首页|期刊导航|中国中医眼科杂志|冀氏"项八针"联合毫针治疗颈源性视力障碍

冀氏"项八针"联合毫针治疗颈源性视力障碍OA

JI's"Eight Cervical Needles"Combined with Filiform Needle Therapy for Cervico-genic Visual Disturbance

中文摘要英文摘要

颈源性视力障碍属于中医"视瞻昏渺"范畴,与颈部气血运行不畅、经络阻滞有关,多伴有颈椎疾患,表现为一过性黑矇、视疲劳、眼球胀痛、畏光流泪、眼干,甚至突然失明等眼部症状.冀来喜认为,本病根源在于颈部肌群高张力与颈椎结构紊乱,从而导致头面部疾病,提出"从颈论治"头面部疾病的思路,总结形成冀氏"项八针"治疗头面五官疾病诊疗方案,针对颈源性视力障碍,其主张运用冀氏"项八针"联合毫针疗法,用针刀松解头后小直肌、头后大直肌、头上斜肌、头下斜肌、枢椎棘突处等枕下肌群,调整颈部肌群高张力与颈椎结构紊乱,纠正肌肉的失衡状态,改善颈项部结构环境,使头面部得到血液供应,使血管神经等功能趋于平衡,同时结合针刺双侧风池、照海、太阳、攒竹、中渚及百会、四神聪等穴位,临床疗效显著.

Cervicogenic visual disturbance falls under the category of"Shizhan Hunmiao"in Traditional Chinese Medicine(TCM).It is associated with impaired circulation of Qi and blood in the neck and meridian obstruction,often accompanied by cervical disorders.Symptoms include transient amaurosis,visual fatigue,eye distension and pain,photophobia,lacrimation,dry eyes,and even sudden blindness.JI Laixi posits that the root cause lies in hypertonicity of the cervical muscles and structural derangement of the cervical vertebrae,leading to head and facial disorders.He proposes the concept of"treating head and facial diseases from the cervical perspective".Based on this,he developed the JI´s"Eight Cervical Needles"therapeutic protocol for head,facial,and sensory organ disorders.For cervicogenic visual disturbance,he advocates combining JI´s"Eight Cervical Needles"with filiform needle therapy.The approach involves using an acupotomy to release the suboccipital muscles,thereby reducing cervical muscle hypertonicity and correcting structural derangement and muscular imbalance.This improves the structural environment of the neck,facilitating blood supply to the head and face and normalizing neurovascular function.Concurrently,filiform needles are applied to bilateral Fengchi(GB 20),Zhaohai(KI 6),Taiyang(EX-HN 5),Cuanzhu(BL 2),Zhongzhu(SJ 3),Baihui(GV 20),and Sishencong(EX-HN 1).This combined therapy demonstrates significant clinical efficacy.

高芳;王小丹;冀来喜

山西中医药大学附属医院,太原 030024山西中医药大学,晋中 030619山西中医药大学,晋中 030619

医药卫生

冀氏"项八针"小针刀毫针颈源性视力障碍

JI´s"eight cervical needles"acupotomyfiliform needlecervicogenic visual dis-turbance

《中国中医眼科杂志》 2026 (3)

246-250,5

全国名中医(冀来喜)传承工作室建设项目

10.13444/j.cnki.zgzyykzz.2026.03.008

评论