摘要
醒脑开窍针法由中国工程院院士、国医大师石学敏教授所创,是基于中医学对脑卒中(脑中风)瘀血、肝风、痰浊等病理因素蒙蔽脑窍所致"窍闭神逆,神不导气"的基本病机,提出的治疗原则和针刺方法,广泛应用于脑中风各期及其并发症的治疗。对于脑卒中后并发睡眠障碍、抑郁、血管性痴呆、吞咽障碍、便秘、呃逆,强调以调神为基础,将辨病与辨证统一,随证配穴,同时重视手法的量学标准。卒中后的诸多并发症除卒中本身原因外,还与患者卒中后心理情绪、社会环境等密切相关。醒脑开窍针法从整体调神论治,也符合现代医学生物-心理-社会的模式。脑卒中后并发症可出现在脑卒中的各个时期,受多种因素影响,因此,在本法的针刺干预时机、疗程、疗效评价、机制研究等方面还需进一步探索研究。
Based on the basic TCM pathogenesis of obnubilation due to stroke caused by such pathological factors as blood stasis, liver wind and turbid phlegm, the method of Xingnao Kaiqiao acupuncture was created by Professor Shi Xuemin, an academician of the Chinese academy of engineering and a Master of Chinese medicine. It is a principle of treatment and acupuncture method which is widely used in the treatment of stroke and its complications. For sleep disorder, depression, vascular dementia, dysphagia, constipation and hiccup after stroke, it is emphasized that on the basis of regulating spirit, disease differentiation and syndrome differentiation should be unified, acupoints should be arranged according to the condition of syndrome, and attention should be paid to the quantitative standard of manipulation at the same time. In addition to the causes of stroke, many complications are also closely related to the psychological emotion and social environment of patients after stroke. The method of Xingnao Kaiqio accupucture is used to treat diseases by regulating spirit from all aspects, which is also in line with the biological-psychological-social model of modern medicine. Post-stroke complications can occur in all stages of stroke and are affected by many factors. Therefore, it is necessary to further explore and study the timing, course of treatment, curative effect evaluation and mechanism of acupuncture intervention in this method.
作者
张旭龙
王明威
谢西梅
ZHANG Xulong;WANG Mingwei;XIE Ximei(School of Acupuncture and Tuina,Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,China;Department of Acupuncture and Tuina,Xi’an City Hospital of Traditional Chinese Medicine,Xi’an 710021,China)
出处
《上海中医药杂志》
2020年第4期106-109,共4页
Shanghai Journal of Traditional Chinese Medicine
基金
陕西省中医药管理局重点专科项目[市卫计发(2018)27号]
西安市科协西安市中医院院士工作站项目[市科协字(2018)165号]
西安市科委科技计划项目[SF1321(6)]
陕西中医药大学西安附属医院院内项目(2014G02)
关键词
醒脑开窍法
针刺
脑卒中
中风后并发症
石学敏
综述
Xingnao Kaiqiao method
acupuncture
stroke
post-stroke complications
Shi Xuemin
review
