文献类型：期刊文献

中文题名：改良烧山火法治疗周围性面瘫

英文题名：Peripheral facial paralysis treated with the adapted acupuncture technique of heat-producing needling

作者：张稀[1];魏清琳[2]

第一作者：张稀

机构：[1]甘肃中医学院针灸推拿学院,兰州730020;[2]甘肃中医学院附属医院,兰州730020

第一机构：甘肃中医药大学针灸推拿学院

年份：2011

卷号：31

期号：9

起止页码：803

中文期刊名：中国针灸

外文期刊名：Chinese Acupuncture & Moxibustion

收录：MEDLINE(收录号：21972629);CSTPCD;;Scopus(收录号：2-s2.0-80054835451);北大核心:【北大核心2008】；CSCD:【CSCD_E2011_2012】；PubMed;

语种：中文

中文关键词：面神经麻痹;针刺补泻;烧山火

外文关键词：Facial Paralysis; Method of Reinforcing-Reducing; Mountain Burning Manipulation

摘要：目的:改良传统烧山火操作方法,观察改良烧山火针刺手法治疗周围性面瘫的疗效。方法:全部50例周围性面瘫患者采用针刺治疗,穴取患侧地仓、颊车、牵正、风池、翳风,健侧合谷,双侧手三里、足三里、太冲等,采用改良烧山火手法,医者左手拇指按压其穴,右手拇指向前、示指退后缓慢捻动针体,保持得气感应;然后左手拇指加重压力,右手拇、示指持针小幅度低频率匀速提插9次;继续以左手拇指重压穴处,右手拇、示指持针向内推按守气,始终保持针尖在得气水平处,此时患者针下或远端通常会出现热感。每日治疗1次,连续治疗15次后观察疗效。结果:50例患者全部获得痊愈,无1例遗留后遗症状。结论:改良烧山火手法治疗周围性面瘫疗效确切,对面肌功能的恢复具有较好的促进作用。
Objective To improve the manipulations of traditional heat-producing needling,and observe its therapeutic effect on peripheral facial paralysis.Methods Acupuncture was adopted for all the 50 patients with peripheral facial paralysis.Acupoints such as Dicang（ST 4）,Jiache（ST 6）,Qianzheng（Extra）,Fengchi（GB 20）,Yifeng（TE 17） of the affected side,Hegu（LI 4） of the healthy side,Shousanli（LI 10）,Zusanli（ST 36） and Taichong（LR 3） of both sides were adopted.And an adapted heat-producing needling was applied.With the left thumb of the doctor press at the point,the needle was rotated slowly with the right thumb moving forward and index finger moving backward to maintain the needling sensation.Then,heavier pressure was given with the left thumb,and a 9-time lifting and thrusting manipulation with small amplitude,low and even frequency by the right thumb and the index finger.Heavy pressure was maintained by the left thumb,and the needle was inserted by the right thumb and index finger to promote the needling sensation.Thus,the tip of the needle was always kept at the level where the needling sensation appeared.Therefore,a heat sensation can be felt by the patient under the needle or at the distal area.The treatment should be given once a day.And therapeutic effect was observed after 15 times continue treatment.Results All the 50 patients were cured without any sequela.Conclusion Adapted heat-producing needling can promote the recovery of the function of facial muscle,and the effect of treatment of peripheral facial paralysis with the manipulation is confirmed.