孙申田教授针灸治疗周围性面瘫临床经验撷要

Professor SUN Shen-tian’s clinical experience of acupuncture and moxibustion for peripheral facial paralysis

介绍孙申田教授针灸治疗周围性面瘫的学术思想和证治经验。孙教授根据面瘫的不同分期,治疗方案各有侧重。急性期强调西医规范化治疗的重要性,提倡尽早针刺治疗,治以疏风、散寒、活血、通络为主;恢复期采用"滞针提拉"法,并根据大脑皮层功能定位施加经颅重复针刺手法;后遗症期重视调神。治疗过程中强调灵活取穴和经颅重复针刺法、"滞针提拉"法、点按法、巨刺法的应用,结合电针、靶向注射。孙老还结合临床经验总结出判断周围性面瘫预后的常用方法。

Professor SUN Shen-tian’s academic thought and clinical experience of acupuncture for peripheral facial paralysis are summarized. According to the different stages of facial paralysis, professor SUN ’s treatment plan has its own emphasis. In the acute stage, professor SUN emphasizes the importance of standardized western medicine treatment, and proposes early acupuncture treatment. The treatment mainly focuses on dispersing wind and cold, promoting blood circulation and dredging collaterals. In the recovery stage, professor SUN emphasizes the method of "pulling the sticking needle", and applies repeated transcranial acupuncture according to the functional orientation of cerebral cortex. In the sequelae stage, professor SUN emphasizes the value of regulating the mind. In the course of treatment, professor SUN highly values the use of flexible acupoint selection, repeated transcranial acupuncture, "pulling the sticking needle" method, acupoint pressing and giant-needle method, combined with electroacupuncture and targeted injection. In addition, based on the clinical experience, professor SUN summarizes the common methods to estimate the prognosis of peripheral facial paralysis.