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肌萎缩侧索硬化症:一种针灸疗法。

Amyotrophic Lateral Sclerosis: An Acupuncture Approach.

作者信息

Sudhakaran Poovadan

机构信息

Templestowe, Australia.

出版信息

Med Acupunct. 2017 Oct 1;29(5):260-268. doi: 10.1089/acu.2017.1241.

Abstract

Amyotrophic lateral sclerosis (ALS) is an adult onset neurodegenerative disorder that has no curative treatment and is usually fatal. Modern medicine treatment is mostly supportive. Acupuncture has much more to offer by way of symptomatic relief and improving quality of life (QoL). Useful points for the treatment of bulbar paralysis, paralysis of upper and lower extremities, and correction of underlying Disharmony Patterns are discussed and an illustrative case is presented to demonstrate the acupuncture approach for treating ALS. A 55-year-old woman had weakness in her right arm and both legs for 4 months. She also had muscle cramps and clumsiness in the affected limbs, which rapidly progressed in the 4 months prior to presentation. She was diagnosed with ALS, given 50 mg of oral riluzole per day, and told that the condition was fatal. She sought acupuncture and was treated for two courses of 8 weeks each. After acupuncture, this patient's symptomatic relief was near perfect in that she became free from disabling symptoms and is now leading a normal life. Acupuncture can be an effective modality of treatment for ALS, producing symptomatic relief and improving QoL.

摘要

肌萎缩侧索硬化症(ALS)是一种成年起病的神经退行性疾病,目前尚无治愈方法,通常会导致死亡。现代医学治疗大多只是支持性的。针灸在缓解症状和改善生活质量(QoL)方面有更多可提供的帮助。本文讨论了治疗延髓麻痹、上下肢瘫痪以及纠正潜在失调证型的有效穴位,并通过一个示例病例展示了针灸治疗ALS的方法。一名55岁女性右臂和双腿无力4个月。她在受累肢体还出现了肌肉痉挛和动作笨拙的症状,在就诊前的4个月里病情迅速进展。她被诊断为ALS,每天口服50毫克利鲁唑,并被告知病情会致命。她寻求针灸治疗,接受了两个疗程,每个疗程8周。针灸治疗后,该患者的症状几乎完全缓解,摆脱了致残症状,现在过着正常生活。针灸可以成为治疗ALS的有效方式,缓解症状并改善生活质量。

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本文引用的文献

1
Supportive and symptomatic management of amyotrophic lateral sclerosis.肌萎缩侧索硬化症的支持性和对症治疗。
Nat Rev Neurol. 2016 Sep;12(9):526-38. doi: 10.1038/nrneurol.2016.111. Epub 2016 Aug 12.
6
Amyotrophic lateral sclerosis.肌萎缩性侧索硬化症。
Lancet. 2011 Mar 12;377(9769):942-55. doi: 10.1016/S0140-6736(10)61156-7. Epub 2011 Feb 4.

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