[1]彭 曼,姚 雯,吴清明,等.名中医吴清明治疗顽固性面瘫经验[J].陕西中医,2023,(12):1796-1799.[doi:DOI:10.3969/j.issn.1000-7369.2023.12.029]
　PENG Man,YAO Wen,WU Qingming,et al.Analysis of Wu Qingming's experience in treating obstinate facial paralysis[J].,2023,(12):1796-1799.[doi:DOI:10.3969/j.issn.1000-7369.2023.12.029]
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名中医吴清明治疗顽固性面瘫经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年12期
页码:
1796-1799
栏目:
名中医经验
出版日期:
2023-12-05

文章信息/Info

Title:
Analysis of Wu Qingming's experience in treating obstinate facial paralysis
作者:
彭 曼1; 姚 雯2; 吴清明2; 刘 恋2
(1.湖南中医药大学,湖南 长沙 410208; 2.湖南中医药大学第二附属医院,湖南 长沙 410005)
Author(s):
PENG Man; YAO Wen; WU Qingming; LIU Lian
(Hunan University of Traditional Chinese Medicine,Changsha 410208,China)
关键词:
顽固性面瘫;  吴清明;  阳气;  温阳助动针灸法;  阳虚受邪;  艾灸
Keywords:
Obstinate facial paralysis;  Wu Qingming;  Yang qi;  Acupuncture and moxibustion method of warming yang and promoting movement;  Yang deficiency suffering from evil;  Moxibustion
分类号:
R 246.6
DOI:
DOI:10.3969/j.issn.1000-7369.2023.12.029
文献标志码:
A
摘要:
总结吴清明教授立足于“阳主动”理论,运用温阳助动针灸法治疗顽固性面瘫的临床经验。顽固性面瘫早期多为阳气不足,外邪侵入,发展到中晚期时则阳气耗损,无力驱邪外出,久居面部经络则疾病迁延不愈。吴清明教授认为此病多为阳虚受邪,正气亏虚,加之痰瘀互结,从而常规治疗效果甚微。吴老认为阳气充足,则气血津液化生充足,运行畅通,外邪无路径可入; 阳气不足,络脉空虚,邪气易客居经脉,痹阻不通,则发病,创立了“温阳助动针灸法”,取经上,选取手、足阳明之多气多血之经脉; 选穴上,主要选取手三里、足三里、下关、地仓、颊车、迎香、阳白、瞳子髎、颧髎穴。手、足三里穴既为阳明经之腧穴,又为四肢远端之腧穴,配合下关、地仓、颊车等面部腧穴,以面部阳经腧穴配合四肢远端手三里、足三里之穴,远近配穴、协同增效。在针刺时又采用热补手法,同时配合以艾灸,通过艾条燃烧的温热之力,连续对人体补充阳气,以“温阳补虚”为法以治其本,达到温阳补虚、助动启瘫之效。
Abstract:
This paper summarizes professor Wu Qingming's clinical experience in treating obstinate facial paralysis by acupuncture and moxibustion method of warming yang and promoting movement based on the theory of “positive initiative”.In the early stage of facial paralysis,it is often characterized by insufficient yang qi and invasion of external pathogens.In the middle to late stage,the yang qi is depleted and unable to expel pathogens.Prolonged exposure to facial meridians results in the disease being persistent and incurable.Professor Wu Qingming believes that this disease is mostly caused by yang deficiency and pathogenic factors,as well as deficiency of positive qi and the combination of phlegm and blood stasis.Therefore,the conventional treatment has little effect.Professor Wu thought that if yang qi is sufficient,then qi,blood and fluid will liquefy and generate sufficient energy,with smooth operation and no path for external evil to enter.If yang qi is insufficient,and the collaterals are empty.Evil qi tends to reside in the meridians,and blockage of arthralgia can lead to the onset of disease.And professor Wu founded the “acupuncture and moxibustion method of warming yang and promoting movement method”.In the collection of meridians,the channels with more qi and blood in the hands and feet were selected.On the selection of acupoints,select Shousanli,Zusanli,Xiaguan,Dicang,Jiache,Yingxiang,Yangbai,Tongziliao and Quanliao.The Shousanli and Zusanli are both the Yangming meridian acupoints and the distal limb acupoints,combined with facial acupoints such as Xiaguan,Dicang and Jiache.The facial yang meridian acupoints are combined with the distal Shousanli and Zusanli acupoints of the limbs to achieve a synergistic effect.During acupuncture,the technique of heat reinforcement is used,combined with moxibustion to continuously replenish yang qi to the human body through the warm and burning force of moxa sticks.The method of “acupuncture and moxibustion method of warming yang and promoting movement” is used to treat the root cause,achieving the effect of warming yang and tonifying deficiency,assisting in activating paralysis.

参考文献/References:

[1] 刘小春,张卫华,赵 娴.国医大师郭诚杰治疗周围性面瘫急性期经验[J].陕西中医,2022,43(12):1781-1783.
[2] Revenaugh PC,Byrne PJ.Gracilis microneurovascular transfer for facial paralysis[J].Facial Plast Surg,2015,31(2):134-139.
[3] Byrne PJ.Current concepts,state of the art treatment of facial palalysis[J].Facial Plast Surg,2015,31(2):91-92.
[4] Risoud M,Aljudaibi N,Duquennoy-Martinot V,et al.Long-term aequelae treatment of peripheral facial paralysis with botulinum toxin tyoe A:Repartition and kinetics of doses used[J].Ann Chir Plast Esthet,2016,61(1):10-15.
[5] 吴 俊,周贤刚,钟 渠.面神经炎后遗症危险因素的Logistic回归分析[J].中华神经科杂志,2007,40(2):109-111.
[6] 王楼珍.针刀疗法联合面部刮痧治疗顽固性面瘫36例[J].中国民间疗法,2020,28(19):38-40.
[7] 韩 颖,刘 刃,王拓然,等.基于CNKI数据库的顽固性面瘫文献计量学分析[J].中国针灸,2021,41(2):229-232.
[8] 胡艳美,朱博畅.张仁教授分期论治难治性面瘫经验[J].中国针灸,2020,40(8):865-867,896.
[9] Ilyes B,Mohamed A,Issam S,et al.Delayed facial nerve decompression for severe refractory cases of Bell's palsy:A 25-year experience[J].Bio Med Central,2018,47(1):1.
[10] 赵 萍,曹会芳,杨新利.温针灸治疗顽固周围性面瘫眼睑闭合不全临床研究[J].长春中医药大学学报,2020,36(5):948-951.
[11] 茅丽珍,吴 萍,罗春燕.中医情志护理干预对顽固性周围性面瘫患者心理状态及生存质量的影响[J].湖南中医杂志,2016,32(6):126-127,152.
[12] 张 健,尹秀婷,许 明,等.张泓治疗顽固性面瘫经验[J].湖南中医杂志,2015,31(12):43-44.
[13] 冯颜庆,周 婷.透刺结合滞针提拉法治疗顽固性面瘫的疗效观察[J].中医药学报,2022,50(9):88-92.
[14] 熊中豪,宋 娜,周 熙,等.针刺结合管灸治疗顽固性面瘫的临床观察[J].中医药导报,2021,27(11):113-116.
[15] 朱世壮,宋庆雨,刘长玥,等.周围性面瘫的治疗方法概述[J].中国民间疗法,2023,31(7):98-103.
[16] 刘农虞.经筋与卫气[J].中国针灸,2015,35(2):185-188.
[17] 连汝静,贾一明,孙文博.特殊透刺联合雷火灸治疗周围性面瘫疗效及对患者血清MDA、SOD的影响[J].陕西中医,2022,43(4):519-522.
[18] 臧春柳,佘妙华,赵见文.浅析艾灸之原理[J].新中医,2020,52(19):133-135.
[19] 张馨月,颜 非,刘建宇,等.艾灸以温为治的中医理论探源[J].双足与保健,2018,27(18):167-168.
[20] 张建斌,王玲玲,吴焕淦,等.艾灸温通温补概念的内涵分析[J].中国针灸,2012,32(11):1000-1003.
[21] 张艳艳,朱永志,张 迪,等.早期针刺对面神经炎急性期疗效的影响[J].针灸临床杂志,2008,25(2):15-16.

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备注/Memo

备注/Memo:
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[国中医药人教函(2022)75号]; 湖南省中医药管理局科研项目(B2023115)
更新日期/Last Update: 2023-12-08