针药并用治疗视神经脊髓炎1例并文献复习

Treatment of optic neuromyelitis with acupuncture and medicine:one case report and literature review

目的探讨舒肝明目汤加地黄饮子内服配合针刺治疗视神经脊髓炎的临床疗效。方法对针药并用治愈的视神经脊髓炎1例患者的资料结合文献进行分析,以舒肝明目汤清肝养血明目济其盲,地黄饮子滋补肾中元阴元阳,柔肝强筋振其萎,灵活运用输穴与经外奇穴搭配,娴熟有度,妙用透穴,激活经气。结果患者迅速恢复视力,逐渐提高下肢运动能力,直至完全康复,提高生活工作能力。结论运用清肝明目汤和地黄饮子,配合针刺经穴奇穴治疗视神经脊髓炎,在提高疗效、规避病势恶化及激素治疗风险、改善预后等方面彰显临床优势,具有较好的应用前景。

Objective To investigate the clinical efficacy of Shugan Mingmu Decoction plus Rehmannia Decoction combined with acupuncture in the treatment of optic neuromyelitis.Methods The data of one case of optic neuromyelitis cured by Chinese medicine combined with acupuncture and related literature were analyzed.Shugan Mingmu Decoction was used to clear the liver,nourish blood,brighten the eyes and relieve blindness.Rehmannia Decoction was used to nourish the kidney,invigorate the Yin and Yang,soften the liver,strengthen the tendons,and vibrate the withering.The combination of Shu acupoints and extraordinary acupoints was used flexibly and skillfully.Penetration of acupoints was performed to activate the meridians and Qi.Results The patient's vision quickly recovered,and his lower limb motor function was gradually improved until complete recovery,which help improve patient's ability to live and work.Conclusion The use of Qinggan Mingmu Decoction and Rehmannia Decoction combined with acupuncture at meridians and extraordinary acupoints for treatment of optic neuromyelitis show clinical advantages including improving curative effects,avoiding the deterioration of the disease and the risk of hormone therapy,and improving the prognosis.It has a good application prospect.