针刺下关穴为主治疗颞颌关节功能紊乱症

颞颌关节功能紊乱症是口腔科常见疾病之一 ,表现为开口异常 ,颞颌关节区疼痛 ,关节在运动时发出杂音和弹响。笔者从 2 0 0 0年至今采用针刺下关穴为主治疗此症 ,已治愈 1 7例。治疗方法 :患者侧卧 ,取患侧下关穴 ,常规消毒后选用 30号 1 .5寸毫针 ,快速进针 ,直刺 0 .5寸 ,行平补平泻手法 ,留针 40ｍｉｎ。再以ＴＤＰ做颞颌关节局部照射 ,距离皮肤 30ｃｍ ,每日 1次 ,1 0次为 1疗程。关节区疼痛明显 ,运动时杂音和弹响严重者加曲池、合谷。该症属中医“痹证”范畴。人体受风寒之邪侵袭 ,致气血运行不畅 ,经脉受阻 ,气血瘀滞脉道 ,肌肉筋膜关…

Treatment of Dysfunction of Temporomandibular Joint with Acupuncture of Xiaguan Point

Dysfuntion of temporomandibular joint is one of the common stomalotogical diseases, marked by discomfort while opening mouth, pain in the temparomandibular joint region and noise appearing while moving the joint. The authors of the present paper treated 17 cases with acupuncture of Xiaguan (ST 7) and got a satisfactory result. Methods: Gauge 30 filiform needle 1.5 cun long was used to insert into Xiaguan (ST 7) rapidly to a depth of about 0.5 cun. The needle was manipulated with uniform reducing reinforcing method and then retained for 40 minutes. During retention of the needle the focus was irradiated with a TDP lamp. The treatment was given once daily, with 10 treatments being a therapeutic course. For severe patients, Quchi (LI 11) and Hegu (LI 4) were used in combination. Results indicated that after acupuncture treatment all the 17 cases were cured.