基于经络辨证梅花针联合闪罐治疗卒中后面瘫验案

Treatment of post-stroke facial paralysis with plum-blossom needle combined with successive flash cupping based on differentiation of channels and collaterals

面瘫是脑卒中后常见的临床症状之一,临床表现根据责任病灶的不同分为中枢性面瘫和周围性面瘫,以中枢性面瘫更为普遍。大部分患者常累及面神经、三叉神经导致面部表情肌群的运动功能受到严重限制,从而影响患者日常生活和社交活动。目前临床治疗往往以改善面部表情肌功能为主,对面部感觉异常关注较少。从中医学经络辨证理论出发,深入探索中风的本质,采用梅花针联合闪罐治疗卒中后面瘫,二者相辅相成,共奏行气活血、温经散寒、充盈脉络、通畅气血、濡养经筋的作用,既能有效改善面部表情肌的功能,又能缓解面部感觉异常,临床疗效显著。

Facial paralysis is one of the common clinical symptoms after stroke.The clinical manifestations are divided into central facial paralysis and peripheral facial paralysis according to the different responsible lesions,and central facial paralysis is more common.The facial nerve and trigeminal nerve are often involved in most patients,which severely restricts the motor function of facial expression muscles,thus affecting patients′daily life and social activities.At present,clinical treatment often focuses on improving the function of facial expression muscles,and pays little attention to facial paresthesia.Based on the theory of differentiation of channels and collaterals of TCM,this study explores the essence of stroke.The combination of plum-blossom needle and successive flash cupping in the treatment of post-stroke facial paralysis can play the roles of promoting Qi to activate blood,warming the channel to dispel coldness,filling the meridians,freeing the circulation of Qi and blood,and nourishing the tendons,which can not only effectively improve the function of facial expression muscles,but also alleviate facial paresthesia,with significant clinical efficacy.