针刺治疗脑卒中后运动性失语临床研究进展

Clinical research progress of acupuncture treatment for broca's aphasia after stroke

运动性失语为脑卒中后失语的常见分型,病因病机属本虚标实,发病多以气血不足、肝肾阴虚为本,以风、火、痰、瘀为标。针刺疗法可从醒脑、通窍、亮音入手,辅以益气血、祛痰瘀、利舌窍,从而改善失语的病理状态。目前临床多采用头针、舌针、电针、特色针刺及针刺联合其他疗法等方法治疗本病,其中针刺联合其他疗法综合治疗更具优势,可最大程度降低致残率。

Broca's aphasia is a common type of aphasia after stroke.Its etiology and pathogenes belong to deficient root and excessive superficial.Deficiency of qi and blood,liver and kidney yin is the origin of the disease,and wind,fire,phlegm and blood stasis are the symptoms.Acupuncture therapy aims to refresh the brain,dredge the orifices and amplify the sound,supplemented by benefiting qi and blood,removing phlegm and blood stasis,benefiting tongue.At present,scalp acupuncture,tongue acupuncture,electroacupuncture,characteristic acupuncture and acupuncture combined with other therapies are commonly used to treat the disease.It is observed that acupuncture combined with other therapies have showed advantages in reducing the disability,and realize the optimal principle.