赖新生教授“通元针法”治疗面肌痉挛临床经验
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摘要
赖新生教授治疗面肌痉挛注重调神、养神、安神、固元,认为其与心、脑情志功能相关,病位与胃经、肝经、膀胱经等相关。"通元针法"是赖新生教授在继承老一辈针灸学家司徒铃、靳瑞教授学术精髓的基础上进一步创新发展建立的科学有效的针灸取穴和操作方法,该法以督脉穴位(印堂、百会、前顶和后顶等)及五脏背俞穴(心俞、膈俞、肝俞和肾俞等)通督养神,腹部穴位(中脘、天枢、关元、气海和中极等)引气归元,配伍五输穴及辨证选穴调节气血、脏腑功能,配合补泻手法,以改善面肌抽动症状,故起到满意的治疗效果。
Professor LAI Xinsheng focuses on regulating and resting mind,as well as solidifying the original in the treatment of facial spasm. He believes that the disease is related to the function of Heart and Brain,and the disease location is related to the meridian of Stomach,Liver and Bladder. Tongyuan acupuncture with effective points selection and manipulation is created by professor LAI based on inheriting the academic essence of the older generation of acupuncturists SI TU Ling and Professor JIN Rui. The points chosen from Goveronor Vessel( GV29,GV20,GV21,and GV19) and back-shu points( BL15,BL17,BL18,and BL23) were used to activate Governor Vessel and rest mind,and the points of abdomen( CV12,ST25,ST22,CV6,and CV3) were used to guide qi to the original. The compatibility of Five Shu points and points of syndrome differentiation is to regulate qi and blood and to restore the organ function,the therapy can achieve satisfactory therapeutic effect combined with manipulations of reinforcing and reducing to improve facial spasm.
Professor LAI Xinsheng focuses on regulating and resting mind,as well as solidifying the original in the treatment of facial spasm. He believes that the disease is related to the function of Heart and Brain,and the disease location is related to the meridian of Stomach,Liver and Bladder. Tongyuan acupuncture with effective points selection and manipulation is created by professor LAI based on inheriting the academic essence of the older generation of acupuncturists SI TU Ling and Professor JIN Rui. The points chosen from Goveronor Vessel( GV29,GV20,GV21,and GV19) and back-shu points( BL15,BL17,BL18,and BL23) were used to activate Governor Vessel and rest mind,and the points of abdomen( CV12,ST25,ST22,CV6,and CV3) were used to guide qi to the original. The compatibility of Five Shu points and points of syndrome differentiation is to regulate qi and blood and to restore the organ function,the therapy can achieve satisfactory therapeutic effect combined with manipulations of reinforcing and reducing to improve facial spasm.
引文
[1] Kim HR,Rhee DJ,Kong DS,et al. Prognostic factors of hemifacial spasm after microvascular decompression[J]. J Korean Neurosurg Soc,2009,45(6):336-340.
[2]上海交通大学颅神经疾病诊治中心.面肌痉挛诊疗中国专家共识[J].中国微侵袭神经外科杂志,2014,19(11):528
[3]霍则军,郭佳.针刺治疗早期面肌痉挛45例[J].中国针灸,2007,27(8):631.
[4]赵娟,王继红.赖新生针灸通元疗法基本理论观探微[J].辽宁中医杂志,2016,43(10):2068-2070.
[5]朱浩然,张宁,李馨歆,等.原发性面肌痉挛患者病情与心理状态的相关性分析[J].国际神经病学神经外科学杂志,2016,43(5):418-421.
[6]李月梅,孟珍珍,王冉冉.赖新生教授通元针法治疗不孕不育经验[J].中国针灸,2015,35(3):283-286.
[7]王继红,李月梅,黎崖冰,等.赖新生通元针法临床应用探析[J].中医杂志,2015,56(1):17-19.
[8]焦伟,仲骏.面肌痉挛的病因及发病机制研究进展[J].国际神经病学神经外科学杂志,2012,39(1):62-65.
[9]彭彬,张申起,董红娟,等.面肌痉挛的过去、今天和明天[J].神经损伤与功能重建,2017,12(4):346-349.
[10]张丽丽,赵磊,白颖.不同疗法治疗面肌痉挛疗效对比观察[J].中国针灸,2017,37(1):35-38.
[11]赖新生,黄泳.经穴——脑相关假说指导下经穴特异性、针刺得气、配伍规律脑功能界定[J].中国针灸,2007,27(10):777-780
[2]上海交通大学颅神经疾病诊治中心.面肌痉挛诊疗中国专家共识[J].中国微侵袭神经外科杂志,2014,19(11):528
[3]霍则军,郭佳.针刺治疗早期面肌痉挛45例[J].中国针灸,2007,27(8):631.
[4]赵娟,王继红.赖新生针灸通元疗法基本理论观探微[J].辽宁中医杂志,2016,43(10):2068-2070.
[5]朱浩然,张宁,李馨歆,等.原发性面肌痉挛患者病情与心理状态的相关性分析[J].国际神经病学神经外科学杂志,2016,43(5):418-421.
[6]李月梅,孟珍珍,王冉冉.赖新生教授通元针法治疗不孕不育经验[J].中国针灸,2015,35(3):283-286.
[7]王继红,李月梅,黎崖冰,等.赖新生通元针法临床应用探析[J].中医杂志,2015,56(1):17-19.
[8]焦伟,仲骏.面肌痉挛的病因及发病机制研究进展[J].国际神经病学神经外科学杂志,2012,39(1):62-65.
[9]彭彬,张申起,董红娟,等.面肌痉挛的过去、今天和明天[J].神经损伤与功能重建,2017,12(4):346-349.
[10]张丽丽,赵磊,白颖.不同疗法治疗面肌痉挛疗效对比观察[J].中国针灸,2017,37(1):35-38.
[11]赖新生,黄泳.经穴——脑相关假说指导下经穴特异性、针刺得气、配伍规律脑功能界定[J].中国针灸,2007,27(10):777-780