Discussion on the theoretical thinking of fire-needling treatment of patients with stroke flaccid paralysis based on Tongjing Roujin therapy
10.3760/cma.j.cn115398-20230204-00055
- VernacularTitle:基于通经柔筋法探讨火针治疗中风软瘫的理论思考
- Author:
Linbo SHEN
1
;
Yuan XIE
;
Yuanbo FU
;
Yali WEN
;
Xin DU
;
Yizhan WANG
;
Jingqing SUN
Author Information
1. 首都医科大学附属北京中医医院针灸中心，北京 100010
- Keywords:
Stroke (TCM);
Flaccid paralysis;
Fire-needling;
Meridians;
Tongjing Roujin
- From:
International Journal of Traditional Chinese Medicine
2024;46(3):283-287
- CountryChina
- Language:Chinese
-
Abstract:
Stroke flaccid paralysis is stroke patients with abnormal physical movement function and muscle tone decline as the main performance and is a kind of common pathological state after apoplectic stroke. The longer the flaccid paralysis is, the worse the prognosis. The theory of TCM holds that stroke is mainly due to "deficiency, wind, fire, phlegm, stasis, qi", and when the pathogenic factor accumulate and block the meridians, which would cause blood stagnation, muscle and tendon damage and flaccidity, resulting in stroke paralysis. Therefore, it is necessary to set up the "Tongjing Roujin" (stimulating the muscle and nourishing the tendon) as its main treatment. Fire-needling has the effect of stimulating muscle, warming yang, nourishing tendon, and relieving pain in the treatment of stroke flaccid paralysis. It can warm yang and dissipate cold, replenish and nourish meridian qi, release muscle nodules, promote the circulation of qi and blood, and nourish all limbs and bones. Fire-needling therapy can promote the recovery of neural pathway, strengthen local metabolism, improve local muscle tension, and thus restore limb function. The high-quality clinical research, acupoint selection rules, and standardized operating techniques of fire-needling treatment for stroke flaccid paralysis need to be further deepened.
