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2011年10月26日
Stroke a needle kang method
China's traditional Chinese medicine reported
Correspondent TengXiuYing our reporter XiaoFeng clothing
Stroke incidence, mortality is extremely high morbidity and the diseases of the nervous system, not only to patients caused great pain, also to the social and family brought a huge burden. In recent years, after a stroke rehabilitation treatment more and more attention to acupuncture, massage, Chinese traditional medicine of traditional Chinese medical rehabilitation method mainly has good curative effect. In the 1980 s, with modern rehabilitation concept into our country, diagnosis and treatment for stroke disease has a new understanding.
Heilongjiang university of traditional Chinese medicine hospital affiliated two vice presidents, director of the center TangJiang rehabilitation stroke research professor of clinical rehabilitation treatment process, according to the international standard of installment, head CongCi acupuncture point with modern rehabilitation technology dynamic union, complementary with TiZhen (traditional, antagonist stitches), and making out the comprehensive treatment by rehabilitation scheme (needle health law). The plan of the national "" science and technology support projects funded, and dozens of hospital in heilongjiang province, the recovery of the application and achieved good effect. In this connection, one TangJiang professor introduced:
Soft paralysis period
Main show is patients hemiplegia side body atony sexual attack, no random muscle contraction, or only mild joint reaction. Rehabilitation treatment goals: to improve breathing, swallowing, eating and improve body perception, improving the trunk and proximal joint control ability, keep the shoulder, elbow, wrist, hand and hip, knee, ankle range of activities, inhibit the irregular movement pattern.
1. Head needle therapy: with the head CongCi hole method, the dialectical choice in the hole's head seven area stimulate area, with the area, the area before the top point area mainly; Difficulty swallowing, water voice hoarse cough, choked with an area; Words can not with temporal area; Emotional problems with frontal area; Balance disturbances complementary with suboccipital region; Vision problems with pillow area. Local skin after disinfection, application Φ 0.35 by 40 mm is provided with for filiform needle, needle body and the skin is 15 °, inclined Pierce subgaleal, deep about 30 mm, forward or backward through thorn, after needle twirled, 200 times/minutes, twirled 5 minutes, LiuZhen 6 ~ 8 hours, LiuZhen period, every hour twirled once, until the needle, once a day.
Top area: from the former to the top (or top to the front) and left, right and the 1 2 inches of parallel lines; Top of the area before: former top to Xin will (or Xin will to former top) and left, right and the 1 2 inches of parallel lines; Frontal area: from Xin will to god court (or god court to Xin will) and left, right and the 1 2 inches of parallel lines; Pillow area: between the brain from strong to the door, and about to open by each 1 "parallel lines; Suboccipital region: from the door to the house and brain from jade pillow (1.3 inches by brain door) to tianzhufeng. An area: the wind, the wind pool and government between caves, total 5 acupuncture point; Temporal area: 0.5 inches below the head d (1 ~ 1.5 inch downward thorn), parietal nodules before the 0.5 "(1 ~ 1.5 inch downward thorn) and between them.
2. TiZhen therapy, acupuncture to traditional acupuncture gimmick is given priority to, upper limbs took flexor group of acupuncture point to the hand Yang Ming acupuncture point is given priority to, take the shoulder Yu, QuChi, hand iii, the customs clearance, $valley; Lower limb took extensor muscles group of meridians, big foot the attribution of the legs, little legs with sufficient sun Yang meridians, less by give priority to, take HuanTiao, YangLingQuan, sp9, XieXi, kunlun mountains. Patients take supine, skin regular disinfection, to Φ 0.35 by 40 mm acupuncture is provided with for filiform needle, needle on handle after gas in connection yingdi KWD 808-Ⅱ type pulse acupuncture instrument, the thin wave, frequency to 30 times/divided into appropriate, stimulate the strength to the patients tolerated for degrees, 30 minutes per treatment, once a day.
3. Modern rehabilitation therapy: in the first point CongCi during long LiuZhen rehabilitation training.
(1) a limb put: mainly including the supine position, with side lies and health side lies, the purpose is to increase the feeling of the input, helps to control seizures.
(2) position transformation: to prevent complications, every 2 ~ 3 hours turn over a body, can prevent the shoulder side under pressure.
(3) ROM training: the limb joint initiative or passivity activities, in order to prevent the joint contracture and deformation.
(4) promote the active movement: (1) the upper limbs independent passive sport: the Bobath shake hands, the use of health of the upper side drive upper activities; (2) the bridge type movement: take supine, upper limbs unbend put in the body side, knees of lower limbs hips, foot flat step in bed, extend the hip and will coxal carried from the bed surface extremities, stable, lasts for 5 to 10 seconds.
Spasms of
Main show a trouble upper and lower limbs side flexor muscle spasms of stretch. Rehabilitation treatment goals: further balanced muscle tension, break muscle spasms mode; Inhibit collaborative movement model, promote more separate the emergence of action; To strengthen middle joints (elbow, knee) control; To strengthen the proximal big muscle group activity control ability.
1. Head needle therapy: the hole's head in CongCi acupuncture, methods are the same as above.
2. TiZhen therapy, acupuncture using antagonist stitches. Choose acupuncture point basically take of the corresponding antagonist muscle group, excitement antagonist muscle against gravity muscle spasm resistance. Upper limbs basically take extensor muscles group of extremities, basically take flexor group. Take YangChi, upper four orders, YangXi, partial calendar acupuncture point (ShiShouWan stretch or fingers extended); Small yard, Er point (elbow, elbow to extend the spin); Yu shoulder, arm Er acupuncture point (make brachial outreach, antagonist of the shoulder). Take YangLingQuan lower extremities, hang a bell acupuncture point (make sufficient back bend, holds the ankle); XieXi, high market acupuncture point (make toe stretch, foot back down); QuQuan, Yin bag acupuncture point (make hip buckling, hip outreach knee flexion). Patients who take lie, conventional after disinfection, in order to Φ 0.35 by 40 mm on acupuncture is provided with for filiform needle, needle handle in gas connected yingdi KWD 808-Ⅱ type pulse acupuncture instrument, the density wave, frequency to 100 times/divided into appropriate, stimulate the strength to the patients tolerated for degrees, 30 minutes per treatment, once a day.
3. Modern rehabilitation therapy: in the first point CongCi during long LiuZhen rehabilitation training.
(1) balance seat: training without support from patients with sitting in a chair achieve a level static balance, to let it can do the different place of trunk direction swings activity "since dynamic" level 2 balance, finally can complete resistance forces "he dynamic" level 3 balance.
(2) sit-up training: patients sit straight, standing in line in the knee, upper limbs like the above weight training, a hip buckling as far as possible, and let the focus from hip slowly move to double foot to stand on.
(3) stand balance training: first up in bed, and then gradually entered the support to stand, parallel between its stand, let patients gradually away from the support, shifting to a side, training pragmatic ability, can stand with bare hands, then implement stand balance training, and finally reach the level 3 balance a stand.
(4) walk training: (1) the walking stick and support; (2), and down the stairs training: upstairs on the first leg of health, the leg after a; Down under the first with legs, more health legs.
recovery
Main show is paralyzed patients muscle strength, muscle tension recover gradually, appear separatist movement. Rehabilitation treatment goals: to strengthen the body fine, stability and harmony movement; Improve gait, restore the actual walk ability; Actively mobilize the affected side body compensatory function, the patient's life as far as possible improves the ability of self-governing, make it to return to the family, to return the society.
1. Head needle therapy: the hole's head in CongCi acupuncture, methods are the same as above.
2. Modern methods of rehabilitation: in the first point CongCi during long LiuZhen rehabilitation training.
(1) independent movement training: gradually strengthen the consciousness of active movement patients, in the training process of patients with active movement is given priority to, when needed to give some help.
(2) walk training: further improve gait training, the key is to correct guoquan gait.
(3) homework therapy: the patients should be aimed at its function hemiplegia obstacles using homework therapy.
(4) ADL training: ADL including bed chair transfer, clothing, food, and leaving the toilet, bath, walking up and down the stairs, personal hygiene, etc. Through the operation treatment, so that patients realize independent living as much as possible.
(5) the application of auxiliary appliance.
TangJiang professor when accepting a reporter to interview said, needle kang method is combining traditional Chinese and western medicine treatment of stroke a new method, is head CongCi hole and modern rehabilitation stitches organic combination of technology, with two-way adjustment function. CongCi acupuncture point is head of experts in the needle head professor of founded, simple operation, and definite effect. This method takes the meridian theory and brain function orientation as the theoretical basis, the coffins · evil hide mansion disease form "yue:" the twelve meridians and collaterals, its flesh is three hundred and sixty-five upward to the face and go empty opening." The coffins · guard gas "yue:" head gas have street, chest gas have street......" In short, the human body DuoTiao meridians (especially Yang meridians) direct contact with the head, the qi through the grid system on the head, strengthen the contact with the head of the zang-fu organs. Head CongCi can point through skull, stimulate brain cortex, direct responsibility lesions; Rehabilitation training in the role of limbs, through the DuoCi repetitive movements, non-invasive stimulate central system, improve the structure and function of the brain plasticity, promote the damaged brain function recovery. Health law reflects the whole needle rehabilitation and syndrome differentiation the combination of rehabilitation, to make up for the acupuncture in neurological rehabilitation of the insufficiency of the study. The study found that our professor tang, needle kang method can improve the stroke patients exercise the function, improve the neural function and daily living skills, the total effective rate of 94.67%, and clinical application.