| 张亚倩,胡国强,邹德辉.“项枕三穴”至骨法治疗脑卒中后头痛的筋膜学机制探讨[J].中国医药导报,2024,21(2):155-158 |
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| “项枕三穴”至骨法治疗脑卒中后头痛的筋膜学机制探讨 |
| Exploration on the fasciological mechanism of touching-bone acupuncture at “three acupoints of the neck and occiput” in the treatment of post-stroke headache |
| 收稿日期：2023-08-17 |
| DOI：10.20047/j.issn1673-7210.2024.02.33 |
| 关键词: 项枕三穴 至骨针法 脑卒中后头痛 筋膜学 |
| Key Words: |
| 基金项目:河北省自然科学基金中医药联合基金培育项目（H2022209085）；河北省中医药管理局中医药类科研计划项目（2021169） |
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| 摘要:从选穴依据、至骨特色、筋膜效应3个方面入手，探讨“项枕三穴”至骨法治疗脑卒中后头痛的筋膜学机制。风池、风府、完骨穴区神经血管及筋膜解剖特点与头痛发生、诊疗密切相关，具有优异的针效解剖基础；同时三穴区与枕项部肌筋膜“附着性激痛点”位置相近，刺之效宏。至骨针法以触至病所（探查筋膜病态变化）为操作先导，以阳性反应为取穴特色，以深层骨膜为刺激靶点，结合动至病所、导引功法，治疗疼痛疗效显著。“项枕三穴”至骨法治疗脑卒中后头痛的筋膜学机制主要归纳为痛点灭活消除筋膜敏化、筋膜牵拉刺激神经重塑、筋膜传导加速气至病所、骨膜特性增强镇痛效应。 |
| Abstract:This article explores the fasciological mechanism of touching-bone acupuncture at “three acupoints of the neck and occiput” in the treatment of post-stroke headache starting from three aspects: acupoint selection criteria, bone characteristics, and fascial effect. The anatomical characteristics of nerves, blood vessels, and fascia in the acupoint area of fēngchí, fēngfǔ and wángǔ are closely related to the occurrence, diagnosis and treatment of headache, and have excellent anatomical basis for needle effect. At the same time, the position of the “attachment pain point” in the three acupoint areas and the fascia of the occipital neck is similar, and the effect of the puncture is significant. The touching-bone acupuncture takes touching the diseased site (exploring pathological changes in the fascia) as the operation guide, with positive reactions as the acupoint selection feature, deep periosteum as the stimulation target, combined with the technique of moving to the diseased site and guiding, to treat pain with significant therapeutic effects. The fasciological mechanisms of touching-bone acupuncture at “three acupoints of the neck and occiput” in the treatment of post-stroke headache are mainly summarized as pain point inactivation to eliminate fascial sensitization, fascial traction to stimulate nerve remodeling, fascial conduction to accelerate gas to the site of the disease, and enhancement of periosteal characteristics to enhance analgesic effects. |
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