首页|期刊导航|中医学报|基于"五体理论-筋病"探讨阳经合穴对中风后痉挛性偏瘫的治疗作用

基于"五体理论-筋病"探讨阳经合穴对中风后痉挛性偏瘫的治疗作用OA

Therapeutic Effect of He Acupoints on Yang Meridian on Spastic Hemiplegia from Stroke Based on"Five Ti Theory-Muscle Disease"Theory

中文摘要英文摘要

痉挛性偏瘫作为一种常见的中风后遗症,在五体辨治体系中,其病位在筋,以"筋失用"为根本,治疗当以"调筋"为先.阳经合穴作为针灸治疗的重要组方单元,通过其独特的"调筋"作用,能够针对中风后痉挛性偏瘫进行精准治疗,舒筋活络,调和气血,从而改善患者的临床症状和预后.故可将中风后痉挛性偏瘫的治疗聚焦于阳经合穴,以简化临床应用.临证可以阳经合穴为配伍单元,通过表里经原合配穴、同名经合穴相配等构建加减,从而组成庞而不杂的针灸处方,以实现对疾病的精准治疗,提高治疗效果.

Spastic hemiplegia,as a common sequela of stroke,in the Five Ti differentiation and treatment system,is located in the ten-dons,with"tendon dysfunction"as the root cause.Therefore,treatment should start with"tendon regulating".He acupoint on Yang me-ridian,as an important unit in acupuncture treatment,can precisely target post-stroke hemiplegia through their unique"tendon regula-ting"effects.They help relax the tendons,improve circulation of Qi and blood,and thus enhance patients' clinical symptoms and prog-nosis.Therefore,treatment of spastic hemiplegia can be focused on He acupoint on Yang meridia to simplify clinical application.Clini-cally,He acupoint on Yang meridia can be used as pairing units,with adjustments made through matching acupoints of Biao and Li paired meridians as well as He acupoints with the same meridian names,forming acupuncture prescriptions that are comprehensive but not complicated,achieving precise treatment and better results.

武琳璐;林雨晴;徐梦方;马仁钊;李媛媛;史昕玥;卫景沛;张倩;邹忆怀

北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700

医药卫生

中风后痉挛性偏瘫阳经合穴调筋筋病五体理论阳陵泉

post-stroke spastic hemiplegiaHe acupoint on Yang meridiantendon regulatingtendon diseaseWu Ti theoryYan-glingquan(GB34)

《中医学报》 2026 (7)

1430-1434,5

国家自然科学基金项目(82174331,81873257)

10.16368/j.issn.1674-8999.2026.07.211

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