Pathogen”and related traditional Chinese medicine principles,and integrating modern rehabilitation theories,Professor Yu Tao addresses this condition,which arises from the condition under which the patient has blood deficiency,and then he gets internal or external stimulation,resulting in imbalance between yin and yang.After that,the patient develops meridian sinew obstruction and qi and blood disharmony,resulting in limb contraction and limited extension.Professor Yu has proposed the acupuncture method of“Regulating Yin and Yang”.According to the Brunnstrom staging,acupuncture treatment is tailored based on meridian differentiation and treatment,utilizing various acupuncture techniques.This treatment has shown definite clinical efficacy,significantly improving limb muscle strength and preventing muscle hypertonia.It can be applied in the fields of neurology and motor rehabilitation.This paper aims to share these findings with colleagues to assist in clinical practice.

关 键 词：脑卒中 运动障碍 痉挛 调阴和阳 针刺 

分 类 号：R255.2[医药卫生—中医内科学]