摘要
本文从作者跟师学习角度,介绍和总结刘红主任临床治疗周围性面瘫的经验,即在综合运用脏腑及经络辨证基础上,主取面部腧穴,必要时配合火针、面部穴位注射,提升阳气,通经活络,以此取得较好临床效果。刘红老师认为该病情复杂多变,应首辨经络,将临床症状结合中医基础理论及经络循行进行分析,并结合西医控制病毒感染的神经水肿。不同病因引起的面瘫治疗不同;不同时期的面瘫治疗不同,比如急性期的治疗以西药抗病毒、激素、营养神经治疗,中药清热解毒、活血通络为主,好好休息;故初期告知患者预后尤为重要。对患者给予针灸、中药、西药、理疗结合治疗,并告知预后;复感患者应明确是否存在联动,结合患者实际病情考虑是否用火针;术后面瘫患者建议先做肌电图明确神经传导阻滞程度,进而确定预后。总体来说,刘红主任认为治疗面瘫中西医结合多管齐下,可大大减少局限性,取得了较好的治疗效果。
In this article, the author introduces and summarizes Director Liu Hong＇s experience in treating peripheral facial paralysis syndromes from the perspective of a follower. The substance of her experience is that, on the basis of syndrome diferentiation and treat-ment, the facial points are taken, in conjunction with fre acupuncture or injection of facial points when necessary, with a view to enhance Yangqi（阳气）and connect collaterals, which has obtained rather good efcacy. Director Liu thinks that this disease is complex and ca-pricious, and in the treatment a doctor should frst distinguish collaterals, and make an analysis by combination of clinical symptoms with the basic TCM theories, and with a reference to western medicine to control the nerve edema caused by virus infection. Diferent causes of facial paralysis should be subject to diferent methods of treatment; diferent periods of facial paralysis should also be subject to diferent methods of treatment. For example, the treatment of an acute stage is based on western medicine, antiviral, hormone, nutritional nerve ther-apy, heat clearing and detoxicating, activating blood circulation and dredging collaterals in addition to good rest; Therefore, it is particularly important to advise the patients in the early stage of the prognosis. The patients are treated by combination of acupuncture, traditional Chi-nese medicine, western medicine and physiotherapy, with advanced advice of the prognosis. For patients who are infected with the diseaseagain it should be made clear whether there is a linkage, and consideration should be given to whether the patient needs the fre needle acu-puncture therapy in light of the patient＇s actual conditions. As for a patient who gets a peripheral facial paralysis after medical operations, it is advisable that electromyography be used to identify the extent of nerve blockage and determine prognosis. In all, Director Liu Hong believes that the combination of TCM and western medicine in treating facial paralysis syndromes ca
出处
《中医临床研究》
2018年第30期17-19,共3页
Clinical Journal Of Chinese Medicine
关键词
周围性面瘫
刘红
临床
经验
Peripheral facial paralysis
Director Liu Hong
Clinical
Experience
