针刺治疗缺血性中风急性期的临床应用特点分析

Characteristic analysis of the clinical application of acupuncture on acute ischemic stroke

关键词:  缺血性中风  急性期  针刺治疗

Key words:  ischemic stroke  acute stage  acupuncture treatment

摘要:

急性缺血性中风的有效救治对于患者病情的转化和预后至关重要，笔者通过文献整理分析发现临床常规取穴常取合谷、足三里、三阴交等，以阳经为主，阴经为辅，而“醒脑开窍”针刺法则反其道而行，以阴经穴为主，阳经穴为辅，且越早介入针刺，疗效越佳，两种取穴方法迥异。“醒脑开窍”这一独特的取穴规律为临床实践的研究开辟出一个新的领域，对中医基础理论的研究提出新的思路与方法。笔者结合上述发现，提出可通过基础实验研究寻求最佳阳经穴与阴经穴的配比，加以最适刺激手法与刺激量，优化组合，获取最佳治疗方案用以指导临床治疗。

Abstract:

The effective treatment of acute ischemic stroke is essential for the prognosis of the patient's condition. Through analysis the literature, it was found that the clinical treatment of diseases generally choose Hegu, Zusanli, Sanyinjiao, etc. Yang-Meridian is dominant, Yin-meridian is secondary. But the XNKQ acupuncture principle goes the opposite way, with Yin-meridians as the main and Yang-meridians as the auxiliary. And the sooner the use of acupuncture treatment, the better the effect. These two methods of choosing acupuncture points are quite different. The unique law of acupoint selection of XNKQ have opened up a new field for the study of clinical practice, and put forward new ideas and methods for the research of basic theory of Chinese medicine. We combine the above findings, put forward to seek the best and the Yin and Yang Meridian Acupoints through experimental research base ratio, to optimal stimulation techniques and stimulus, portfolio optimization, obtaining the best treatment to guide clinical treatment.