Ideas of acupuncture diagnosis and treatment of stroke sequela based on the differentiation of disease location

YANG Yihan; TAN Cheng; YANG Chao; YANG Xuedong; WANG Yan; GUI Yingying; WANG Minyuan; LI Chuntian; ZHANG Wanjiao

doi:10.13703/j.0255-2930.20231224-k0001

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Ideas of acupuncture diagnosis and treatment of stroke sequela based on the differentiation of disease location

Thought and Method | 更新时间：2024-11-14

- Ideas of acupuncture diagnosis and treatment of stroke sequela based on the differentiation of disease location
- Chinese Acupuncture & Moxibustion Vol. 44, Issue 11, Pages: 1317-1322(2024)
- 作者机构：
  
  北京中医药大学东直门医院针灸科，北京　100700
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20231224-k0001
  CLC：
- Received：24 December 2023，
  
  Online First：22 July 2024，
  
  Published：12 November 2024
- 稿件说明：
移动端阅览
YANG Yihan, TAN Cheng, YANG Chao, et al. Ideas of acupuncture diagnosis and treatment of stroke sequela based on the differentiation of disease location[J]. Chinese Acupuncture & Moxibustion, 2024, 44(11): 1317-1322.
DOI：

YANG Yihan, TAN Cheng, YANG Chao, et al. Ideas of acupuncture diagnosis and treatment of stroke sequela based on the differentiation of disease location[J]. Chinese Acupuncture & Moxibustion, 2024, 44(11): 1317-1322. DOI： 10.13703/j.0255-2930.20231224-k0001.

摘要

梳理中医古代文献中“脑”的相关记载，初步分析人体“脑-经络-经筋运动系统”及“脑-经络-皮部感知系统”的潜在结构与功能，继而以中风后遗症的病症特点为出发点，以辨病位为核心，结合辨病性，确立中风的病机为“髓海失养、经筋失调、皮部营卫失和”，树立“补髓健脑、疏调经筋、补气理血和络”的基本治法，依此理清针灸治疗的选穴与刺灸法，以期为针灸临床提供参考，为中风患者提供个体化的诊疗方案。

Abstract

Through collecting the relevant records of "brain" in ancient traditional Chinese medicine literature

the potential structure and function of the "motor system of brain-meridian-muscle region" and "perception system

of brain-meridian-cutaneous region" of the human body are analyzed preliminarily. In view of the characteristics of the symptoms of stroke sequela

focusing on the differentiation of disease location and associated with the identification of disease property

the pathogenesis of stroke is determined

"malnutrition of the sea of marrow

dysfunction of meridian muscle region and disharmony of the nutrient and the defensive in the meridian cutaneous region"

while

the basic principle of treatment is formulated

"filling up the marrow

replenishing the brain

regulating meridian muscle regions

tonifying

and facilitating blood circulation in meridians and collaterals". Based on the above

the acupoints selected in treatment and the techniques of acupuncture and moxibustion are clarified. This article presents the references for the clinical practice of acupuncture and moxibustion and provides the individual therapeutic regimen for stroke patients.

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