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从"三焦—元阳"论脑卒中后偏瘫的针刺治疗

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从"三焦-元阳"角度论治脑卒中后偏瘫,认为元阳以三焦为通路输布全身,温煦脏腑组织.脑卒中后偏瘫的关键病机为元阳虚衰、三焦不利,主张以扶助元阳、调理三焦气机为治则,针刺主穴选取百会、神庭、头维、三阳络、鸠尾、气冲穴、阳陵泉、悬钟、申脉;并根据临床弛缓期、痉挛期偏瘫表现,随症取穴结合不同针刺手法分期治疗,以疏通经络.
Acupuncture Treatment of Hemiplegia after Stroke Based on the Theory of"Sanjiao(三焦)-Original Yang"
This paper summarized the clinical experience in the treatment of hemiplegia after stroke based on the theory of"sanjiao(三焦)-original yang".It is believed that original yang distributed throughout the body through sanjiao,warming the zang-fu(脏腑)organs and tissues.The key pathogenesis of hemiplegia after stroke is original yang depletion and disturbance of sanjiao.The treatment principle should be reinforcing and assisting original yang,and regulating qi movement of sanjiao.The main acupoints selected should be Baihui(GV 20),Shenting(GV 24),Touwei(ST 8),Sanyangluo(SJ 8),Jiuwei(CV 15),Qichong(ST 30),Yanglingquan(GB 34),Xuanzhong(GB 39)and Shenmai(BL 62).Clinically,according to the clinical manifestations of hemiplegia in the flaccid and spastic stages and the differentiated syndromes and symptoms,acupoints can be modified,and different acupuncture tech-niques can be used to dredge and unblock the channels and collaterals.

strokehemiplegiaacupunctureoriginal yangsanjiao(三焦)

罗妍、杜旭、殷克敬、李敏

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陕西中医药大学,陕西省西咸新区西咸大道,712046

陕西中医药大学第二附属医院

脑卒中 偏瘫 针刺 元阳 三焦

国家中医药管理局全国名老中医传承工作室建设项目

国中医药人教发[2011]41号

2024

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(17)
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