周志杰治疗中风后痉挛性肢体功能障碍经验

Zhou Zhijie′s Experience of Treating Spastic Limb Dysfunction After Stroke

中风后痉挛性肢体功能障碍的根本原因是阴阳失衡,筋脉失养是其中枢环节,与肝、肾关系最为密切。西医学认为,α-γ环路活动性增强是脑卒中后肢体痉挛的核心机制,兴奋性递质和抑制性递质水平失衡是脑卒中后肢体痉挛的另一路径。周志杰主任提出的“头四针”疗法选取百会、上星、第三穴(百会穴与上星穴连线中点旁开1.5寸)、第四穴(百会穴与上星穴连线中点旁开3寸),四穴合用使脑醒神清、气行血充、筋润脉通,共奏降低中风后异常增高肌张力之功。周老师认为,在疾病的治疗上要调动患者的积极性,医患合作、治练结合,根据每一位患者具体情况,为其制定配套的锻炼方案,指导患者尽快、尽早进行正规康复锻炼,促进医患沟通,有利于患者身心治疗,使机体更快更好地恢复到理想状态。

The fundamental cause of spastic limb dysfunction after stroke is the imbalance of yin and yang,and tendon and vessel malnutrition is the central link,which is most closely related to the liver and kidney.Western medicine believes that the enhanced activity of the α-γ loop is the core mechanism of spastic limb dysfunction after stroke,and the imbalance of excitatory transmitter and inhibitory transmitter levels is another pathway of spastic limb dysfunction after stroke.The therapy of "acupuncture at four points on the head" proposed by Director Zhou Zhijie selects Baihui(DU 20),Shangxing(DU 23),the third point(1.5 cun apart from the midpoint of the connection line between Baihui and Shangxing),and the fourth point(3 cun apart from the midpoint of the connection line between Baihui and Shangxing).The four points are used together to wake up the brain,clear the mind,promote the flow of qi and blood,and lubricate the tendons and veins,which contributes to reducing the abnormal increase of muscle tension after stroke.Director Zhou believes that in the treatment of diseases,the enthusiasm of patients should be mobilized,doctor-patient cooperation and the combination of treatment and exercise should be combined.According to the specific situation of each patient,a supporting exercise program should be formulated as guidance to carry out regular rehabilitation exercise as soon as possible.It is necessary to promote doctor-patient communication,and facilitate the physical and mental treatment of patients,so that the patient′s body can return to the ideal state faster and better.