中风后痉挛性偏瘫中医康复疗法的文献研究

发布时间：2018-05-03 11:03

本文选题：痉挛性偏瘫 + 运动功能障碍　；参考：《福建中医药大学》2017年硕士论文

【摘要】：目的:本课题以中风后痉挛性偏瘫为研究对象,通过中医文献的梳理,对中风后痉挛性偏瘫的传统康复疗法及传统康复思想进行文献挖掘与探讨,为进一步研究中风后痉挛性偏瘫运动功能障碍的临床诊治和科研提供依据。研究方法:本课题采取溯源法、证实法相结合的文献研究方法,在查阅古今中医文献资料的基础上,以记载各代医家对于中风后痉挛性偏瘫的认识和治疗经验的著作、期刊、医案等为主要文献依据,对文献信息进行搜集、筛选、整理、分析归纳,对中风后痉挛性偏瘫以外治方法为主的传统康复疗法进行探讨。结果:中风后痉挛性偏瘫外治传统康复疗法丰富多样,有针刺、艾灸、推拿、传统运动以及熏蒸、熨敷、浸渍、汤泉浴、热砂疗法等。治疗原则方面应坚持形神共养,注重恢复阴阳平衡,遵从整体康复与辨证康复相结合。具体实施过程中,传统运动疗法与被动康复治疗(针灸、推拿、熏蒸等)相结合,意在使形神结合,达到治标治本的目的。不同的传统康复疗法既可以单独运用,又提倡将多种传统康复疗法进行有机结合,杂合而治,综合调理,从而可以促进机体全面、整体的康复。结论:中风后痉挛性偏瘫,属于"筋痹"、"拘挛"、"痉证"、"经筋病"等范畴,以肢体偏瘫,筋脉拘挛,活动不利为主要症状。医籍文献中记载的传统康复疗法对于中风后痉挛性偏瘫者的康复具有一定的优势,针刺、艾灸和推拿疗法可以有效地通调经络、协调脏腑功能;自然康复疗法和中药外治康复疗法通过物理刺激和药效作用可以充分发挥活血化瘀、祛风除湿、舒筋活络等治疗作用,可以有效缓解偏瘫肢体的痉挛,利于肢体运动功能的恢复。另外,传统运动疗法具有动静适宜、形神共调的特点,既可以疏通经络促进机体精气流通又可以养气葆精起到扶正祛邪的作用,还可以通过协调脏腑经络阴阳平衡、形神共养对中风后偏瘫痉挛者的机体进行综合调理,促进机体的全面康复、整体康复。
[Abstract]:Objective: to explore the traditional rehabilitation therapy and thought of spastic hemiplegia after stroke by combing the literature of traditional Chinese medicine. To further study the clinical diagnosis, treatment and scientific research of motor dysfunction of spastic hemiplegia after stroke. Research methods: this topic adopts the traceability method, the confirmation method unifies the literature research method, on the basis of consulting the ancient and modern Chinese medicine literature data, records each generation doctor's understanding and the treatment experience to the stroke spastic hemiplegia, the periodical, the periodical, The medical records were used as the main literature basis to collect, screen, sort out, analyze and sum up the literature information, and to discuss the traditional rehabilitation therapy of spasmodic hemiplegia after apoplexy. Results: the traditional rehabilitation therapy for spastic hemiplegia after stroke was rich and varied, including acupuncture, moxibustion, massage, traditional exercise and fumigation, ironing, impregnation, Tang Quan bath, hot sand therapy and so on. Treatment principle should adhere to form and spirit, pay attention to restore the balance of yin and yang, comply with the combination of holistic rehabilitation and syndrome differentiation rehabilitation. In the process of implementation, the combination of traditional exercise therapy and passive rehabilitation therapy (acupuncture, massage, fumigation, etc. Different traditional rehabilitation therapy not only can be used alone, but also advocates the organic combination of various traditional rehabilitation therapies, hybrid treatment, comprehensive conditioning, so as to promote the overall and overall rehabilitation of the body. Conclusion: spasmodic hemiplegia after apoplexy belongs to the category of "gluten arthralgia", "detention clonus", "spasmodic syndrome", "meridian disease" and so on. The traditional rehabilitation therapy recorded in the medical literature has certain advantages for the rehabilitation of patients with spastic hemiplegia after stroke. Acupuncture moxibustion and massage therapy can effectively regulate the meridians and coordinate the function of the viscera. Natural rehabilitation therapy and traditional Chinese medicine external treatment rehabilitation therapy can give full play to the therapeutic effects of activating blood circulation and removing blood stasis, dispelling wind and removing dampness, and soothing muscles and activating collaterals through physical stimulation and pharmacodynamic effects, and can effectively alleviate the spasm of hemiplegic limbs. It is beneficial to the recovery of limb motor function. In addition, the traditional exercise therapy has the characteristics of suitable movement and the co-regulation of shape and spirit. It can not only dredge the meridian to promote the circulation of body's essence, but also nourish the essence of qi and maintain the essence of the body, and it can also balance the yin and yang of the channels and collaterals of the viscera by coordinating the organs and organs. The body of hemiplegic spasm after apoplexy is treated with the form and mind together to promote the overall recovery and the overall recovery of the body.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R255.2

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