蒙医康复临床实践指南·脑梗死

Clinical Practice Guidelines of Mongolian Medicine in Rehabilitation for Cerebral Infarction

脑梗死是一种常见的脑血管疾病,属蒙医"萨病"范畴。蒙医对脑梗死有独特认识,其康复治疗方法也独具特色,疗效显著。本指南以蒙医"三根理论""脑-白脉"学说为指导思想,从蒙医脑梗死定义、诊断要点、疾病类型、证候特征、辨证论治、外治法、康复训练和饮食起居调护等方面进行标准制定。蒙医将脑梗死分为赫依型、希拉型、巴达干型、琪素型和协日乌素型等5种类型,本指南详细分析其病机、治法、内治方药、外治疗法等。脑梗死治疗强调辨证论治,采用内服蒙药为主,内外治法相结合治疗的原则。其中,蒙医外治法就针刺疗法、放血疗法、拔罐疗法、拔罐放血疗法等的取穴和操作方法进行规范制定;并就脑梗死早期康复训练方法、偏瘫康复训练原则(良肢位训练、仰卧起坐训练、坐位平衡训练、膝立位训练、跪行训练、由坐到站立训练、立位平衡训练、步行训练)、急性期和恢复期的饮食起居调护等进行规范说明。该指南适用于指导蒙医专业技术人员规范开展康复治疗技术操作,也适用于蒙医医疗、教学、科研、产业和国际交流等标准化工作,有助于优化蒙医相关诊疗技术,提升蒙医康复临床服务能力。指南具有较好的临床适用性、安全性及有效性。

Cerebral infarction is a common cerebrovascular disease,which belongs to the category of"Sa disease"in Mongolian medicine.The Mongolian medicine has a special conception for cerebral infarction,its rehabilitation treatment methods are also special and effective.The guideline takes the"three modulation theory"and"brain-white pulse theory"of Mongolian medicine as the guiding ideology,and formulates the standard based on the definition of cerebral infarction,diagnostic points,disease types,syndrome characteristics,syndrome differentiation and treatment,external treatment,rehabilitation training,diet and daily care,etc.The cerebral infarction is divided into five types in Mongolian medicine,such as Heyi,Xila,Badagan,Qisu and Xieriwusu type,and analyzes its pathogenesis,treatment,internal treatment and external treatment in detail.The treatment for cerebral infarction emphasizes that the treatment based on syndrome differentiation,mainly taking Mongolian medicine and combining internal and external treatment.The standardizations have established for the external treatment of Mongolian medicine(acupuncture,bloodletting,cupping therapy,cupping bloodletting,etc.),and as well as the explanation on the methods of early rehabilitation training for cerebral infarction,the principles of rehabilitation training for hemiplegia(good position training,supine up training,seat balance training,knee standing training,kneeling training,form sitting up to standing training,standing balance training,walking training),and the diet and daily care in acute stage and recovery stage.The guidelines are suitable for guiding Mongolian medical professionals to carry out the technical operations of rehabili-tation treatment in a standardized manner.And it is also suitable for standardization work in medical treatment,teaching,scientific research,the relative industry,and international exchanges of Mongolian medicine,which helps to optimize Mongolian medicine-related diagnosis and treatment techniques and enhance the service capabilities of Mongolian medical rehabilitation,with a good clinical applicability,safety and effectiveness.