从“调补脾肾”论针药结合治疗脑卒中后失语

Treatment of Aphasia after Stroke by Combination of Acupuncture and Medicine from“Regulating Spleen and Kidney”

目的:总结王友刚老师从“调补脾肾”论针药结合治疗脑卒中后失语的临证思路。方法:通过跟师临证、搜集相关文献、整理典型病例资料,以中医理论为基础,从脑卒中后失语“脾肾亏虚”“脏腑失调”之机理内涵出发,总结王友刚老师的临证经验,对其常用针刺选穴及自拟良方进行总结,并举验案进行佐证。结果:王友刚老师临证选取董氏奇穴、焦氏头针言语一区、体针结合中药,辨证论治,取穴、方药灵活加减,可有效改善患者的语言能力,临床疗效甚佳。所举病案以脾肾亏虚为主要病机,治法以醒脑开窍、补脾益肾,治疗上针药结合,疗效确切。结论:王师结合自己的临床经验,运用“调补脾肾”理论,以针药结合治疗脑卒中后失语,疗效显著,其临床思路值得借鉴和推广。

Objective:To summarize Dr.WANG Yougang’s clinical ideas on the treatment of post-stroke aphasia from the perspective of“regulating the spleen and kidneys”and discussing the combination of acupuncture and medicine.Methods:By practicing clinical symptoms with teachers,collecting relevant literature,and sorting out typical case data,based on the theory of traditional Chinese medicine,starting from the mechanism and connotation of aphasia,“deficiency of spleen and kidneys”and“disorder of organs”after stroke,the clinical experience of Teacher WANG Yougang was summarized.,summarizes its commonly used acupuncture point selection and self-made prescriptions,and provides evidence to support it.Results:Teacher WANG Yougang selected Dong’s odd points,Jiao’s scalp acupuncture in the first speech area,body acupuncture combined with traditional Chinese medicine,syndrome differentiation and treatment,acupoint selection,and flexible addition and subtraction of prescriptions,which can effectively improve the patient’s speech ability,and the clinical effect is very good.The cases mentioned in the case report indicate deficiency of the spleen and kidneys as the main pathogenesis,and the treatment methods include refreshing the brain and resuscitation,tonifying the spleen and kidneys,and a combination of acupuncture and medicine is used in the treatment,and the curative effect is definite.Conclusion:Dr.WANG combined his own clinical experience and used the theory of“regulating the spleen and kidneys”to treat post-stroke aphasia with acupuncture and medicine.The curative effect is remarkable,and his clinical ideas are worthy of reference and promotion.