284中风病针灸早介入为好

大医精诚 - 2012年12月15日 - 255 浏览

字体 -

在谈到中风病(脑血管病)的治疗前,先废话两句中医立法。我是支持中医立法的,中医从业人员在语言上的确要过关,不只是法律上的语言要求,更是中医师能否和现代医学交流沟通的需要,能否得到更多不了解中医的人的理解的需要。当然,中医本身发展的规律和培训,需要按照中医本身的理论和实践框架来做。比如,医药就不宜象西医那样分家!

讲到中风病,如果在现代医学治疗的同时,及时的针灸介入,那病死率和致残率会大大下降,越早越好。现在不是,很多是到了缓解期,甚至后遗症期了才想到中医针灸来收拾。中风病有几类,一是中风先兆或小中风。短时间出现语言、肢体运动和感觉功能障碍。一般几秒到24小时内恢复;二是,中风中经络,没有意识障碍,主要是语言、肢体运动和感觉障碍。急性期主要是3型,肝阳暴亢、痰瘀痹阻和痰热腑实;缓解期主要是风痰瘀阻络、气虚血瘀和阴虚风动型。三是,中风中脏腑,有意识障碍,分为闭、脱两证。闭证主要有痰火闭窍和痰湿蒙窍,脱证是元气败脱、心神散乱。针灸和中药结合治疗最好。

针法:1,中风先兆,要降气化痰、平肝潜阳。针风池、太冲、阳陵泉、丰隆、足三里。皆双侧。本身针法是起到预防作用,因为这个病态可以自行恢复。

2,中脏腑,出现昏迷了。闭证要启闭开窍,针:人中、劳宫、十二井或十宣穴。有时可加百会。脱证则要回阳固脱。重灸神阙、气海、关元。

3,中经络:急性期,醒脑开窍,清热祛风。针百会、风府、风池、大陵、行间、丰隆。除不对称的穴位外,都针双侧。

恢复期,针百会、舌下、极泉、曲池、环跳、绝骨和足三里。肢体软瘫的,多选患侧的极泉、肩髃、曲池、合谷、八邪、环跳、阳陵泉、绝骨和解溪。肢体硬瘫的,则选双侧的,极泉、曲池、尺泽、大陵、天井、环跳、曲泉、三阴交和绝骨。

中药治疗中风昏迷方面有一定经验。朱进忠教授的经验可借鉴。他分成几个证型。

1,阳明实热,痰蒙心窍。昏迷伴牙关紧闭、抽搐、面红气粗、二便不通(但未到腑实,腹诊可鉴),身热,舌红,苔黄干,脉弦滑数,关脉明显。用白虎承气汤合安宫牛黄丸。石膏30-120克,知母9-15克,郁金12克,大黄9-12克,芒硝6-9克(冲)。安宫1日2次,1次1丸。

2,气营两燔,阳明腑实。昏迷伴发热,便秘,舌质红绛,苔黄燥,脉沉而滑数。犀角地黄汤加减:全蝎(代犀角)10克,生地15克,白芍15克,丹皮12克,元参30克,大黄9克,芒硝3-9克(冲),郁金9克。喉中痰声辘辘,竹沥汁和生姜汁冲安宫两丸。可以看出,这两型通腑方面差不多少,只是清宫和清阳明热的不同。

3,肝阳上亢,痰蒙心窍证:昏迷伴面红赤、苔白或黄白,脉弦大,寸脉明显,甚至上到大鱼际处。镇肝熄风汤合安宫牛黄丸。

4,风痰阻络,痰蒙心窍证,昏迷伴痰声辘辘,苔白或黄白,没有热象,显静,脉沉滑数。星蝎二陈汤。钩藤,地龙,全蝎,郁金,茯苓,南星,半夏,橘红,连翘,竹沥(冲),生姜汁(冲)。

5,阳气欲脱证:昏迷伴目闭口张,手撒遗尿,汗出肢冷,脉散或沉微欲绝。参附汤。

6,下元虚衰,虚阳上浮,痰浊蒙窍:昏迷伴面赤如妆,足冷,脉虚大而无根。注意,同样是阳虚,但此时重点是元阳不潜,有离绝之危险。地黄饮子加减。

分享博文至:
分类: 健康 (全局), 妙手银针 | 永久链接 | Trackback
    23 条评论
  1. I do not even know how I ended up here, but I thought this post was good. I don’t know who you are but certainly you’re going to a famous blogger if you are not already ;) Cheers!

  2. My spouse and I stumbled over here from a different page and thought I might as well check things out. I like what I see so now i’m following you. Look forward to checking out your web page again.

  3. What’s up to all, how is everything, I think every one is getting more from this website, and your views are nice designed for new people.

  4. Hello there! I know this is kind of off topic but I was wondering which blog platform are you using for this website? I’m getting fed up of Wordpress because I’ve had issues with hackers and I’m looking at alternatives for another platform. I would be great if you could point me in the direction of a good platform.

  5. My spouse and I stumbled over here from a different web address and thought I might check things out.

    I like what I see so now i’m following you. Look forward to looking over your web page repeatedly.

  6. Hello there, just became alert to your blog through Google, and found that it’s truly informative. I am going to watch out for brussels. I’ll be grateful if you continue this in future. Lots of people will be benefited from your writing. Cheers!

  7. I’m not sure why but this blog is loading extremely slow for me. Is anyone else having this issue or is it a problem on my end? I’ll check back later on and see if the problem still exists.

  8. With havin so much content do you ever run into any problems of plagorism or copyright infringement? My website has a lot of completely unique content I’ve either written myself or outsourced but it appears a lot of it is popping it up all over the web without my agreement. Do you know any ways to help protect against content from being stolen? I’d certainly appreciate it.

  9. I am genuinely happy to read this website posts which carries tons of useful data, thanks for providing these information.

  10. It is perfect time to make a few plans for the long run and it is time to be happy. I’ve read this publish and if I could I desire to recommend you few interesting issues or tips. Maybe you can write next articles relating to this article. I desire to read even more issues approximately it!

发表评论