针药并举辨治痉挛性斜颈

Treating Spasmodic Torticollis with Acupuncture and Traditional Chinese Medicine

痉挛性斜颈属"痉症"范畴,抗胆碱能药物、肉毒毒素、外科手术等手段副作用较大,不易被接受。中医药针灸与汤剂合用,可有效缓解肌肉紧张。针刺取百会、四神聪、上星,双侧神庭、通天、承光,顶旁2线,配双侧合谷、内关、神门、通里、心俞、足三里,水沟,平补平泻法;局部延痉挛侧的斜方肌、胸锁乳突肌肌肉走行方向取穴,泻法;留针40min,每10min行针1次。药物治疗宜发汗解肌,祛除风寒,兼平肝潜阳,宁心定志,葛根汤(葛根30g,麻黄、桂枝、白芍各15g,生甘草10g,生姜、大枣、水牛角各15g,钩藤30g,桑叶20g,茯神、竹茹、栀子、龙胆草各15g)。附验案一则。

spasmodic torticollis belongs to ＇spasm syndrome＇ in traditional Chinese Medicine, anticholinergic drugs, botulinum toxin,surgery and other methods lead to the side effects that can not easily be accepted by patients.With the help of the combination of acupuncture and Chinese medicine, muscle tension can be effectively relieved.Acupuncturing Baihui, Sishencong,Shangxing, 2 sides of Shenting and Tongtian, MS2, with 2 sides of Hegu, Neiguan, Shenmen, Tongli, Xinshu and Zusanli, Shuigou with mild reinforcing-reducing method; the acupoints of the trapezius and sternocleidomastoid with reducing method; the needles remains 40min, every 10min spinning the needles once.Chinese medicine with the efforts of making sweat, eliminating cold, and calming liver yang, comforting the mind, the decoction of pueraria（Pueraria 30g, ephedra,cassia twig and radices paeoniae alba each 15g, raw licorice 10g, ginger, jujube and buffalo horn each 15g, Uncaria 30g, mulberry leaf 20g, poria with hostwood, bambusae caulis im taeniam,gardenia, gentian each 15g）. With an Experience attached at last.