李丽霞治疗痉挛性斜颈验案
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摘要
痉挛性斜颈是临床常见的一种局灶性肌张力障碍疾病,发病原理尚不明确,临床表现为颈部姿势畸形,西医治疗效果不理想。李丽霞教授认为本病以督脉为本,筋脉为标,病机特点为虚实夹杂:实在风寒湿壅滞经络,虚在肝肾不足,阴虚血少;使用针灸结合火针治疗本病,通督调神舒筋,滋阴祛风止痉,标本兼顾,取得良好疗效。现通过分析李丽霞教授治疗痉挛型斜颈的医案,为临床治疗痉挛性斜颈提供参考。
Spasmodic torticollis is a common focal muscular dystonia of the clinic, and the pathogenesis is unclear. The clinical manifestation is abnormal posture of the neck, and the therapeutic effect of western medicine is not satisfactory. Professor LI thinks that the disease is based on governor channel, and channels are the standard. The pathogenesis is characterized by intermingled deficiency and excess: excess shows the wind cold dampness congestion and stagnation with channels, and deficiency shows lack of live and kidney and insufficient yin and blood. Acupuncture and fire-needle are used to treat the disease, letting through governor meridian and relieving the tendon, nourishing yin and removing the wind and relieving the spasm, which gets good results. By analyzing the medical cases of professor LI treating spasmodic torticollis, it provides reference for the clinical treatment of spasmodic torticollis.
Spasmodic torticollis is a common focal muscular dystonia of the clinic, and the pathogenesis is unclear. The clinical manifestation is abnormal posture of the neck, and the therapeutic effect of western medicine is not satisfactory. Professor LI thinks that the disease is based on governor channel, and channels are the standard. The pathogenesis is characterized by intermingled deficiency and excess: excess shows the wind cold dampness congestion and stagnation with channels, and deficiency shows lack of live and kidney and insufficient yin and blood. Acupuncture and fire-needle are used to treat the disease, letting through governor meridian and relieving the tendon, nourishing yin and removing the wind and relieving the spasm, which gets good results. By analyzing the medical cases of professor LI treating spasmodic torticollis, it provides reference for the clinical treatment of spasmodic torticollis.
引文
[1]马凌燕,万新华.痉挛性斜颈及其诊疗.协和医学杂志,2012,3(3):332-336
[2]LeDoux M S,Xiao J,Rudzińska M,et al.Genotype-phenotype correlations in THAP1 dystonia:Molecular foundations and description of new cases.Parkinsonism Relat Disord,2012,18(5):414-425
[3]Wolfgang H Jost,Harald Hefter,Andrea Stenner,et al.Rating scales for cervical dystonia:A critical evaluation of tools for outcome assessment of botulinum toxin therapy.Journal of Neural Transmission,2013,120(3):487-496
[4]李薇薇,武连仲.针药并用治疗痉挛性斜颈临床观察.上海针灸杂志,2015,34(2):143-144
[5]李辉.孙氏腹针疗法治疗痉挛性斜颈.中国医药指南,2014,12(26):279-280
[6]梁涛,程丑夫,金昭辉.程丑夫教授治疗痉挛性斜颈验案1例.湖南中医药大学学报,2014,34(11):34-36
[7]Gavin Charlesworth,Vincent Plagnol,Kira M Holmstr?m,et al.Mutations in ANO3 cause dominant craniocervical dystonia:Ion channel implicated in pathogenesis.The American Journal of Human Genetics,2012,91(6):1041-1050
[8]刘健,曾统军,张纯,等.运用fMRI脑功能成像研究真假针刺“脑三针”对小脑的影响.医疗装备,2015,28(9):117-119
[9]徐惠德.针刺跷脉的临床应用.上海针灸杂志,1999,18(2):26
[10]王鹰,陈以国.浅谈古籍对井穴的认识.中华中医药杂志,2018,33(1):267-269
[11]朱文宏,马文珠.井穴临床应用之我见.针灸临床杂志,2001,11(8):41-43
[2]LeDoux M S,Xiao J,Rudzińska M,et al.Genotype-phenotype correlations in THAP1 dystonia:Molecular foundations and description of new cases.Parkinsonism Relat Disord,2012,18(5):414-425
[3]Wolfgang H Jost,Harald Hefter,Andrea Stenner,et al.Rating scales for cervical dystonia:A critical evaluation of tools for outcome assessment of botulinum toxin therapy.Journal of Neural Transmission,2013,120(3):487-496
[4]李薇薇,武连仲.针药并用治疗痉挛性斜颈临床观察.上海针灸杂志,2015,34(2):143-144
[5]李辉.孙氏腹针疗法治疗痉挛性斜颈.中国医药指南,2014,12(26):279-280
[6]梁涛,程丑夫,金昭辉.程丑夫教授治疗痉挛性斜颈验案1例.湖南中医药大学学报,2014,34(11):34-36
[7]Gavin Charlesworth,Vincent Plagnol,Kira M Holmstr?m,et al.Mutations in ANO3 cause dominant craniocervical dystonia:Ion channel implicated in pathogenesis.The American Journal of Human Genetics,2012,91(6):1041-1050
[8]刘健,曾统军,张纯,等.运用fMRI脑功能成像研究真假针刺“脑三针”对小脑的影响.医疗装备,2015,28(9):117-119
[9]徐惠德.针刺跷脉的临床应用.上海针灸杂志,1999,18(2):26
[10]王鹰,陈以国.浅谈古籍对井穴的认识.中华中医药杂志,2018,33(1):267-269
[11]朱文宏,马文珠.井穴临床应用之我见.针灸临床杂志,2001,11(8):41-43