Clinical Experience of Treating Radial Nerve Injury with External Treatments Based on"Treatment for Flaccid Paralysis Aim-ing at Yangming Meridian"
10.16466/j.issn1005-5509.2024.10.011
- VernacularTitle:基于"治痿独取阳明"运用外治法治疗桡神经损伤的临证体会
- Author:
Jie ZHANG
1
;
Fan YANG
;
Zeyuan ZHANG
Author Information
1. 嘉兴市中医医院 浙江,嘉兴 314000
- Keywords:
radial nerve injury;
flaccidity syndrome;
treatment for flaccid paralysis aiming at Yangming meridian;
stasis block;
promoting blood circulation and removing blood stasis;
acupuncture;
traditional Chinese medicine fumigation and washing;
external treatment
- From:
Journal of Zhejiang Chinese Medical University
2024;48(10):1269-1273
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To elucidate the experience of treating radial nerve injury with external treatment based on"treatment for flaccid paralysis aiming at Yangming meridian".[Methods]Based on the symptoms and manifestations of radial nerve injury,the etiology and pathogenesis were analyzed,and the connotation of"treatment for flaccid paralysis aiming at Yangming meridian"was deeply analyzed.The strategies of treating radial nerve injury with external treatment were expounded with the guidance of classical articles,and a typical medical case was presented for demonstration.[Results]The causes of radial nerve injury are nothing more than deficiency and excess.The deficiency symptoms are deficiency of the spleen and stomach,deficiency of the liver and kidney,and the excess symptoms include dampness,heat,blood stasis,phlegm turbidity block,and it is easy to be mixed with deficiency and excess."Treatment for flaccid paralysis aiming at Yangming meridian"not only focuses on the spleen and stomach,but also not blindly tonifying the spleen and stomach,but paying attention to regulating the spleen and stomach as the core,distinguishing deficiency and excess,taking into account the five viscera,and clearing and tonifying Qi and blood as the fundamental.The external treatment strategy under the guidance of"treatment for flaccid paralysis aiming at Yangming meridian"can be summarized as"use acupuncture treatment,and focus on selecting Yangming""use acupressure to promote Qi and blood""external use of traditional Chinese medicine to promote blood circulation and remove meridian obstruction""rehabilitation exercise,supplemented by physiotherapy"and"combining Chinese and western,and get results quickly",clinical flexible cooperation of many means can harvest significant results.In the medical case cited,the patient suffered from the radial nerve injury due to a car accident,and identified as the flaccidity syndrome of blood stasis block.The treatment was based on the principle of promoting blood circulation and removing blood stasis,clearing the channels and relieving pain,and the comprehensive use of acupuncture,massage and traditional Chinese medicine fumigation and washing was used to treat the patient's wrist freely for one month,with remarkable results.[Conclusion]"Treatment for flaccid paralysis aiming at Yangming meridian"is not only tonifying the deficiency of the spleen and stomach,but focusing on dredging Yangming Qi and blood,and producing normally.The theory guides the thinking of treating radial nerve injury from the angle of promoting blood circulation and removing blood stasis,attaches importance to the advantages of acupuncture,massage and traditional Chinese medicine fumigation and washing.
