[针刺治疗脑卒中后痉挛状态“身心同治”的实践价值与思考]
[Practical value and thought on "co-regulation of body and mind" in treatment of post-stroke spasticity with acupuncture].
作者信息
Qian Xu, Ma Liang-Xiao, Sun Tian-Yi, Mu Jie-Dan, Zhang Zhou, Yu Wen-Yan, Tian Yuan, Zhang Yi-Dan
机构信息
School of Acupuncture-Moxibustion and Tuina, Beijing University of CM, Beijing 100029, China.
School of Acupuncture-Moxibustion and Tuina, Beijing University of CM, Beijing 100029, China; The Key Unit of State Administration of Traditional Chinese Medicine, Evaluation of Characteristic Acupuncture Therapy, Beijing 100029.
出版信息
Zhongguo Zhen Jiu. 2022 Jul 12;42(7):803-6. doi: 10.13703/j.0255-2930.20210718-k0003.
This paper reviews the application of "co-regulation of body and mind" of acupuncture for post-stroke spasticity. It is found that acupoints on the head and the back of the governor vessel, as well as Jiaji (Ex-B 2) points are mainly used for regulating the mind, and the local sites of spastic muscles and the points on the antagonistic muscles are for regulating the body specially. It is believed that regulating the mind should be integrated with regulating the body, while, the acupoint selection be associated with needling methods so as to fully achieve the "co-regulation of body and mind" and enhance the practical value of acupuncture for post-stroke spasticity. It is proposed that the classical anti-spastic needling techniques, such as (relaxing needling) and (joint needling), should be more considered.
本文综述了针刺“身心同治”在脑卒中后痉挛中的应用。研究发现，头部及督脉背部穴位以及夹脊穴（经外奇穴B2）主要用于调神，痉挛肌肉局部部位及拮抗肌上的穴位则专门用于调身。认为调神应与调身相结合，同时，穴位选择应与针刺方法相关联，以充分实现“身心同治”，提高针刺治疗脑卒中后痉挛的实用价值。建议更多考虑经典的抗痉挛针刺技术，如（弛缓针法）和（关节针法）。
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