To discuss the acupuncture of

Tiaoshen Dongjin

(regulating the mind and activating the sinews) in treating spastic paralysis after stroke (SPAS) based on the "brain-meridian-sinew". The "brain-meridian-sinew" system takes the brain as its core

with its structural and functional components closely interconnected

forming a limb motor regulation system. The pathogenesis of SPAS presents a dynamic evolution process characterized by damage to brain collaterals

obstruction of orifices and concealment of the spirit

blockage of meridians

imbalance of

ying

and

wei

and spasm of sinews with coexistence of deficiency and stasis. Combined with the ideas and clinical experience of contemporary acupuncture physicians in treating SPAS

the acupuncture differentiation and treatment approach of "regulating the mind and activating the sinews" is summarized. It emphasizes prioritizing "regulating the mind

" selecting nearby acupoints such as Baihui(GV20)

Sishencong (EX-HN1)

Fengchi (GB20)

and Yintang (GV24

+

) to awaken the brain and regulate the mind; and selecting distal acupoints such as acupoints on the Governor Vessel

Jiaji (EX-B2)

or Back-

shu

points to unblock the Governor Vessel

nourish the marrow

and regulate the balance of the five zang organs

thereby stabilizing the spirit."Activating the sinews" is regarded as the key

primarily selecting acupoints of the hand and foot

yangming

meridians

and emphasizing the importance of applying motion-oriented acupuncture techniques to activate

the sinews and regulate

qi

.Under the guidance of the integration of disease and syndrome differentiation and the theory of tension balance

approaches for activating the sinews and relieving spasm are further expanded.