基于“态靶辨治”理论治疗痉挛性斜颈验案

An experiential effffective case of treating spasmodic torticollis based on the"state-target difffferentiation and treatment"theory

痉挛性斜颈是一种发生在颈部的局灶性肌张力障碍性疾病,临床常规治疗效果有限。本文从“态靶辨治”理论出发,认为痉挛性斜颈多属寒态,使用葛根汤加减治疗痉挛性斜颈,可取得一定疗效。葛根汤不但是寒态的调态方,也是颈项部疾病的靶方,方中葛根亦是颈项强痛之靶药,舒筋解肌时需重用至60 g,甚则可至120 g。在临床运用葛根汤时,要注意随症施量,以取得良好疗效。

Spasmodic torticollis(ST)is a focal dystonic disorder that occurs in the neck,and the efficacy of routine clinical treatment is limited.Based on the"state-target differentiation and treatment"theory,this paper posits that ST predominantly pertains to a cold state,and a modified Gegen Decoction can secure a certain therapeutic effect in its treatment.Gegen Decoction is a regulating formula for a cold state and also a targeted formula for neck diseases.Kudzuvine root in the formula is the targeted medicine for severe neck pain.For relaxing tendons and relieving muscle tension,it can be massively used up to 60g,and in severe cases,even up to 120g.When using Gegen Decoction clinically,attention should be paid to adjusting the formula according to specific symptoms to achieve good therapeutic effects.