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中药加针刺及星状神经节阻滞治疗脑卒中偏瘫临床观察 被引量:7

Clinical Observation of Acupuncture Combined with Traditional Chinese Medicine and Stellate Ganglion Block in Treating Cerebral Apoplexy Hemiplegia
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摘要 目的:观察中药加针刺及星状神经节阻滞治疗脑卒中偏瘫的临床疗效。方法:采用中药内服(以活血化瘀通络为治疗大法,基本方:水蛭、桃仁、赤芍、丹参、红花各15 g,大黄3 g。气虚者加黄芪30 g,白术20 g,红参10 g,茯苓20 g;湿热壅盛者加黄芩、龙胆草、泽泻、木通、厚朴、陈皮各15 g,藿香10 g,薏苡仁20 g;痰湿阻络者加半夏、白术、天南星、茯苓、白芥子各15 g;阴虚内热者加玄参、生地黄、麦冬、龟板、五味子各20 g,知母、黄柏各10 g,牡丹皮15 g)加针灸及星状神经节阻滞等综合治疗30例。结果:30例患者基本痊愈15例,显效12例,有效3例,有效率为90%。结论:中医药加针灸及星状神经节阻滞治疗本病有确切疗效,能明显降低致残率。 Objective:To observe the clinical curative effect of acupuncture combined with traditional Chinese medicine and stellate ganglion block in treating cerebral apoplexy hemiplegia.Methods:Use oral Chinese medicine combined with acupuncture and stellate ganglion block in treating 30 cases with cerebral apoplexy hemiplegia.(Activating blood circulation to dissipate blood stasis:Shuizhi,Taoren,Chishao,Danshen,Honghua,each 15 g,Dahuang 3 g.Qi asthenia plus:Huangqi 30 g,Baizhu 20 g,Hongshen 10 g,Fuling 20 g.Dampness(heat plus:Huangqi,Longdancao,Zexie,Mutong,Houpu,Chenpi,each 15 g,Huoxiang 10 g,Yiyiren 20 g.Phlegmatic hygrosis plus:Banxia,Baizhu,Tiannanxing,Fuling,Baijiezi,each 15 g.Yin asthenia generating intrinsic heat plus:Xuanshen,Shengdihuang,Maidong,Guiban,Wuweizi,each 20 g,Zhimu,Huangbai,each 10 g,Mudanpi 15 g).Results:50% were recovered,40% had marked effect and 10% effective.Conclusion:TCM combined with traditional Chinese medicine and stellate ganglion block has exact curative effect for cerebral apoplexy hemiplegia with lower morbidity.
作者 熊华
出处 《中医学报》 CAS 2013年第7期1085-1086,共2页 Acta Chinese Medicine
关键词 偏瘫 脑卒中 中药 针刺 星状神经节阻滞 hemiplegia stroke traditional Chinese medicine acupuncture stellate ganglion block
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