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马若飞中医药治疗小儿脑瘫临床经验

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小儿脑瘫目前虽不能根治,但可以通过多种方法改善患儿功能,发挥患儿潜能,医疗康复是其重要组成部分.马若飞老师致力于中医药为主治疗小儿脑瘫临床工作二十余载,经验丰富.文章总结了马老治疗脑瘫的3个原则,分别是治疗3个阶段、治疗3个重点、早期干预.治疗方法乃标(瘫)本(脑)共治,内服中药为主,针刺、推拿、物理治疗等多种手段综合治疗配合功能训练.马老认为本病病机与"痰""瘀"密切相关,治疗时重视活血化瘀、涤痰通络.活血化瘀以"四联治疗"为基础方,并强调通腑法的应用;涤痰通络在脑损伤阶段以自研"益脑片"化痰开窍,在后遗症阶段以自研"解痉胶囊"解痉通络.马老在传统运动疗法基础上,根据不同类型和症状的患儿整理了一套特色功能训练.
Traditional Chinese medicine clinical experience of MA Ruofei in treatment of pediatric cerebral palsy
Although cerebral palsy(CP)can not be cured these days,it can be advanced by a variety of methods to improve function and to fulfill potential of children with CP,which medical rehabilitation plays an important part in them.MA Ruofei was committed to the therapy of CP in children with traditional Chinese medicine for more than 20 years.It summarized MA's three principles of treatment,which were the three stages of treatment,the three key points of treatment,and early intervention,respectively.The treatment addressed both the symptoms(paralysis)and root(brain)causes of the disease,with oral Chinese medicine as the mainly part,as well as,acupuncture,massage,physical therapy and other means of therapies compared with functional training.Since MA regarded the pathogenesis of CP was closely related to'phlegm'and'stasis',the therapies were focused on activating blood flow and removing blood stasis,besides eliminating phlegm and dredging collateral.'The quadruple regimen'was principally used to activating blood flow and removing blood stasis,while relieving constipation by purgation was emphasized.The basis of eliminating phlegm and dredging collateral was expressed by the self-developed'Yinao Tablet'applied in the brain injury stage,with the self-developed'Jiejing Capsules'applied in the sequela stage.Further more,on the basis of traditional kinesitherapy,a set of characteristic functional training was worked out according to different types and symptoms of children.

Cerebral palsyTraditional Chinese medicineRelieving constipation by purgationJiejing CapsulesMA Ruofei

王粟实、赵安业、王红伟、闫志安

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首都医科大学附属北京中医医院,北京 100010

郑州仲景国医专修学院,郑州 452370

《中华中医药杂志》社,北京 100029

脑瘫 中医药 通腑 解痉胶囊 马若飞

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(7)
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