王麟鹏教授治疗脑卒中后肢体痉挛经验撷要

Experience of Professor Wang Linpeng in Treating Limb Spasticity after Stroke

王麟鹏教授诊治和研究中风病多年,临床经验丰富,对脑卒中后肢体痉挛的预防与治疗见解独到,古方新用,首次提出解决中风病后肌痉挛可以有两个思路:一是治疗时机上采用"逆针灸"防治思路,即治疗前移,在未出现肢体痉挛的时候便开始治疗;二是针刺取穴避开患侧肢体,减少对局部肌肉刺激。通过临床实践取得了很好的治疗效果,也为卒中后肢体痉挛的针灸预防性治疗开了先河。王麟鹏教授认为卒中后肢体痉挛病机为经络气血失和、筋脉失养及阴阳失衡,主要与督脉及足太阳膀胱经有关。采用"王氏夹脊穴"与"督脉十三针"逆针灸治疗,达到调整督脉和足太阳膀胱经功能来预防治疗卒中后肢体痉挛状态。。采用"王氏夹脊穴"与"督脉十三针"逆针灸治疗,达到调整督脉和足太阳膀胱经功能来预防治疗卒中后肢体痉挛状态。

Professor Wang Linpeng has been treating and studying stroke for many years and has rich clinical experience.He has unique views on the prevention and treatment of limb spasm after stroke,there are two ways to solve spasticity after stroke for the first time:one is to use“counter-acupuncture”to prevent and cure spasticity,that is,to move the treatment forward,to start the treatment when no spasticity appears.Secondly,acupuncture points to avoid the affected side of the limb to reduce local muscle stimulation.Good therapeutic effect has been achieved through clinical practice,and it also opens a new way for preventive acupuncture treatment of limb spasm after stroke.Professor Wang Linpeng thinks that the pathogenesis of limb spasticity after stroke is qi-blood disharmony of main and collateral channels,tendon and vessel malnutrition and imbalance of yin and yang,related mainly to du meridian and bladder meridian.Wang’s Jiaji acupoint and Du meridian thirteen needle acupuncture and moxibustion therapy adjust the du meridian and bladder meridian function to prevention and treatment limb spasticity after stroke.