| 李凯庆,于天洋,夏雪,等.孙远征教授针刺治疗原发性面肌痉挛经验撷要[J].浙江中医药大学学报,2023,47(2):167-170, 175. |
| 孙远征教授针刺治疗原发性面肌痉挛经验撷要 |
| Professor SUN Yuanzheng‘s Experience in Acupuncture Treatment of Primary Hemifacial Spasm |
| DOI：10.16466/j.issn1005-5509.2023.02.010 |
| 中文关键词: 原发性面肌痉挛 调神法 缪刺法 揿针法 名医经验 孙远征 |
| 英文关键词: primary hemifacial spasm mind-regulating method Miao acupuncture method press-needle method famous doctor‘s experience SUN Yuanzheng |
| 基金项目:国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教发〔2014〕20号) |
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| 中文摘要: |
| [目的] 总结孙远征教授针刺治疗原发性面肌痉挛的临床经验。[方法] 通过临床跟师学习，从孙师对本病的认识及治疗特色等方面进行阐述，分析孙师对本病的辨治思路，并通过病案举例加以验证。[结果] 孙师认为，本病实质为正虚风动，与情志因素关系密切，风为导致痉挛发病最主要的致病因素，情志不调为导致疾病加重的诱发因素，将其分为内风、外风两种致病模式。孙师认为本病病位在面部经筋，与面部经气受损有关，经络之气不通，局部气血流通不畅，故发为本病。孙师治疗本病有以下特色，重视“调神”，神安形止；基于“缪刺”，调衡阴阳；揿针留置，长效止痉；明辨经络，辨证遣针，以此四法针刺辨治原发性面肌痉挛。文中所附一例原发性面肌痉挛病案，观其舌苔脉象及症状表现，辨为面风，阴虚风动型，治以疏肝养阴、熄风止痉，以调神法、缪刺法、揿针法、远取法联合治疗，收效甚佳，随访半年未复发。[结论] 孙师临床辨治原发性面肌痉挛，以形神关系为基础，以明辨经络、定病经、辨证遣针为原则，治疗时调神、缪刺、揿针、远取相结合，体现了针刺治疗的优势所在，拓宽了该病的诊治思路，值得学习和推广。 |
| 英文摘要: |
| [Objective] To summarize Professor SUN Yuanzheng‘s clinical experience in acupuncture treatment of primary hemifacial spasm. [Methods] Through clinical study with teachers， Professor SUN‘s understanding of the disease and treatment characteristics were expounded， and the ideas on differentiation and treatment of the disease were analyzed and verified by example of medical record. [Results] Professor SUN believes that the essence of the disease is that Qi deficiency leads to wind movement， which is closely related to emotional factors. Wind is the main pathogenic factor leading to spasm， and emotional disorder is the inducing factor leading to the aggravation of the disease， which can be divided into two pathogenic modes: internal wind and external wind. Professor SUN believes that the disease is located in the facial meridian tendons， which is related to the damage of facial meridian Qi， the Qi of meridians is blocked， and the local Qi and blood circulation is not smooth， so it is suffered from the disease. Professor SUN has the following characteristics in the treatment of this disease， paying attention to “regulating mind” and the mind is at rest and the form is motionless； based on “Miao acupuncture”， regulating Yin and Yang； indwelling acupuncture with long-term effect to stop spasm； distinguishing meridians and collateral， acupuncture according to syndrome differentiation. In the case of primary hemifacial spasm， the pulse and symptoms of tongue coating were identified as the type of facial wind and Yin deficiency， which was treated by soothing the liver and nourishing Yin， extinguishing wind and stopping spasm， and also treated with mind-regulating method， Miao acupuncture method， press-needle method and distant method. The effect was very good， and there was no recurrence after follow-up for half a year. [Conclusion] Professor SUN‘s clinical diagnosis and treatment of primary hemifacial spasm is based on the relationship between form and spirit， according to the principle of distinguishing channels and collateral， clarifying disease meridians， acupuncture according to syndrome differentiation. It reflects the advantages of acupuncture treatment， broadens the diagnosis and treatment of the disease， and is worth learning and popularizing. |
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