本文選題：痙攣性偏癱 + 運(yùn)動(dòng)功能障礙��； 參考：《福建中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本課題以中風(fēng)后痙攣性偏癱為研究對(duì)象,通過(guò)中醫(yī)文獻(xiàn)的梳理,對(duì)中風(fēng)后痙攣性偏癱的傳統(tǒng)康復(fù)療法及傳統(tǒng)康復(fù)思想進(jìn)行文獻(xiàn)挖掘與探討,為進(jìn)一步研究中風(fēng)后痙攣性偏癱運(yùn)動(dòng)功能障礙的臨床診治和科研提供依據(jù)。研究方法:本課題采取溯源法、證實(shí)法相結(jié)合的文獻(xiàn)研究方法,在查閱古今中醫(yī)文獻(xiàn)資料的基礎(chǔ)上,以記載各代醫(yī)家對(duì)于中風(fēng)后痙攣性偏癱的認(rèn)識(shí)和治療經(jīng)驗(yàn)的著作、期刊、醫(yī)案等為主要文獻(xiàn)依據(jù),對(duì)文獻(xiàn)信息進(jìn)行搜集、篩選、整理、分析歸納,對(duì)中風(fēng)后痙攣性偏癱以外治方法為主的傳統(tǒng)康復(fù)療法進(jìn)行探討。結(jié)果:中風(fēng)后痙攣性偏癱外治傳統(tǒng)康復(fù)療法豐富多樣,有針刺、艾灸、推拿、傳統(tǒng)運(yùn)動(dòng)以及熏蒸、熨敷、浸漬、湯泉浴、熱砂療法等。治療原則方面應(yīng)堅(jiān)持形神共養(yǎng),注重恢復(fù)陰陽(yáng)平衡,遵從整體康復(fù)與辨證康復(fù)相結(jié)合。具體實(shí)施過(guò)程中,傳統(tǒng)運(yùn)動(dòng)療法與被動(dòng)康復(fù)治療(針灸、推拿、熏蒸等)相結(jié)合,意在使形神結(jié)合,達(dá)到治標(biāo)治本的目的。不同的傳統(tǒng)康復(fù)療法既可以單獨(dú)運(yùn)用,又提倡將多種傳統(tǒng)康復(fù)療法進(jìn)行有機(jī)結(jié)合,雜合而治,綜合調(diào)理,從而可以促進(jìn)機(jī)體全面、整體的康復(fù)。結(jié)論:中風(fēng)后痙攣性偏癱,屬于"筋痹"、"拘攣"、"痙證"、"經(jīng)筋病"等范疇,以肢體偏癱,筋脈拘攣,活動(dòng)不利為主要癥狀。醫(yī)籍文獻(xiàn)中記載的傳統(tǒng)康復(fù)療法對(duì)于中風(fēng)后痙攣性偏癱者的康復(fù)具有一定的優(yōu)勢(shì),針刺、艾灸和推拿療法可以有效地通調(diào)經(jīng)絡(luò)、協(xié)調(diào)臟腑功能;自然康復(fù)療法和中藥外治康復(fù)療法通過(guò)物理刺激和藥效作用可以充分發(fā)揮活血化瘀、祛風(fēng)除濕、舒筋活絡(luò)等治療作用,可以有效緩解偏癱肢體的痙攣,利于肢體運(yùn)動(dòng)功能的恢復(fù)。另外,傳統(tǒng)運(yùn)動(dòng)療法具有動(dòng)靜適宜、形神共調(diào)的特點(diǎn),既可以疏通經(jīng)絡(luò)促進(jìn)機(jī)體精氣流通又可以養(yǎng)氣葆精起到扶正祛邪的作用,還可以通過(guò)協(xié)調(diào)臟腑經(jīng)絡(luò)陰陽(yáng)平衡、形神共養(yǎng)對(duì)中風(fēng)后偏癱痙攣者的機(jī)體進(jìn)行綜合調(diào)理,促進(jìn)機(jī)體的全面康復(fù)、整體康復(fù)。
[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.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R255.2

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