摘要: |
[目的]“醒脑开窍”针法以脑府立论,注重“神不导气是百病始生”的关键,不仅对中风疗效确切,而且对神志精神疾患、厥闭脱证、顽固疼痛、现代脑病及各种疑难杂症多有良效,在针灸治疗学中独具特色。观察以“醒脑开窍”针法为主治疗脑病取得的临床疗效。[方法]主穴取内关、人中、三阴交、极泉、尺泽、委中、风池、完骨、天柱。先针双侧内关,直刺1.65~3.33cm,施捻转提插泻法1min;继刺人中,向鼻中隔方向斜刺0.99~1.65cm,雀啄泻法,以眼球湿润或流泪为度;三阴交,沿胫骨内侧后缘与皮肤成45度角,进针3.30~4.95cm,提插补法使下肢抽动3次为度;极泉,极泉穴沿经下移2寸(同身寸),避开腋毛,直刺3.30~4.95cm,提插泻法,使患侧上肢抽动3次为度;尺泽,曲肘120度取穴,直刺3.3cm,提插泻法,使患者前臂及手指抽动3次为度;委中,仰卧直腿抬高取穴,直刺3.3cm,提插泻法,使患者下肢抽动3次为度;风池、完骨、天柱、翳风针向喉结,进针6.6~8.75cm,施小幅度高频率捻转补法1min。用此法治疗脑外伤后遗症、一氧化碳中毒后遗症、进行性延髓麻痹、延髓背外侧综合征患者各1例。[结果]4例患者均痊愈。[结论]醒脑开窍针法具有广泛的适应范围和卓著的临床疗效,应该进一步深入研究。 |
关键词: 醒脑开窍 脑病 针灸 验案 |
DOI:10.11656/j.issn.1672-1519.2006.06.12 |
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Experiences in Treating Four Patients with Encephalopathy by Xingnao Kaoqiao Acupuncture |
ZHANG Chun-hong, BIAN Jin-ling, LI Jin-bo
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The First Hospital Affiliated to Tianjin University of TCM, Tianjin 300193, China
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Abstract: |
[Objective] To introduce the clinical effect in treating encephalopathy mainly with Xingnao Kaiqiao(restoring consciousness and waking up the patient from unconsciousness)acupuncture.[Methods] Neiguan(P6),Renzhong(GV26),Sanyinjiao(SP6),Jiquan(H1),Chize(L5),Weizhong(B40),Fengchi(G20),Wangu(G12),and Tianzhu(B10)were adopted as the main points.At first,the bilateral Neiguan were acupunctured straightly with a depth of 1.65~3.33 cm using holding and twisting,lifting and thrusting and reduction in acupuncture methods for 1 min.Then acupuncture on Renzhong was followed using oblique direction to column of nose into 0.99~1.65 cm using bid-peck needling and reduction in acupuncture method until the eyeball became moist or weeping.Sanyinjiao was acupunctured at an angle of 45 degree into 3.30~4.95 cm using lifting and thrusting and replenishing method until the lower extremity vellicated for three times.The point 2 cun(proportional unit of the body)below Jiquan was acupunctured into 3.30~4.95 cm using lifting and thrusting and reduction method until the sick upper extremity vellicated for three times.Chize at a tortuous elbow position was acupuncture in an angle of 120 degrees straightly into 3.3 cm using lifting and thrusting and reduction methods until the patient’s upper arm and their fingers vellicated for three times.Weizhong was acupunctured at a supine position with rectus and high leveled of extremity straightly into 3.3 cm using lifting and thrusting and reduction methods until the lower extremity vellicated for three times.Fengchi,Tianzhu and Yifeng(TE 17)were acupunctured in a direction to laryngeal protuberance into 6.60~8.75 cm using holding and twisting and replenishing methods with lower amplitude and high frequency 1 min.A patient with post-traumatic syndrome,one with complication after carbon monoxide poisoning,one with progressive paralysis of medulla oblongata and one with dorsal and external syndrome of medulla oblongata were treated with this therapy.[Results] All the four patients made complete recovery.[Conclusions] Xingnao Kaiqiao acupuncture can widely used,has brilliant therapeutic effect and is worthy of further investigation. |
Key words: Xingnao Kaiqiao encephalopathy acupuncture experienced case |