“形神同调”法治疗面肌痉挛
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摘要
根据临床多年经验,袁秀丽教授认为治疗面肌痉挛,不唯治风先治血,且需"治风以调神"。其善用百会、合谷、太冲、四白等穴位治疗面肌痉挛,认为本病虽与"风"有关,而治之之法,需"调神以全形"。形为神之所寓,神为形之主。夫神为两精元气之所聚,百会及合谷、太冲可醒神、安神,局部穴位可调理人体气机、疏通精气之郁滞,使不足者能补之,有余者能泻之,待神气至、经脉通、内部经气调和,则神气外露,外则五色修明。临床或用安神之药方,如酸枣仁汤、归脾汤等,可加强针刺安神调气之效。如此"针药并用",不仅取"内外同治之理",亦有药剂补针刺之不足、针刺纠药物之偏废之义;"形神同调",不唯"祛风"以全形,又为治本以调神,神明至则正盛邪却,虽有邪而弗能为害,其病易愈。
Based on years of clincial experience,Professor Yuan Xiuli holds that the treatment of facial spasm doesn't necessarily and merely focus on the treatment of wind but it needs " treating the wind to regulate spirit". She is good at applying the acupoints of Baihui( DU 20),Hegu( LI 4),Taichong( LV 3) and Sibai( ST 2) for the treatment of facial spasm. Body is the residence of spirit and spirit if the dominator of body. Spirit is the accumulation of essence and primordial qi. The needling of Baihui( DU20),Hegu( LI 4) and Taichong( LV 3) has the effects of clearing mind and calming mind. The needling of local acupoints can regulate qi movement and dredge the obstructed essence and qi flow. Clinical application of Sour Jujube Decoction and Spleen-Restoring Decoction can strengthen the needling effects of calming mind and regulating qi. Such simultaneous application of drug and acupuncture follows the principle of simultaneous treatment of the exterior and interior and alos supplement the shortcomings of either drug therapy and acupuncture therapy. " Simultaneous regulation of the body and spirit" is a therapy that not merely dispelling wind to harmonize the body but also treating the root to regulate spirit. The maintanence of spirit ensures prosperious healthy qi and weak pathogenic qi,which is helpful for the cure of disease.
Based on years of clincial experience,Professor Yuan Xiuli holds that the treatment of facial spasm doesn't necessarily and merely focus on the treatment of wind but it needs " treating the wind to regulate spirit". She is good at applying the acupoints of Baihui( DU 20),Hegu( LI 4),Taichong( LV 3) and Sibai( ST 2) for the treatment of facial spasm. Body is the residence of spirit and spirit if the dominator of body. Spirit is the accumulation of essence and primordial qi. The needling of Baihui( DU20),Hegu( LI 4) and Taichong( LV 3) has the effects of clearing mind and calming mind. The needling of local acupoints can regulate qi movement and dredge the obstructed essence and qi flow. Clinical application of Sour Jujube Decoction and Spleen-Restoring Decoction can strengthen the needling effects of calming mind and regulating qi. Such simultaneous application of drug and acupuncture follows the principle of simultaneous treatment of the exterior and interior and alos supplement the shortcomings of either drug therapy and acupuncture therapy. " Simultaneous regulation of the body and spirit" is a therapy that not merely dispelling wind to harmonize the body but also treating the root to regulate spirit. The maintanence of spirit ensures prosperious healthy qi and weak pathogenic qi,which is helpful for the cure of disease.
引文
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[2]李世亭,王旭辉.面肌痉挛的诊断与治疗[J].中华神经外科疾病研究杂志,2011,10(6):481-484.
[3]上海交通大学神经疾病诊治中心.面肌痉挛诊疗中国专家共识[J].中国微侵袭神经外科志,2014,19(11):528-532.
[4]杨世刚,赵凯,魏彦宁,等.针药合用治疗面肌痉挛经验总结[J].中国民族民间医药,2016,25(17):69-71.
[5]陈改花.针灸治疗面肌痉挛37例疗效观察[J].中华中医药杂志,2006,21(7):436-437.
[6]武玉和,王喜臣,李铁,等.针药配合治疗面肌痉挛50例临床观察[J].长春中医药大学学报,2010,26(3):399.
[7]张永臣.四关穴导气法治疗面肌痉挛34例[J].中国针灸,2009,29(10):819-820.
[8]孙思邈.千金方[M].成都:四川大学出版社,2014:9-10.
[9]周清辰,王雷,温志宏,等.面肌痉挛针灸治疗思路探讨[J].中医杂志,2015,56(23):2058-2059.
[10]鲁瑛.中医四部经典[M].太原:山西科学技术出版社,2008:46.
[11]程为平,韦燕博,张茜茹.论百会穴穴性及临床应用[J].辽宁中医药大学学报,2015,17(3):5-6.
[12]王危危.《黄帝内经》形神一体观研究[D].哈尔滨:黑龙江中医药大学,2013.