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不同針刺法治療顱底軟骨肉瘤術后多發腦神經損傷驗案
胡艷美1, 李建萍1, 張仁2
1.上海市徐匯區中心醫院針灸科, 上海 200031;2.上海市中醫文獻館, 上海 200020
摘要:
文章報道針刺和穴位注射法結合治療顱底軟骨肉瘤術后多發腦神經損傷(面神經、外展神經、聽神經)的病案。針刺法強調不同刺法相互配合,包括透刺法和齊刺法。其中,透刺法又根據不同病癥和病位,采用淺透刺法和深透刺法。穴位注射法選用甲鈷胺注射液修復損傷的神經纖維,復方樟柳堿注射液改善血液循環以增加受累神經的供血供氧。針刺和穴位注射相互配合,共奏良效。
關鍵詞:  腦神經損傷  軟骨肉瘤  透刺法  齊刺法
DOI:10.11656/j.issn.1673-9043.2023.02.10
分類號:R245.31
基金項目:第七批全國老中醫藥專家學術經驗繼承項目(國中醫藥人教函[2022]76號);國家中醫藥管理局張仁全國名老中醫藥專家傳承工作室項目(1542962311683);上海市中醫藥事業發展三年行動計劃“杏林新星”計劃項目[ZY(2018-2020)-RCPY-3016];2019-2021年度徐匯區衛生健康系統“三級人才發展計劃”。
Different acupuncture methods in the treatment of multiple brain nerve injury after operation of skull base chondrosarcoma
HU Yanmei1, LI Jianping1, ZHANG Ren2
1.Department of Acupuncture, Shanghai Xuhui District Central Hospital, Shanghai 200031, China;2.Shanghai Literature Institute of Traditional Chinese Medicine, Shanghai 200020, China
Abstract:
This paper introduces treatment of multiple brain nerve injuries (facial nerve, abductor nerve and auditory nerve) after operation of skull base chondrosarcoma with acupuncture and acupoint injection. Acupuncture emphasizes the coordination of different needling methods, including penetration needling and triple needling. Besides, the penetration needling method adopts shallow-penetrating needling method and deep-penetrating needling method according to different syndromes and disease sites. Acupuncture injection uses mecobalamin injection to repair the damaged nerve fibers, and compound anisodine injection to improve blood circulation in order to increase the blood and oxygen supply of the affected nerves. Acupuncture and acupoint injection cooperate with each other to play a good effect.
Key words:  brain nerve injury  chondrosarcoma  penetration needling  triple needling
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