Discussion on the theoretical thinking of fire-needling treatment of patients with stroke flaccid paralysis based on Tongjing Roujin therapy
沈琳博 1谢媛 1付渊博 1温雅丽 1杜鑫 1王一战 1孙静青 1樊红雨
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作者信息
1. 首都医科大学附属北京中医医院针灸中心，北京 100010
折叠
摘要
中风软瘫以中风后患者身体运动功能异常，肌肉张力下降为主要表现，是中风后较为常见的病理状态，软瘫时间越长预后越差。中医理论认为，中风主因“虚、风、火、痰、瘀、气”而发病，当邪气搏结、阻于经络则使气血凝滞、经筋损伤、肌肉痿废，导致中风软瘫，因此需立以通经柔筋为其主要治法。火针治疗中风软瘫具有通经温阳、柔筋止痛的作用，可温阳散寒、充养经脉经气、松解筋脉结节、推动气血运行、濡养四肢百骸。火针疗法可促进神经通路的恢复，加强局部新陈代谢，改善局部肌张力，从而恢复肢体功能。火针治疗中风后软瘫的高质量临床研究、选穴规律、规范化操作手法等有待进一步深化。 Stroke flaccid paralysis is stroke patients with abnormal physical movement function and muscle tone decline as the main performance and is a kind of common pathological state after apoplectic stroke. The longer the flaccid paralysis is, the worse the prognosis. The theory of TCM holds that stroke is mainly due to "deficiency, wind, fire, phlegm, stasis, qi", and when the pathogenic factor accumulate and block the meridians, which would cause blood stagnation, muscle and tendon damage and flaccidity, resulting in stroke paralysis. Therefore, it is necessary to set up the "Tongjing Roujin" (stimulating the muscle and nourishing the tendon) as its main treatment. Fire-needling has the effect of stimulating muscle, warming yang, nourishing tendon, and relieving pain in the treatment of stroke flaccid paralysis. It can warm yang and dissipate cold, replenish and nourish meridian qi, release muscle nodules, promote the circulation of qi and blood, and nourish all limbs and bones. Fire-needling therapy can promote the recovery of neural pathway, strengthen local metabolism, improve local muscle tension, and thus restore limb function. The high-quality clinical research, acupoint selection rules, and standardized operating techniques of fire-needling treatment for stroke flaccid paralysis need to be further deepened.
Abstract
Stroke flaccid paralysis is stroke patients with abnormal physical movement function and muscle tone decline as the main performance and is a kind of common pathological state after apoplectic stroke. The longer the flaccid paralysis is, the worse the prognosis. The theory of TCM holds that stroke is mainly due to "deficiency, wind, fire, phlegm, stasis, qi", and when the pathogenic factor accumulate and block the meridians, which would cause blood stagnation, muscle and tendon damage and flaccidity, resulting in stroke paralysis. Therefore, it is necessary to set up the "Tongjing Roujin" (stimulating the muscle and nourishing the tendon) as its main treatment. Fire-needling has the effect of stimulating muscle, warming yang, nourishing tendon, and relieving pain in the treatment of stroke flaccid paralysis. It can warm yang and dissipate cold, replenish and nourish meridian qi, release muscle nodules, promote the circulation of qi and blood, and nourish all limbs and bones. Fire-needling therapy can promote the recovery of neural pathway, strengthen local metabolism, improve local muscle tension, and thus restore limb function. The high-quality clinical research, acupoint selection rules, and standardized operating techniques of fire-needling treatment for stroke flaccid paralysis need to be further deepened.
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