针灸治疗情志因素引起中风病及其后遗症取穴探析
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摘要
中风是临床常见疾病,具有较高的致残率及死亡率。由于气血逆乱、血溢于脑及脑脉痹阻等因素会发生言语、吞咽功能障碍、肢体偏瘫等后遗症,对患者的身心健康造成危害,严重影响患者的生活质量。情志,是人体对于外界的客观事物和现象做出的不同情感反应,属于正常的精神活动和心理表现,是人体脏腑机能的正常体现。情志失调,引发气血逆乱,血逆瘀结于脑,是中风病发生的根本机制之一。针灸治疗中风病及其后遗症,取穴多在手阳明大肠经、足阳明胃经、足少阳胆经、足太阳膀胱经及督脉,多采用远端取穴,且大多选取特定穴,如五输穴、原穴、交会穴。通过查阅古籍、现代文献,与临床中风康复疗法对比分析,总结前人治疗情志因素引起的中风病的针灸选穴,为情志因素引起的中风病的康复诊治汇集临床经验,以期为临床中风的康复治疗提供思路。
Stroke is a common clinical disease with high disability rate and mortality.Due to the disorder of qi and blood,blood flow in the brain and cerebral pulse stuffiness and other factors will occur speech,swallowing dysfunction,limb hemiplegia and other sequelae.It is harmful to patients' physical and mental health and seriously affects their quality of life.Sentiment is the human body to the external objective things and phenomena to make different emotional reactions,belonging to normal mental activities and psychological performance,is the normal body viscera function.Emotional disorder,which causes qi and blood disorder and blood stasis in the brain,is one of the fundamental mechanisms of stroke.Acupuncture in the treatment of stroke and its aftermath,find out more in the Large Intestine Meridian of Hand-yangming,the Stomach Meridian of Foot-yangming,Taiyang Bladder Meridian of Foot,and governor meridian.Most remote holes are used,and most of the specific acupoint are selected,for example,the five-shu point,The original point,and the Crossing acupoint are more selected.By looking up ancient books and reading modern literature,and comparative analysis of clinical stroke rehabilitation therapy.To sum up the acupuncture points of acupuncture and moxibustion by the previous treatments,which his stroke caused by affective factors.To collect clinical experience for the rehabilitation and treatment of stroke caused by emotional factors,and in order to provide the thought for the clinical stroke rehabilitation treatment.
Stroke is a common clinical disease with high disability rate and mortality.Due to the disorder of qi and blood,blood flow in the brain and cerebral pulse stuffiness and other factors will occur speech,swallowing dysfunction,limb hemiplegia and other sequelae.It is harmful to patients' physical and mental health and seriously affects their quality of life.Sentiment is the human body to the external objective things and phenomena to make different emotional reactions,belonging to normal mental activities and psychological performance,is the normal body viscera function.Emotional disorder,which causes qi and blood disorder and blood stasis in the brain,is one of the fundamental mechanisms of stroke.Acupuncture in the treatment of stroke and its aftermath,find out more in the Large Intestine Meridian of Hand-yangming,the Stomach Meridian of Foot-yangming,Taiyang Bladder Meridian of Foot,and governor meridian.Most remote holes are used,and most of the specific acupoint are selected,for example,the five-shu point,The original point,and the Crossing acupoint are more selected.By looking up ancient books and reading modern literature,and comparative analysis of clinical stroke rehabilitation therapy.To sum up the acupuncture points of acupuncture and moxibustion by the previous treatments,which his stroke caused by affective factors.To collect clinical experience for the rehabilitation and treatment of stroke caused by emotional factors,and in order to provide the thought for the clinical stroke rehabilitation treatment.
引文
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[11]于艳红.情志致病方式与伤脏规律研究[J].山东中医药大学学报,2011,35(1):8-10.
[12]于艳红,乔明琦,张惠云.情志致病特点及致病机制探析[J].辽宁中医杂志,2011,38(11):2188-2189.
[13]乔磊,楚更五.《医学正旨择要》中风情志致病机理及证治规律的分析研究[J].云南中医学院学报,2012,35(1):10-12.
[14]刘伍立,欧阳建军,黄博辉.中医文献对中风病的阐述与述评[J].针灸临床杂志,2006,26(10):5-8.
[15]苏晓梅,司秋菊.针刺结合康复训练治疗中风偏瘫研究进展[J].河北中医,2011,33(3):783-785.
[16]曾绮文.针刺康复训练综合治疗中风病[J].辽宁中医药大学学报,2008,10(10):121-122.
[17]李迎霞,关东升.中医情志致病特点分析[J].中医研究,2013,26(6):13-14.
[18]张慧,柳红良,赵志付.古代情志致病理论在中医心身疾病诊治中的应用[J].中华中医药杂志,2015,30(3):652-654.
[19]薛芳芸.《黄帝内经》情志致病规律探析[J].时珍国医国药,2012,23(8):1998-2000.
[20]阮静.中医学理论在康复卒中单元中的运用[J].新中医,2014,46(6):247-249.
[2]石学敏,戴锡孟,王键.中医内科学[M].北京:中国中医药出版社,2009:264-283.
[3]LANGER DJ,LANSNER TM,HURST RW,et al.Hypertension,small size,and deep venous drainage are assoeiated with risk of hemorrhagie presentation of cerebral arteriovenous malf or-mations.New osurgery,1998,42(3):481-486.
[4]袁兆荣,袁杰.老年中风发病与体质因素的关系[J].山东中医杂志,1997,16(6):245-246.
[5]李壮苗,刘芳,兰碧玉,等.不同体质中风先兆证患者ABCD2评分及脑梗死风险预测[J].中医杂志,2014,55(21):1845-1848
[6]邓小兰,赵红黄燕,等.中风病二级预防的研究进展[J].陕西中医,2009,30(9):1267.
[7]何文彬.《内经》情志致病理论及对后世的影响[J].浙江中医学院学报,2000,24(5):18-19.
[8]王康锋,张洪斌.中风病与体质关系刍议[J].山东中医药大学学报,2003,27(3):177-178.
[9]李梦.试析杨继洲针灸防治中风的学术特色[J].浙江中医药大学学报,2012,36(5):569-570.
[10]贾道涛,宋伟华.从中医文献中认识中医康复学对中风偏瘫痉挛的治疗[J].临床与医疗,2011(1):769-807.
[11]于艳红.情志致病方式与伤脏规律研究[J].山东中医药大学学报,2011,35(1):8-10.
[12]于艳红,乔明琦,张惠云.情志致病特点及致病机制探析[J].辽宁中医杂志,2011,38(11):2188-2189.
[13]乔磊,楚更五.《医学正旨择要》中风情志致病机理及证治规律的分析研究[J].云南中医学院学报,2012,35(1):10-12.
[14]刘伍立,欧阳建军,黄博辉.中医文献对中风病的阐述与述评[J].针灸临床杂志,2006,26(10):5-8.
[15]苏晓梅,司秋菊.针刺结合康复训练治疗中风偏瘫研究进展[J].河北中医,2011,33(3):783-785.
[16]曾绮文.针刺康复训练综合治疗中风病[J].辽宁中医药大学学报,2008,10(10):121-122.
[17]李迎霞,关东升.中医情志致病特点分析[J].中医研究,2013,26(6):13-14.
[18]张慧,柳红良,赵志付.古代情志致病理论在中医心身疾病诊治中的应用[J].中华中医药杂志,2015,30(3):652-654.
[19]薛芳芸.《黄帝内经》情志致病规律探析[J].时珍国医国药,2012,23(8):1998-2000.
[20]阮静.中医学理论在康复卒中单元中的运用[J].新中医,2014,46(6):247-249.
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