张洁主任医师五体施辨治疗颞下颌关节紊乱病临床经验

Chief physician ZHANG Jie's clinical experience in treatment of temporomandibular disorders by differentiation of five body constituent syndromes

介绍张洁主任医师五体施辨治疗颞下颌关节紊乱病的临床经验。其认为,颞下颌关节紊乱病属于中医学“痹病”范畴,根据病变部位不同,痹病有五体痹之分,故其针刺治疗颞下颌关节紊乱病从五体角度出发,首辨五体痹;而后根据病症情况,针对性采用毫针、岐黄针、小针刀3种不同针刺工具,在“五刺以应五体”的思想指导下,灵活运用合谷刺、关刺、输刺手法治疗;同时,其将饮食起居、情志调摄、头颈姿势、口腔行为习惯等方面的健康教育贯穿于颞下颌关节紊乱病治疗全程,取得了显著的疗效。附典型病案1则以验证。

This paper presents the clinical experience of chief physician ZHANG Jie in treating temporomandibular disorders(TMD)through differentiation of five body constituent syndromes.It is held that TMD falls under the category of"Bi disease"in traditional Chinese medicine.Based on the diverse lesion locations,Bi disease can be classified into five different syndromes corresponding to five body constituents.Hence,the treatment of TMD by acupuncture should be based on the perspective of five body constituent diseases,and the five body constituent syndromes are identified initially.Subsequently,depending on the conditions of the disease,three distinct acupuncture tools such as filiform needles,Qihuang needles,and small needle knives were utilized.Guided by the concept of"five acupuncture methods corresponding to five body constituents",the Hegu acupuncture,Guan acupuncture,and Shu acupuncture techniques were flexibly employed for treatment.Simultaneously,health education regarding diet,daily life,emotional regulation,head and neck posture,oral behavioral habits,and other aspects permeates the entire treatment process of TMD and has achieved remarkable therapeutic effects.A typical medical record is attached for verification.