金肖青针灸防治难治性面瘫经验

目的]总结金肖青教授防治难治性面瘫的临床经验。方法]通过跟师临诊学习,收集金教授针灸治疗难治性面瘫的病案,从病因病机、预后判断、分期治疗等角度总结金教授预防与治疗难治性面瘫的学术思想和临床经验,并举验案佐证。结果]金肖青教授认为,难治性面瘫的病因病机为面瘫日久,痰、瘀等病理因素阻滞经络,或正气不足、脉络失养,导致疾病迁延不愈。在面瘫早期即进行预后判断,分期规范治疗,辨证基础上予以祛瘀、化痰、扶正,是金师防治难治性面瘫的关键。所举病案为难治性面瘫,患者证属风痰阻络,面瘫早期预后判断较差,金教授分期治疗,以通络化痰为原则,兼顾整体,防治结合,效果良好。结论]金肖青教授早期即进行预后判断、分期规范治疗防治难治性面瘫的学术思想与独到经验,临床疗效显著,值得临床医者学习与借鉴。

The Experience of Professor JIN Xiaoqing in Preventing and Treating Refractory Facial Paralysis by Acupuncture and Moxibustion

Objective] To summarize Professor JIN Xiaoqing''s clinical experience in the prevention and treatment of refractory facial paralysis. Method] Through clinical study from teacher, we collected the cases of Professor JIN in the treatment of refractory facial paralysis by acupuncture and moxibustion, summarized Professor JIN''s academic thoughts and clinical experiences in the prevention and treatment of refractory facial paralysis from the aspects of etiology, pathogenesis, prognosis judgement and staging treatment, and cited a case as evidence. Result] Professor JIN Xiaoqing believes that the etiology and pathogenesis of refractory facial paralysis is that facial paralysis lasts for a long time, phlegm, blood stasis and other pathological factors block meridians or insufficient vital energy, and venous dystrophy, leading to the protracted disease. Professor JIN''s key to the prevention and treatment of refractory facial paralysis is to judge the prognosis in the early stage of facial paralysis, standardize the treatment by stages, remove blood stasis, dissipate phlegm and rectify them on the basis of differentiation of symptoms and signs. The listed cases are of refractory facial paralysis. The patient''s syndrome belongs to wind-phlegm obstructing collaterals. The early prognosis of facial paralysis is poor. Professor JIN treats it by stages, taking the principle of dredging collaterals and resolving phlegm as a whole, combining prevention and treatment.Conclusion] Professor JIN Xiaoqing''s academic thought and experience in the prevention and treatment of refractory facial paralysis are unique and effective. It is worth learning and using for reference by clinicians.