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针刺治疗抽动秽语综合征的临床经验

['s clinical experience in treating Tourette's syndrome with acupuncture].

作者信息

Zhu Peng-Yu, Zuo Xin, Jiang Bin, Sun Shen-Tian

机构信息

Department of Acupuncture and Moxibustion, Second Affiliated Hospital of Heilongjiang University of CM, Harbin 150001, China.

Heilongjiang University of CM.

出版信息

Zhongguo Zhen Jiu. 2023 Mar 12;43(3):261-4. doi: 10.13703/j.0255-2930.20221017-k0010.

DOI:10.13703/j.0255-2930.20221017-k0010
PMID:36858385
Abstract

To introduce the clinical experience of professor - in treatment of Tourette's syndrome (TS) with acupuncture. TS is a psychosomatic disease and the core pathogenesis refers to blood deficiency producing internal wind. The disease is located in the heart and liver. Acupoints are selected according to the functional orientation of the cerebral cortex. The extrapyramidal system area is preferred for tic disorder, and the emotional area is for behavioral disorder. The treatment focuses on regulating the mind by multiple methods, including manual needling technique used the transcranial repeated acupuncture, and regulating the mind by taking multiple acupoints, Baihui (GV 20), Neiguan (PC 6), Shenmen (HT 7) and Dazhong (KI 4) are stimulated. For abdominal twitching and mental symptoms of TS children, the first and third abdominal areas are selected. The target symptoms () are treated specially by local acupoints, the combination of the starting and ending acupoints of the affected meridian, or the acupoints of the meridians with same name. The modified decoction and decoction are prescribed to sooth liver, nourish blood and soothe wind. In association with the characteristics and target symptoms of TS, the sequential therapy is used with filiform needling, intradermal needling, Chinese herbal medication and psychotherapy.

摘要

介绍教授运用针灸治疗抽动秽语综合征(TS)的临床经验。TS是一种心身疾病,其核心病机为血虚生风。病位在心肝。根据大脑皮层的功能定位选取穴位,抽动障碍首选锥体外系区,行为障碍选情感区。治疗注重多种方法调神,包括运用经颅重复针刺的手法针刺技术,选取百会(GV 20)、内关(PC 6)、神门(HT 7)、大钟(KI 4)等多个穴位调神。对于TS患儿的腹部抽动及精神症状,选取腹部一区、三区。针对目标症状,采用局部穴位、病变经脉起止穴位或同名经脉穴位配合治疗。予加减方及方疏肝养血息风。结合TS的特点及目标症状,采用毫针、皮内针、中药及心理治疗序贯疗法。

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引用本文的文献

1
Maternal autoimmune diseases and the risk of tics and Tourette's disorder in offspring: insights from Taiwan's real-world data.母体自身免疫性疾病与子代患抽动症和妥瑞氏症的风险:来自台湾真实世界数据的见解
Front Pediatr. 2025 Mar 4;13:1440366. doi: 10.3389/fped.2025.1440366. eCollection 2025.
2
Treatment of Tourette syndrome by acupuncture combined with Chinese medicine based on syndrome differentiation: A review.针灸结合中医辨证治疗抽动秽语综合征的研究进展。
Medicine (Baltimore). 2023 Jul 21;102(29):e34268. doi: 10.1097/MD.0000000000034268.