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曹奕教授针药结合治疗面肌痉挛经验OA

Clinical experience of professor CAO Yi in the treatment of hemifacial spasm with integrated acupuncture and medication

中文摘要英文摘要

总结曹奕教授针药结合治疗面肌痉挛的临床经验.曹教授认为,面肌痉挛发病主要责之于肝、脾、肾,与任督二脉及情志密切相关,主要病机为气血亏虚,肝肾不足,任督失调,肝风上扰.中药治疗内治法重视虫类药的使用,虫类、草类药并用,外治法选用"通督调任四穴"和"静针法"治疗,旨在调摄任督、缓急止痉、镇静安神,充分展现通督调任针法之独特优势,临床治疗均获良效.附典型病案1则以验证.

This paper summarizes professor CAO Yi's clinical expertise in the treatment of hemifacial spasm with integrated acupuncture and traditional Chinese medicine pharmacotherapy.According to professor CAO,the pathogenesis of hemifacial spasm primarily involves dysfunction of the liver,spleen,and kidney,and is closely asso-ciated with imbalances in the Governing Vessel and Conception Vessel,as well as emotional disturbances.Key patho-logical mechanisms include deficiency of qi and blood,insufficiency of liver and kidney yin,disharmony of the Governing and Conception Vessels,and upward disturbance of liver wind.In internal TCM treatment,emphasis is placed on the strategic use of insect-derived medicinal substances—often synergistically combined with herbal for-mulas—to enhance efficacy.For external intervention,the"Four-Acupoint Protocol for Unblocking and Regulating the Governing and Conception Vessels"and the"Static Needling Technique"are employed to restore balance in these meridians,alleviate muscular spasms,and calm the spirit.These approaches collectively exemplify the distinc-tive therapeutic advantages of the Governing-Conception Vessel-regulating acupuncture methodology.Clinical outcomes across all treated cases have been consistently favorable.A representative case report is appended to substantiate the therapeutic efficacy.

黄强;王保国;王振亚;曹奕

安徽中医药大学研究生院,安徽 合肥 230012安徽中医药大学第二附属医院老年病科,安徽 合肥 230061安徽中医药大学第二附属医院老年病科,安徽 合肥 230061安徽中医药大学第二附属医院老年病科,安徽 合肥 230061

医药卫生

面肌痉挛通督调任针药临床经验曹奕

hemifacial spasmunblocking and regulating the Governing and Conception Vesselsacupuncture combined with medicationclinical experienceCAO Yi

《甘肃中医药大学学报》 2026 (2)

14-19,6

2022年全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)安徽省名中医曹奕工作室建设项目(财社[2015]710号)安徽中医药大学科研基金项目(2022ZJPT25)安徽中医药大学第二附属医院杏林计划项目(0500-48-53).

10.16841/j.issn1003-8450.2026.02.03

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