针刺治疗动眼神经麻痹的临证经验

Clinical Experience of Acupuncture in Treating Oculomotor Nerve Palsy

认为动眼神经麻痹的病机为髓海不足、阳气不荣,胞睑及眼周经筋舒缩不利,目失开阖。目系与髓海相连,与足太阳经、足阳明经、足厥阴经及阴阳跷脉相通,受肝、脾、肾三脏所养。治疗当标本兼顾,以调髓海治本,通经疏络治标,平衡阴阳跷之缓急,运用“根溜注入”旁通诸经、运用头气街疏通经络、运用“维筋相交”调经筋拘急,可为改善动眼神经麻痹的上睑下垂、眼球运动受限等症状提供思路。

It is believed that the pathogenesis of oculomotor nerve palsy is insufficient marrow sea(髓海),withered yang qi,poor contraction of eyelids and periocular meridians,and inability to open and close the eyes.The eye system is connected to the marrow sea,as well as the the foot taiyang(太阳)channel,foot yangming(阳明)channel,foot jueyin(厥阴)channel,yinqiao mai(阴跷脉)and yangqiao mai(阳跷脉),and is nourished by the liver,spleen and kidney.Treatment should take into account both the branch and the root cause.It is suggested to treat the root by regulating the marrow sea,and treat the branch by unblocking the meridians and dredging the collaterals,thereby balancing the mild and the urgency of the yinqiao mai and yangqiao mai.Using the"Gen(根)-Liu(溜)-Zhu(注)-Ru(入)"acupoints to bypass the various meridians and taking the gallbladder meridian according to twelve major meridians that run on both sides of the body,both of which can provide ideas for improving symptoms such as ptosis and limited eye movement caused by oculomotor nerve palsy.