推拿治疗脑卒中后痉挛性瘫痪的经穴特点.pdfVIP

中国康复理论与实践2015年3月第21卷第3期 ChinJRehabilTheoryPract,Mar.,2015,Vol.21,No.3 - 358 - DOI: 10.3969/j.issn. 1006-9771.2015.03.029 ·信息研究 · 推拿治疗脑卒中后痉挛性瘫痪的经穴特点① 1 2 1 1 1 马鑫 ，励建安 ，朱毅 ，金宏柱 ，严连凤 [摘要] 目的 统计分析现代推拿治疗脑卒中后痉挛性瘫痪的经穴使用特点及规律。方法 检索推拿治疗脑卒中后痉挛性瘫痪 的文献，统计所使用的经络腧穴及频次，分析经穴运用特点及规律。结果 共纳入文献99 篇，共使用穴位226 个，总频次1602 次。选用腧穴遍及十四正经，四肢占64.5% (1033/ 1602，其中下肢606 ，上肢427) ，阳经的使用总频率为75.0% (1200/ 1602) ，特定 穴占71.7% (1148/ 1602) 。结论 推拿治疗脑卒中后痉挛性瘫痪以局部取穴为主，同时配合偱经取穴和远端取穴。选穴首重阳经腧 穴，主要分布于四肢部；特定穴最为常用，尤其是五输穴及其中的合穴。 [关键词] 脑卒中；痉挛性瘫痪；推拿；经络；穴位 Selection of Meridians and Acupoints of Tuina for Spastic Paralysis post Stroke: A Bibliometric Analysis 1 2 1 1 1 MA Xin , LI Jian-an , ZHU Yi , JIN Hong-zhu , YAN Lian-feng 1. The Second Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210023, Chi- na; 2.Nanjing Medical University, Nanjing, Jiangsu 210029, China Abstract: Objective To investigate the meridians and acupoints selection in the treatment of post-stroke spastic paralysis with Tuina (Chinese massage). Methods The literatures about Tuina therapy for post-stroke spastic paralysis were retrieved. The frequency of meridi- ans and acupoints used was counted and analyzed. Results 99 papers were collected, which involved in 226 acupoints and 1602 times of ap- plication. The selected acupoints were distributed in all the fourteen meridians and 64.5% (1033/ 1602, 606 on upper limb, 427 on lower limb) of them were on the limbs. The acupoints of the Yang meridians was 75.0% (1200/ 1602) and the specific acupoints was 71.7% (1148/ 1602). Conclusion The acupoint selected was basically focused on the local areas in Tuina for post-stroke spastic paralysis, as