首页|基于"治痿独取阳明"探讨针刺治疗吉兰-巴雷综合征的思路与方法

基于"治痿独取阳明"探讨针刺治疗吉兰-巴雷综合征的思路与方法

Ideas and Methods of Acupuncture for Guillain-Barré Syndrome based on the Core Principle of"To Treat Flaccidity,Select the Yangming(阳明)Channel only"

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以"治痿独取阳明"为指导探讨针刺治疗吉兰-巴雷综合征的思路与方法.认为本病的主要病机为阳明经脉气血衰少,宗筋失养,脾胃功能减退产生湿热邪气,壅滞经络,久之累及肝肾,耗精伤血,同时督脉枢机不利,筋脉失濡而出现肌肤麻木不仁、肢体痿废等症.临床诊治将辨证、辨经相结合,治疗上取阳明经穴位为主,以补益气血,配合督脉腧穴以通督填髓,然后辨证配穴,整体调控,共同促进气血调和,经络畅通,全身气血津液生成、运行无碍,则肉坚骨强、机体健壮而活动自如.
This study explored the ideas and methods of acupuncture for Guillain-Barré Syndrome(GBS)with the core principle of"to treat flaccidity,select the yangming(阳明)channel only".The main pathological mecha-nism of GBS is deficiency of qi and blood in the yangming channel,malnutrition of all sinews,diminished spleen and stomach function leading to the production of pathogenic damp-heat qi,which obstructs the meridians,and gradually affects the liver and kidneys,consuming essence and damaging blood.Concurrently,dysfunction of the dumai(督脉)pivotal mechanism and lack of moisture in sinews and vessels result in symptoms such as skin numbness,paralysis,and muscle wastage.In clinical diagnosis and treatment,a combination of syndrome and channel differentiation is taken.Treatment primarily focuses on acupoints of yangming channel,aiming to supplement qi and blood,and acupoints of du mai are combined to open the vessel and fill the marrow.Specific acupoints are selected based on syndrome differ-entiation,providing comprehensive regulation to promote harmonization of qi and blood,relieve meridians,and the smooth generation and circulation of whole body fluids.This,in turn,enhances the strength of muscles and bones,and fosters a robust and freely moving body.

Guillain-Barré syndromeflaccidityto treat flaccidity,select the yangming(阳 明)channel onlyacupuncture

李缓、姜海伦、陈昊、瞿慧、唐若涵、季洁、杜宇征、赵琦

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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,天津市西青区昌凌路88号,300193

天津中医药大学

吉兰-巴雷综合征 痿证 治痿独取阳明 针刺

国家重点研发计划国家中医药管理局国家中医临床研究基地业务建设科研专项天津市科技计划项目天津市卫生健康委员会天津市中医药管理局中医中西医结合科研课题天津中医药大学第一附属医院"拓新工程"基金科研课题

2019YFC0840709JDZX201502118PTLCSY000602021102201926

2024

10.13288/j.11-2166/r.2024.04.006

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子：1.464
ISSN：1001-1668
年,卷(期)：2024.65(4)
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