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1、1“醒脑开窍”针刺法的临床应用TheClinicalPracticeonXNKQAcupuncture“醒脑开窍”针法简介IntroductionofXNKQAcupuncture“醒脑开窍”针法是石学敏院士1972年针对中风病的基本病机，即瘀血、肝风、痰浊等病理因素蒙蔽脑窍导致“窍闭神匿，神不导气”而提出的治疗法则和针刺方法。XNKQAcupunctureisraisedbyShiXue-MINAcademicianin1972.Itaimedatthebasicpathogenesis,suchasbloodstasis,liverw
2、ind,phlegmwhichleadtoorificesclosed,consciousnesslostandQi-disorder.在选穴上以阴经和督脉穴为主，并强调针刺手法量学规范，有别于传统的取穴和针刺方法。ThepointsonYinmeridiansandDumeridianaremainlyselectedandstandardquantitativemanipulationsareappliedemphatically,whicharequitedifferentfromtraditionalpointselectiona
3、ndacupuncturemanipulationsintreatmentofstroke.治疗方法Treatment1.处方主穴：内关(手厥阴心包经)人中(督脉)三阴交(足太阴脾经)1.PointPrescriptionMainpoints:Neiguan(PC6,thePericardiumMeridianofHand-Juejin)Renzhong(DU26,theDUMeridian)Sanjinjiao(SP6,theSpleenMeridianofFoot-Taiyin)辅穴：极泉(手少阴心经)委中(足太阳膀胱经)尺泽(手太阴
4、肺经)Supplementarypoints：Jiquan(HT1,theHeartMeridianofHand-shaoyin)Weizhong(BL40,theBladderMeridianofFoot-Taiyang)Chize(LU5,theLungMeridianofHand-Taiyin)配穴：吞咽障碍加风池、翳风、完骨；手指握固加合谷；语言不利加上廉泉，金津、玉液放血；足内翻加丘墟透照海。PointModification：Fordifficultyofswallowing,Fengchi(GB20),Yifeng(SJ17
5、)andWangu(GB12)areadded.Forfailingtoextendfingerswithstiffness,Hegu(LI4)isadded.Forslurredspeech,Shanglianquan(EX-HN)isadded,andJinjin(EX-HN12)andYuye(EX-HN13)areusedwithblood-lettingmethod.Forstrephenopodia,penetratingmethodfromQiuxu(GB40)toZhaohai(KI6)isused.2.操作方法Manip
6、ulation内关Neiguan(PC6)直刺0.5~1寸，采用捻转提插结合泻法，施手法1分钟；FirstpuncturebilateralNeiguan(PC6)perpendicularlyfor0.5-1cun,usingcombinativereducingmethodoflifting-thrustingandtwirling-rotatingtheneedlefor1minute;人中Renzhong(DU26)SecondlypunctureRenzhong(DU26)obliquelyupwardstothenasalse
7、ptumfor0.3-0.5cunwithheavybird-peckingmethoduntilthepatient’seyeballsaremoistenedortearsflowdown.向鼻中隔方向斜刺0.3~0.5寸，用重雀啄法，至眼球湿润或流泪为度；三阴交Sanyinjiao(SP6)沿胫骨内侧缘与皮肤呈45度角斜刺，进针1~1.5，用提插补法，使患侧下肢抽动3次为度ThirdlypunctureSanyinjiao(SP6)obliquelyfor1-1.5cun,attheangleof45degreeswiththesk
8、insurfacealongtheposteriorborderofthemedialaspectofthetibia,withreinforcingmethodofliftingandthr
