对脑卒中偏瘫本质的认识及其在针灸治疗中的指导作用

脑卒中偏瘫是中枢性瘫痪的一种，它的本质是运动模式质的改变，因此它的康复过程也就是运动模式质变的过程。本文将偏瘫康复过程分为3期，探讨了各期针灸治疗的目的及原则，并指出传统的肌力练习并不适合于痉挛期，而应以抑制痉挛、促进正常运动模式的发展、促进分离运动的形成为主要原则。

Essence of Hemiplegia due to Apoplexy and Its Guiding Action in Acupuncture and Moxibustion Treatment

Hemiplegia due to apoplexy is a kind of central paralysis. Its essence is change of motor mode, so its rehabilitation process also is one of motor mode changes. In the present paper the rehabilitation process of hemiplegia was divided into 3 stages, and the treatment purposes and principles of acupuncture and moxibustion at the various stages were studied, and results indicated that traditional myodynamic exercise was not suitable for the spasm stage, and inhibiting spasm, promoting development of normal motor mode and formation of separating motor should be the main treatment principle.