摘要
经筋附属于十二经脉但又相对独立,是经脉之气结、聚、散、络于筋肉和关节所形成的筋膜系统.本文探讨"经筋"理论在脑卒中后动眼神经麻痹治疗中的应用.从病名归属、病理表现、病变位置3个方面分析发现,脑卒中后动眼神经麻痹属经筋病范畴,其病因病机为脑髓不充、阳气不振、气血亏虚,导致经筋失司,横生筋结,日久经筋废萎,刚柔失常,应治以温补阳气,活络通脉,选用醒脑调肝针刺穴组配合火针疗法.本文可为治疗脑卒中后动眼神经麻痹提供新的治疗方向.
Abstract
The theory of meridian sinews,which is part of the twelve meridians but relatively independent,refers to the fascial system formed by Qi of the meridians accumulating,gathering,dispersing,and networking in the muscles and joints.This article explores the application of the theory of meridian sinews in the treatment of oculomotor nerve paralysis after stroke.Through analysis from three aspects about disease classification,pathological manifestations,and lesion location,it is found that oculomotor nerve paralysis after stroke belongs to the category of meridian sinews disease.The pathogenesis is characterized by insufficient nourishment of brain marrow,weakened Yang Qi,and deficiency of Qi and blood,leading to the disorder of meridian sinews,the formation of sinew nodules,and the long-term atrophy of meridian sinews,resulting in abnormal rigidity and flexibility.Therefore,the treatment should focus on warming and tonifying Yang Qi,promoting circulation,and selecting acupuncture points for awakening the brain and regulating liver,combined with fire needle therapy.This article may provide a new treatment direction for oculomotor nerve paralysis after stroke.
基金项目
中国中医科学院科技创新工程重大攻关项目(CI2021A03616)
中国中医科学院科技创新工程创新团队(CI2021B012)
中国中医科学院望京医院自主选题专项课题(WJYY-ZZXT-2023-01)
国家科技期刊平台
NSTL
万方数据