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八百八十一章中医药调理小舞蹈病(二)(1 / 1)

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小舞蹈病(二)

[病案]张某,男,8岁。1960年4月12日初诊。患儿于1月前突发咽痛,伴发热,体温最高达38.5℃,同时出现膝、踝关节游走性疼痛,活动受限,曾就诊于某医院。经西医抗感染及对症治疗后,咽痛症状逐渐缓解,体温恢复正常,关节疼痛亦有所减轻。然而,约半个月前,患儿开始出现右手足不自主运动,表现为无意识的抽动,继而发展为双侧手足不随意动作,症状逐渐加重,偶有挤眉、努嘴等面部不自主运动,严重影响日常生活。某医院诊断为风湿性舞蹈病(又称小舞蹈病,Sydenham';s chorea),予中西药物(具体用药不详)治疗,但症状改善不明显,遂来我院寻求针灸治疗。

现症见:患儿神志清楚,精神稍差,面色略苍白,形体偏瘦。不时出现挤眉、弄舌等面部不自主运动,四肢有频繁、不规则的不随意运动,尤以右侧为甚,动作幅度较大,肌张力明显减低,步态不稳。神经系统检查:四肢肌力正常,腱反射减弱,病理反射未引出。舌质淡红,舌苔薄白,脉浮细数。体温36.8℃,心率92次/分,律齐,心尖区可闻及Ⅱ级收缩期吹风样杂音。咽部轻度充血,扁桃体Ⅰ度肿大。

[治则]平肝熄风。

[取穴]1.风池、大椎、合谷、行间。2.百会、印堂、曲池、阳陵泉、足三里。每日1次,两组穴位交替使用。得气后行捻转泻法,不留针。针治6次后,挤眉弄舌、四肢不随意运动次数渐减。继续治疗6次,症状完全消失。二年后随访,未再复发。

[评析]风邪致病,其性善行而数变,常引发人体多种病理变化。本例患者症见关节游走酸痛,伴有弄舌、挤眉、手足舞动等症状,实为风邪袭络之典型表现。细究其病机,乃外风与内风相应为患:外风侵袭肌表,循经入络,内风则因肝阳上亢,风火相煽,二者相合,致经络失和,气血失常。风胜则动,故见诸关节游走酸痛;风阳上扰,则头颠不适;风邪循经窜扰四末,故现弄舌、挤眉、手足舞动等异常动作。此即《黄帝内经》所云";风者,百病之长也";之意。

治疗当以祛风为要,兼顾平肝、镇痉、通络。取穴之法,首重疏泄风邪,平肝镇痉:风池为足少阳经穴,乃祛风要穴,配合谷(手阳明经原穴)以疏风解表,行间(肝经荥穴)以平肝息风。加大椎(督脉要穴)以祛风解表,增强祛邪之力。百合、印堂二穴相配,既可平肝息风,又能开窍安神,有标本兼治之功。佐以曲池(手阳明经合穴)祛风通络,阳陵泉(筋会)与足三里(胃经合穴)相配,既可利筋骨,又能调气血。诸穴配伍,共奏祛风、平肝、通络、安神之效。

本案治疗之关键,在于准确抓住";治风";这一主要矛盾。根据";治风先治血,血行风自灭";的理论,在祛风的同时注重调理气血,使气血调和,经络通畅。风邪既去,气血得调,故能取得满意疗效。此案例充分体现了中医";辨证求因,审因论治";的诊疗思路,以及";治病必求于本";的治疗原则。

通过本案例,我们还可进一步思考:风邪致病虽有其共性,但具体表现可因个体差异而有所不同。临证时,除抓住主要矛盾外,还当注意辨别风邪的兼夹情况(如风寒、风热、风湿等),以及患者体质特点,做到因人制宜,灵活施治。同时,亦可考虑配合中药内服,内外兼治,以增强疗效。

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