痉挛性斜颈针刺治疗经验

Clinical Treatment Experience of Spastic Torticollis by Acupuncture

痉挛性斜颈为一种复杂难治的锥体外系疾病,目前没有特效、安全的治疗方法。中医治疗以针刺为主,各医家针刺方法多样,笔者认为其致病机制为:外感六淫邪气、内伤七情、饮食劳倦、脏腑气血津液亏虚,致使髓海失司,神机妄动,经脉瘀阻,经筋结聚而发为此病。治宜在综合运用脏腑经络辨证的基础上辨证辨经施治,主取五输穴、八脉交会穴,并于经筋结聚之处行排刺。笔者将之运用于临床取得较好疗效。

Spastic torticollis is a complex and intractable extrapyramidal disease.There is no effective and safe treatment at present.Acupuncture is the main treatment of traditional Chinese medicine,and various doctors have various acupuncture methods.The pathogenic mechanism of the disease is summarized as follows:exogenous six yin and evil qi,internal injury seven emotions,diet fatigue,deficiency of blood and body fluid in the viscera,resulting in the loss of the pulp sea,the sudden movement of the divine machine,the stagnation of the meridians,and the aggregation of the meridians.Therefore,on the basis of comprehensive application of syndrome differentiation of viscera and meridians,the five acupoints and the eight meridians intersection points are mainly selected,and the row acupuncture is performed at the places where the meridians and tendons gather.The author applied it in clinical practice and achieved good results.