程氏头针治疗卒中后混合性失语临床经验

Clinical Experience of Cheng's Scalp Acupuncture in Treating Mixed Aphasia After Stroke

卒中后混合性失语属中医学中“语涩”“言蹇”等范畴,致病因素多为风、痰、瘀三邪。因痰、瘀日久不化挟风而动,蒙蔽清窍,甚者瘀阻脑络,导致神机失用发为失语。程为平教授经过多年临床诊疗实践,提出治疗卒中后混合性失语以“调神”为基础、“通窍”为关键,针刺程氏头针认定的“元神穴区”以通督调神益髓,针刺“运动语言穴区”以疏风通窍利音。通过论述程氏头针治疗卒中后混合性失语的选区及针刺手法,为临床治疗该疾病提供思路与方法。

Mixed aphasia after stroke belongs to the categories of“astringent speech”and“speech jian”in traditional Chinese medicine.The pathogenic factors are mostly wind,phlegm and blood stasis,which are caused by phlegm and blood stasis,and even stasis of the brain collaterals,resulting in aphasia.After years of clinical diagnosis and treat-ment practice,Professor Cheng Weiping proposed that“regulating the mind”is the basis for the treatment of mixed a-phasia after stroke,and“unblocking the orifices”is the key.Acupuncture the“motor language point area”to clear the wind and clear the orifices.This article discusses the selection and acupuncture manipulations of Cheng's scalp acu-puncture for post-stroke mixed aphasia,and provides ideas and methods for clinical treatment of this disease.