从腰夹脊穴论治中风后平衡功能障碍针刺思路探析

平衡功能障碍是中风后常见后遗症,增加了患者跌倒的风险及患者的病痛和负担,延缓了康复的进程,影响功能的恢复。针刺治疗是治疗中风后平衡功能障碍的重要方法,临床多以脏腑辨证和经络辨证为基础,多采用头皮针、体针、芒针等方法,虽取得一定疗效,但仍存在相应的局限性,缺乏现代学理论依据;本文从经络辨证和现代医学核心肌群理论出发,选取处于腰部核心肌群的夹脊穴,既可以通督脉、调摄膀胱经之背俞穴,入络脑室,从而达到整体治疗、调整阴阳的目的,又可以松解神经,进而缓解肌痉挛,降低肌张力,提高平衡功能。最后提出以针刺腰部夹脊穴治疗中风后平衡功能障碍,期待在临床治疗中取得更好的效果。

Discussion on acupuncture thoughts of treating balance dysfunction after apoplexy from Waist Jiaji acupoint

Balance dysfunction is a common sequelae after apoplexy,which increases the risk of falling and the pain and burden of the patient,delays the rehabilitation process,and affects the recovery of function.Acupuncture treatment is an important method for the treatment of balance dysfunction after apoplexy.Clinically,it is mostly based on the differentiation of organs and meridians,and scalp needles,body needles,awn needles and other methods are usually used.Although certain effects have been achieved,there are still corresponding limitations and a lack of the theoretical basis of modern science.Starting from meridian differentiation and modern medical core muscle group theory,this article selects Jiaji acupoints located in the core muscle groups of the waist,which can pass through the veins,adjust the back shu points of the bladder meridian,and enter the ventricle,thus to achieve the purpose of overall treatment and adjustment of yin and yang,it can also relax the nerves,thereby alleviating muscle spasm,reducing muscle tension,and improving balance function.Finally,it is proposed to acupuncture Jiaji acupoint on the waist to treat balance dysfunction after stroke,and it is expected to achieve better results in clinical treatment.