“以筋诊病”在顽固性面瘫中的应用

The Application of“Diagnosing Diseases with Sinews”in Obstinate Facial Paralysis

“以筋诊病”指通过对病变部位经筋的诊察,判断经筋、脉络中气血的盈亏状态和病邪对机体的损伤程度,将病性、病位、病势三者紧密结合,形成“以筋审形、以筋辨证、以筋定势”的三位一体诊断模式。对于顽固性面瘫,可采用“以筋诊病”方法,通过望诊判断经筋的形态变化,通过触诊辨定中医证候,通过“循诊”确定经筋通络点和理筋线的循行治疗路线。“以筋诊病”既有助于准确判断疾病病情、证候、发展趋势,亦有助于对疾病采取针对性治疗并防止病情传变,可为顽固性面瘫临床诊疗提供思路和方法。

The theory o“f diagnosing diseases with sinews”means that through the diagnosis and examination of the channel sinews at the site of the lesion,the surplus and deficit state of qi and blood in the channel sinews,vessles and channels,and the degree of damage to the organism caused by the disease and evils,can be determined,forming the three elements(the nature of the disease,the location of the disease,and the disease tendency)of the disease diagnosis can be closely integrated to form the trinity of diagnostic modes,which is“examining the disease nature by sinews,identifying the pattern by sinews,and determining the tendency by sinews”.For intractable facial paralysis,the method of“diagnosing diseases with sinews”can be adopted,in which the morphological changes of the channel sinews are judged through diagnosis by observation,the traditional Chinese patterns are identified through diagnosis by palpation,and the points of meridian tendons and the circulation of tendon and treatment lines are determined through diagnosis by circulation.The“diagnosing diseases with sinews”not only helps to accurately determine the disease condition,patterns and development trend,but also helps to adopt targeted treatment for the disease and prevent the disease from spreading,and providing ideas and methods for the clinical diagnosis and treatment of intractable facial paralysis.