| 张艳林,王海军,闫敏,等.新九针优势技术组合治疗脊髓亚急性联合变性案[J].浙江中医药大学学报,2021,45(12):1370-1373. |
| 新九针优势技术组合治疗脊髓亚急性联合变性案 |
| Treatment of Subacute Combined Degeneration of Spinal Cord with New Nine-needle Superior Technique Combination |
| DOI：10.16466/j.issn1005-5509.2021.12.019 |
| 中文关键词: 新九针 优势技术 联合疗法 脊髓亚急性联合变性 验案 |
| 英文关键词: new nine-needle superior technique combination therapy subacute combined degeneration of spinal cord proven case |
| 基金项目:师怀堂新九针学术流派传承工作室项目(2020PY-LP-03)；基层及少数民族地区高发疾病防治适宜技术研究及示范项目(2013BAI05B08) |
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| 中文摘要: |
| [目的] 通过一则验案，介绍曹玉霞主任医师运用新九针优势技术组合治愈脊髓亚急性联合变性的思路。[方法] 所选医案中患者有慢性萎缩性胃炎病史，现患脊髓亚急性联合变性，从中西医两个方面对该病的因机证治进行分析，阐述曹师辨病和辨证的思路，以及针具、刺法的选择依据。[结果] 中医方面，辨病为“痿证”，从“阳明”论治；西医方面，将本病的发生归咎于慢性萎缩性胃炎所导致的维生素B12吸收障碍，将治疗重点放在解决“吸收障碍”上。曹师提出无论是中医还是西医，二者对于病因病机的认知是相通的，都指向“脾胃”。基于本案患者“多瘀”“多寒”“病情迁延难愈”的病证特点，根据“病证和针相宜”的关系，可选择新九针中磁圆梅针、火针联合埋线三种疗法以“疏经通络、温阳散寒、巩固疗效”。[结论] 新九针优势技术组合治疗脊髓亚急性联合变性，通过调理脾胃以秉要执本，并在此基础上显著改善中枢及周围神经症状，可资同行借鉴。 |
| 英文摘要: |
| [Objective] To introduce Chief Physician CAO Yuxia‘s idea of using new nine-needle superior technique combination to cure subacute combined degeneration of spinal cord through one case. [Methods] In the selected medical records， the patient had a history of chronic atrophic gastritis and was suffering from subacute combined degeneration of spinal cord， the cause， mechanism and syndrome of the disease were conducted from both traditional Chinese medicine(TCM) and western medicine， then Chief CAO’s thoughts of disease differentiation and the basis for the selection of needles and acupuncture methods were analyzed and explained. [Results] In TCM， the disease is differentiated as “flaccidity syndrome”， and the treatment is based on “Yangming”. In western medicine， the occurrence of this disease is attributed to the vitamin B12 absorption disorder caused by chronic atrophic gastritis， and the treatment is focused on solving “barriers to absorption”. Chief CAO points out that both TCM and western medicine have the same cognition of etiology and pathogenesis， and both take “spleen and stomach” as the key. Based on syndrome characteristics of “multiple blood stasis” “multiple cold” “prolonged and difficult to heal” ， and based on the relationship of “compatibility of disease syndrome and needle”， magnetic round plum needle and fire needle in the new nine-needle combined with embedding can be selected. The three therapies are based on “dredging the meridian and collaterals， warming Yang and dispelling cold， and consolidating the curative effect”. [Conclusion] In the treatment of subacute combined degeneration of spinal cord， the new nine-needle superior technique combination can significantly relieve the symptoms of central and peripheral nerves by regulating the spleen and stomach， which can be used for reference by peers. |
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