基于认知神经心理学探讨“扬刺法”在中风后失语治疗中的应用

Discussion on the application of centro-square needling in post-stroke aphasia treatment from the prospective of cognitive neuropsychology of traditional Chinese medicine

病灶头部投影区扬刺法是现代医家基于古代对扬刺法的认识,不断从临床实践中总结出的针刺治疗中风后失语有效方法,目前已在临床试验中取得了良好的成效。基于现代失语认知神经心理学模型,探讨中医“神”与之的关联,以此作为失语病因的理论基础,并结合现代医学对扬刺法的研究,探讨扬刺法在临床治疗中风后失语时的疗效机制,为扬刺法治疗中风后失语提供一定理论依据。

Centro-square needling on infarct head projection area is an effective method for acupuncture treatment of post-stroke aphasia,which has been constantly summarized by clinical practitioners in clinical practice.It shows good results in the clinical experiment of treating non-fluent aphasia caused by ischemic stroke.Based on the hypothesis of modern medicine on the mechanism of oral language production and grammatical understanding barriers,integrating traditional Chinese medicine into the understanding of psychological process,the pathogenesis of non-fluent aphasia in traditional Chinese medicine is discussed.Based on this,combined"with the theory of Zang-fu and meridians,this paper expounds the therapeutic principle and method of centro-square needling in non-fluent aphasia,and discusses its therapeutic mechanism combined with imaging technology and molecular biotechnology,which provides a theoretical basis for the treatment of post-stroke aphasia.