Zhao Cangsong, Tang Zhongyu, Wang Tao, Wang Haiyan
Guizhou University of TCM, Guiyang 550025, China.
Department of Acupuncture and Moxibustion, Zunyi Municipal Hospital of TCM, Zunyi 563000, Guizhou Province.
Zhongguo Zhen Jiu. 2025 Apr 12;45(4):548-550. doi: 10.13703/j.0255-2930.20240814-k0002. Epub 2025 Jan 22.
The paper reports acupuncture treatment for one case of oculomotor nerve palsy after cranial-orbital communicating tumor surgery. The acupoint prescription was composed of the local acupoints of the eyes (Yansanzhen, Tijian, Cuanzhu [BL2], Yuyao [EX-HN4] and Sizhukong [TE23]), the acupoints on the head, face and neck (Yangbai [GB14], Sibai [ST2] and Fengchi [GB20]), Guanyuan (CV4) on the abdomen, and those on the four limbs (Hegu [LI4], Zusanli [ST36], Shenmai [BL62] and Zhaohai [KI6]). The point-to-point needling technique with the eyelid lifted was operated at Tijian, Cuanzhu (BL2), Yuyao (EX-HN4), and Sizhukong (TE23). Warm needling with moxa cone placed on the needle handle was operated at Guanyuan (CV4) and Zusanli (ST36), and the usual needling technique was delivered at the rest acupoints. The treatment was given once daily, discontinued for 1 day after every 6 treatments. One course of treatment was composed of 7 days, and 6 courses were required. After treatment completion, the upper eyelids were basically symmetrical and the bilateral eye cracks were equal, the double vision appeared occasionally. No recurrence and no aggravation were reported in 1 month of follow up visit.
本文报道了1例颅眶沟通瘤术后动眼神经麻痹的针刺治疗。穴位处方由眼部局部穴位（眼三针、提睑、攒竹[BL2]、鱼腰[EX-HN4]和丝竹空[TE23]）、头面部及颈部穴位（阳白[GB14]、四白[ST2]和风池[GB20]）、腹部的关元（CV4）以及四肢穴位（合谷[LI4]、足三里[ST36]、申脉[BL62]和照海[KI6]）组成。提睑后在提睑、攒竹（BL2）、鱼腰（EX-HN4）和丝竹空（TE23）进行点对点针刺技术。在关元（CV4）和足三里（ST36）进行针柄置艾炷温针，其余穴位采用常规针刺技术。治疗每日1次，每6次治疗后休息1天。1个疗程为7天，共需6个疗程。治疗结束后，上睑基本对称，双侧睑裂等大，偶有复视。随访1个月未报告复发及病情加重情况。
