摘要
本研究介绍张卫华教授临床对周围性面瘫病损部位的诊断法和四期分法治疗经验,为推广应用提供借鉴。诊断上张教授主张依据临床表现特征确定病损部位及其程度,以判断预后;临床按进展期、平台期、恢复期和后遗症期四期进行治疗。急性期毒邪壅盛,针药结合,并发现确有疗效的“面瘫二穴”;平台期邪气较盛,正气不虚,相互交争,势均力敌,其持续时间的长短因人而异,治疗坚持急性期驱邪为主之法;恢复期病邪渐退或兼见正虚,治以电针为主,针灸多合用推拿、火罐、面部热敷或穴位注射等,鼓动经气,通经活络,追邪穷尽;后遗症期正气耗伤,余邪未尽,治疗以扶正为主,兼祛余邪,多选眼口5+3穴,配以经筋排刺与滞针手法,目的在于加大刺激,促进脉络之气复原,神经功能恢复。如此分期特色治疗,缩短了疗程,提高了疗效,后遗症状也大为减少、减轻。
This study introduced the clinical experience of Professor ZHANG Weihua in diagnosing and treating peripheral facial paralysis with four-phase methods,so as to provide reference for popularization and application of the method.In terms of diagnosis,professor ZHNAG advocated to determine the lesion site and its degree to judge the prognosis according to the clinical features.Clinical treatment is conducted according to the four-phase of progression,plateau,convalescence and sequela.The combination of acupuncture and medication is applied to the acute phase of excessive toxin accumulation,and effective two points for facial paralysis were found.In the plateau phase,evil-Qi is more abundant and healthy-Qi is not deficient,they can compete with each other and the duration varies from person to person,therefore the treatment should be expelling the evils.In terms of the convalescent phase,the pathogenic factors gradually fade,or the patients can be seen with healthy-Qi deficiency,the treatment for this phase is mainly electro-acupuncture and multi-method combination of acupuncture and moxibustion,such as massage,cupping,facial hot compress and acupoint injection,which can stimulate and activate meridians and chase away the pathogenic factors.During the sequela phase,healthy-Qi is consumed with residual pathogenic factors,and the treatment is mainly to strengthen healthy-Qi and remove the residual pathogenic factors.Five plus three points around eyes and mouth are selected,and the technique of needling meridian sinews and sticking needles are used to increase stimulation,promote Qi recovery in meridians and speed up the recovery of nerve function.The four-phase method can shorten the course of treatment,improve the curative effect and reduce sequela in the treatment of peripheral facial paralysis.
作者
马星星
张卫华
MA Xingxing;ZHANG Weihua(Shaanxi University of Chinese Medicine, Xianyang 712046, China;The Second Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712000, China)
出处
《针灸临床杂志》
2021年第7期76-79,共4页
Journal of Clinical Acupuncture and Moxibustion
基金
陕西省名中医张卫华传承工作室建设项目,编号:2019022
陕西省中医药管理局学术流派传承项目,编号:陕中医药发[2018]40号。
关键词
四期分法
周围性面瘫
名医经验
张卫华
Four-phase method
Peripheral facial paralysis
Experience of famous doctors
ZHANG Weihua
