针灸治疗动眼神经麻痹经络辨证的研究

Study on acupuncture for treatment of oculomotor paralysis according to syndrome differentiation of meridians

通过对动眼神经麻痹针刺治疗的临床观察和古代相关经络文献整理研究,以循行、病候、功能为指标,对《内经》《奇经八脉考》中的相关经脉进行对比分析,动眼神经麻痹(风牵偏视)主要症状与《内经》中的目不开、目黄、目锐眦痛相吻合。结果提示:①调节跷脉功能是治疗动眼神经麻痹的重点;②十二正经与奇经八脉治疗本病的途径不同,正经治其标,奇经治其本,配合使用可体现中医标本兼治的理论思想和特色;③经筋病与动眼神经麻痹的病理变化关系密切,对完善治疗原则和研究方法具有参考价值。

The authors compared and analyzed the correlated meridians in Internal Classic and Study on the Eight Extra-Channels and Vessels by clinical observation on acupuncture for treatment of oculomotor paralysis and reorganization research on ancient related literature, and course of meridians and collaterals, manifestations of disease and function were used as indexes. The present symptoms of oculomotor paralysis （paralytic strabismus） are well consistent with the delineation in Internal Classic such as inability to open eyes, blurring of vision and pain of outer canthus. The results indicate that it is important to regulate the Qiao Meridian function for acupuncture treatment of oculomotor paralysis; the method of the twelve regular meridians and the eight extra-meridians is different for treatment of this disease, for the twelve regular meridians treating the superficiality and the eight extra-meridians treating the origin, and the combinative use of the two methods can display the TCM theory thought and the characteristic of simultaneous treatment of principal and subordinate symptoms; there is closely relation between muscula- ture diseases and pathological change of oculomotor paralysis and it is helpful in perfecting therapeutic principles and research methods.