针灸推拿、辨证分型、穴位注射、维生素治疗手痿100例临床观察

Acupuncture,Massage,Herbs and Acupuncture Injection Therapy Clinical Observation of 100 Cases of Vitamin Hand Atrophy

[目的]观察针灸、推拿、方药、穴位注射及维生素治疗手痿疗效。[方法]使用前瞻性设计方法,将100例门诊患者针灸:桡神经损伤、尺神经损伤、正中神经损伤辨证治疗。推拿:推拿手法常规操作,刺激神经出口点(颈丛点、臂丛点、挠神经沟、尺神经沟、正中神经沟),并且使麻账热感传感到手指指腹,1min/次,反复操作3次。中药配伍:热伤肺津致痿治以甘寒清上,清热润燥,清燥汤;脾胃虚弱治以健脾益气或濡养胃阴,补中益气汤)或葳蕤汤;湿热侵润治以清热化湿,二妙散;瘀阻脉络宜益气养营,活血祛瘀通络,方用圣愈汤,1剂/d,水煎200m L,早晚口服。穴位注射及维生素、观测临床症状、上肢功能、不良反应。连续治疗3疗程,判定疗效。[结果]痊愈45例,显效43例,有效10例,无效2例,总有效率98.00%。[结论]针灸、推拿、方药、穴位注射及维生素治疗手痿效果显著,值得推广。

[ Objective ] To observe acupuncture, massage, herbs and acupuncture point injection, vitamin therapy hand atrophy effect. [ Methods ] Method using a prospective design, 100 outpatients Acupuncture： radial nerve injury, ulnar nerve injury, median nerve injury syndrome treatment. Massage： manipulation routine operation, stimulating nerves exit point （ point of cervical plexus, brachial plexus point, radial nerve ditch, ditch the ulnar nerve, median nerve ditch ） , and make hemp thermal transfer was carried finger pulp, lmin/times, repeatedly three times. Chinese Compatibility：Heat-induced lung injury Jin atrophy governance on to Gan Hanqing, heat dryness, side by Qingzao soup; spleen and stomach governance to moisten the stomach or spleen Qi Yin, side by Buzhongyiqitang ） or luxuriantly soup; humid invasion treatment with heat and dampness, side by two wonderful casual; stasis context Yi Qi Yang camp, stasis meridians, to use St. more soup, 1/d, decoction 200mL, sooner or later orally. Point injection and vitamins, observation of clinical symptoms and adverse reactions. Continuous treatment for 3 courses, to determine efficacy. [ Results ] Cured 45 cases, effective in 43 cases, 10 cases, 2 cases, the total efficiency of 98.00%. [ Conclusion ] Acupuncture, massage, herbs and acupuncture point injection, vitamin therapy hand atrophy effect is remarkable, worthy of promotion.