杨骏针灸治疗动眼神经麻痹临床经验

YANG Jun’s clinical experience of acupuncture for oculomotor paralysis

总结杨骏教授针灸治疗动眼神经麻痹的临床经验。杨骏教授治疗本病重视辨病、辨证,根据动眼神经麻痹的发病特点,主张“初病审因,从源求治”;依据病因病机将本病分为风邪袭络、脾胃虚弱、气虚血瘀3型,辨证选穴,结合采用睑周点按刺法、透穴抬睑刺法、健侧平衡对刺法,改善动眼神经麻痹症状;提倡头针、电针组合,以达最佳量效状态;注重眼周局部刺激,以期气至病所。

Professor YANG Jun’s clinical experience of acupuncture and moxibustion for oculomotor paralysis is summarized.Professor YANG Jun pays attention to disease differentiation and syndrome differentiation in the treatment of this disease.According to the characteristics of oculomotor paralysis,"early diagnosis and seeking treatment from the source"is advocated.According to the etiology and pathogenesis,professor YANG divides oculomotor paralysis into three types:the syndrome of wind-evil attacking collaterals,the syndrome of spleen-stomach weakness and the syndrome of qi-deficiency and blood-stasis.As such,the acupoints are selected according to syndrome differentiation,and several different acupuncture methods(pricking needling at eyelids,penetrating needling and lifting eyelids and contralateralbalance needling on the healthy side)are adopted to improve the symptoms of oculomotor paralysis.It is also suggested to use the combination of scalp acupuncture and electroacupuncture to achieve the best dose-effect state.Moreover,local stimulation around the eyes is important to achieve the effects of"qi reaching affected area".