Cerebrovascular accident acupuncture treatment technology

China's traditional Chinese medicine to

        Cerebrovascular accident, also known as acute cerebrovascular disease, it is to point to cerebrovascular acute blood circulation obstacle in hemiplegia, aphasia, coma and acute or subacute cerebral damage symptoms of the disease. Each age groups all have come on, but see more in middle age for, especially in patients with hypertension, arteriosclerosis, etc. Such cases occur sharp, mortality, morbidity high. According to the nature of the disease, can be divided into ischemic and hemorrhagic two kinds. The former includes cerebral hemorrhage and subarachnoid hemorrhage, the latter including cerebral thrombosis and cerebral embolism. Of which the most cerebral thrombosis more see, followed by cerebral hemorrhage, subarachnoid hemorrhage and cerebral embolism take second place.

        The disease belongs to traditional Chinese medicine "stroke", "stroke", "big jue", "wind Fei" disease, and other categories.

        Pathogeny and pathogenesis

        Mainly due to deficiency in patients with qi and blood, heart, liver, kidney three dirty the imbalance of Yin and Yang, try to sorrow is hushed into anger, or diet is not festival, or atrioventricular exhaustion, incentive that wind, fire, phlegm, blood stasis and disease evil on interference qing qiao, cause "opening and closing god, god does not guide gas", it is the disease happened.

        Differentiation of symptoms and signs parting

        1. The main and collateral channels in

        Hemiplegia, tongue strong language Jian, spat skew, and unconscious disorder.

        (1) liver Yang BaoKang: face red, red eyes, dizziness have a headache, upset irritability, bitter taste, dry throat, constipation urine yellow; Red tongue or crimson, moss yellow or dry, vein string powerful.

        (2) the wind and phlegm obstruction complex: numbness of limbs or binding nasty, dizzy, Moss white greasy or yellow greasy, vein string slide.

        (3) phlegmy heat setting real: mouth phlegm, abdominal distension constipation; Red tongue moss yellow greasy or dark gray, vein string slide big.

        (4) blood stasis, body weakness, partial body numb limbs swelling, complexion is pale and weak shortness of breath, palpitation and spontaneous perspiration, Tongue dark moss white greasy, vein fine acerbity.

        (5) Yin deficiency pneumatic: numbness, upset insomnia, dizziness tinnitus, brothers JuLuan or creep; Red tongue moss less, pulse count.

        2. Of viscera

        Wandering, mist, sleepiness or coma, furthermore coma, hemiplegia.

        (1) closed card: god faint, face red, shortness of breath, throat phlegmy in history, trismus, keep mouth does not open, limb spasm, strong, ErBian impassability, Moss yellow greasy, vein loud and number.

        (2) to take off the card: pale face, hitomi god scattered, breath weak, hand and mouth open, sweat out limb cold, ErBian incontinence, Moss oiliness, vein scattered or micro.

        Acupuncture treatment

        1. The main and collateral channels in

        [therapeutic] dredges the channels and collaterals, line qi and activate blood circulation.

        [prescription] neiguan, three Yin chiao, pole spring, chize, the bilateral.

        [add and subtract] liver Yang BaoKang add taichong, too creek, Wind and phlegm obstruction complex and st 40, all the valley; Phlegm heat setting real plus quchi, Chambers, fung lung; Blood stasis and st36; Yin deficiency pneumatic add too creek, wind pool; Spat skew and buccal car, warehouse; Upper limbs to materialize and shoulder Yu, hand three mile, all the valley; I of the lower limbs with gb 30, gb 34, foot three mile, wind city; Dizzy plus wind pool, the bone, tianzhufeng; Strephenopodia and high market transillumination sea; Constipation water way, return, fung lung, feeder drain; Diplopia and wind pool, tianzhufeng, ching Ming, after the ball, Incontinence of urine and retention and most, symphysis pubis and close yuan.

        [operation] neiguan with twisting catharsis, continuous luck needle 1 ~ 3 minutes; Thorn three Yin chiao, along the tibial medial border and skin into a 45 ° Angle, make the needle point stab to three Yin chiao hole, with mention interpolation method; Thorn pole spring, in the original hole location under the two feelings the scripture acupoint selection, avoid the armpit hair, straight lunge needle, with mention plug catharsis, patients with upper limbs have hemp expansion and twitch feeling for degree; Chize, committee ZhongZhi thorn, lift plug catharsis, make body have twitch feeling.

        2. Of viscera

        [therapeutic] awake brain begin to understand, and begin to understand alignment, back to Yang solid to take off.

        [prescription] ditch, inner shut.

        [add and subtract] closed card and twelve well hole, li4, taichong; To take off the card and close yuan, air sea, shenque; Respiratory failure aerated shekels.

        [operation] neiguan with twisting catharsis, continuous luck needle 1 ~ 3 minutes; Ditch with sparrow pecking method to patients with facial expression appears as a reaction to the degree; Twelve well hole with triangular needle prick bleeding; Taichong, all the valley with catharsis, strong stimulation. Close yuan, air sea with big moxa wick moxibustion, shenque with every salt moxibustion, until the limbs turn temperature so far.

        Appropriate technology

        1. Balance stitch

        [acupoint selection]

        (1) upper limbs flexor side: pole spring, chize, big ling.

        (2) the upper limb extensor side: shoulder Yu, patio, te 4.

        (3) the lower limb extensor side: blood, LiangQiu, and according to the sea.

        (4) the lower limb flexor side: leg off, lr 8, st 41, "vein.

        [operation] patients take supine position, with lateral upper limbs set body side, arm unbend, the palm to the torso; A side lower limb natural unbend, popliteal fossa place mat about 15 centimeters high, supporting ankle neutral position.

        [methods]

        Weakening technique: preempt upper limbs flexor and the lower limb extensor side acupuncture point, disinfection acupuncture point, quickly penetrate into the hole, after gas every hole line downy and even twisting technique a minute. Technology standard: the needle into the action gently, fast penetrate hypodermic, twisting turn Angle for 90 ° ±, frequency for 60 ± times/points, to not appear muscle twitch for degrees, the needle contempt.

        Strengthening technique: take upper limbs extensor, muscle flexor side acupuncture point, conventional disinfection, quickly penetrate into the hole, after gas every hole line strong mention plug twisting technique a minute. Technology standard: the needle into the action downy, quickly penetrate into skin, according to the degree of muscle rich, lift plug amplitude 1 ~ 3 centimeters, frequency for 60 times ± / points, twisting turn Angle for 180 ° ±, frequency for 60 beats per minute to appear strong sense of needle for degrees, the needle faster.

        Retaining needle 30 minutes, the needle respectively before using the above technique luck needle a minute, once a day. 10 days for one period of treatment, treatment between the two day, continuous treatment observation 3 ~ 4 treatment.

        2. Head hole through thorn

        [prescription]

        Disturbance of consciousness is light: god through court on the star, the sun.

        Mental symptoms: god through court on star, stuffy nose through five place, this god.

        Headache: the sun through the close, wind pool.

        Urine and obstacle: four gods chung through the will.

        Aphasia: fengfu through yamen.

        Facial paralysis: to warehouse through buccal car, where the.

        Dysphagia: CV 23, JinJin, YuYe, ocean, air mansion, wind pool, yifeng, etc.

        Paralysis: the baihui point through temporal attachment to an average of four section, respectively in turn needle 4 needle.

        Feeling obstacle: complex but through bearing is collected fully clever suspension to.

        Eye movement disorder: glabella, sun.

        [operation] the rapid in and out of needle, fast small twisting intermittent acupuncture method. To 28, 1.5 inch acupuncture needle first vertical penetrate hypodermic or head fur cap shape aponeurosis after, with 15 ° Angle of acupuncture direction along the scalp or skin mild, fast, and not turning penetrate into one inch. The sun, the wind pool, shimonoseki, CV 23, JinJin, YuYe, ocean points according to choose hole direction using fast thorn or oblique thorn, penetrate into one inch. Adopted quick twisting the acupuncture technique at the same time, patients with active or passive on sports, language, swallowing and neural function exercise. Daily treatment time, six times a week, every week stop pin a day, 28 days for one period of treatment.

        Other therapy

        1. Head needle

        [acupoint selection] top temporal front slash, top side 1 line, the top side 2 line.

        [operation] choose acupuncture needle and scalp into 30 ° Angle into the scalp, fast turning 2 ~ 3 minutes, 30 minutes every time retaining needle, retaining needle repeatedly during twisting 2 ~ 3 times. Line after needle encourage patients body activities. Alternate days once, 30 times for one period of treatment. Suitable for convalescence or sequelae period.

        2. Point injection

        [acupoint selection] wind pool, shoulder, arm Yu Er, quchi, wai kuan, shen shu, v rabbit, foot three mile, float in the sky, hang a bell.

        [operation] every time choose 2 ~ 3 hole, the hole used alternately. Traditional Chinese medicine preparation optional angelica, salvia miltiorrhiza, safflower, astragalus root, summer without, XuChangQing etc; Western medicine can choose adenosine triphosphate, nicotinic acid amine, vitamin B1, vitamin B12, ATP, coenzyme A, etc. Every day or the next one, each hole note medicine 0.5 ~ 2 ml. Every day or the next day once, 5 ~ 7 times for one period of treatment.