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黎凯教授浅刺法辨证治疗面瘫(急性期)经验

【作者】 徐银冬

【导师】 黎凯;

【作者基本信息】 辽宁中医药大学 , 中西医结合临床, 2011, 硕士

【摘要】 面瘫是临床的常见病及多发病,本病的发病机制尚不完全明确,其临床多为急性起病。以一侧面部表情肌群的运动功能障碍为主要特征。据我国流行病学调查统计:我国每年大约有65-90万新发病例,发病率高达50人/10万人/年,发病初期的12小时至1-2天,面瘫的症状可达到高峰。面瘫目前没有统一的治疗方法,西医多通过药物治疗,而中医的针灸治疗目前临床显示已证实疗效确切。导师黎凯教授从事神经内科工作30余年,积累了丰富的临床经验,她认为在面瘫时机的选择方面,应在急性期便着手治疗,这样更有利于预后,且不可强刺激,应在急性期采取浅刺法治疗,根据不同的病因病机,辨证遣方,临床效果显著。

【Abstract】 Facial paralysis is a clinical common and frequently occurring disease, the pathogenesis of this disease is not completely clear ,usually it is acute onset .The main features of this disease is the motor dysfunction of one side of the facial muscles. According to epidemiological survey in China: Each year there is about 65-90 million new cases in China, the incidence rate is as high as 50 / 10 million / year,on the early onset of 12 hours to 1-2 days, the symptoms of facial paralysis can reach peak .Now there isn’t unified therapeutic method,western medicine usually treat this disease by drugs,but the treatment of acupuncture has been confirmed definite effect.Professor li kai who engaged in diagnosis and treatment of neurological diseases, more than 30 years, has accumulated rich clinical experience.She believes the timing in the selection of facial paralysis should be treated in the acute phase when is more better for prognosis,at the same time ,we should make use of the method on shallow puncture instead of strong stimulation on acute idiopathetic facial paralysis. According to different mechanism of disease and different cause of disease, with different pathological characteristics of dialectical repatriated side,and the clinical therapeutic effect is significant.

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