基于络病理论“分期-辨位-通络”针灸疗法治疗周围性面瘫临证验案
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(1. 云南中医药大学第二临床医学院,云南 昆明 650500;2. 黑龙江中医药大学第二临床医学院,黑龙江 哈尔滨 150040)

作者简介:

幸经芳(1999-),女,在读硕士研究生,E-mail: 19969139079@163.com

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基金项目:

云南省第六批中医药师带徒工作指导老师和继承人(卫中医发展发〔2025〕1号);云南省兴滇英才支持计划青年人才项目(XDYC-QNRC-2022-0269)


Paralysis Based on Collateral Disease Theory
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(1. The Second Clinical College of Yunnan University of Chinese Medicine, Kunming 650500, China; 2. Second Clinical Medical School, Heilongjiang University of Chinese Medicine, Harbin 150040, China)

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    摘要:

    周围性面瘫是一种常见的面神经功能障碍疾病,病因复杂。针对当前针灸治疗中分期模糊、病位不明及通络方法较单一等问题,王建明教授创新性提出“分期-辨位-通络”诊疗体系,通过精准定位病络层次(局部与远隔)指导针灸临床,提出“同位同治”与“异位异治”以适应不同病位特性,梳理“分期-辨位-通络”针刺治疗周围性面瘫的思路与方法。该疗法注重刺灸结合,有效疏通络脉、调和气血、濡养经筋,恢复面部肌肉功能,具有重要的临床意义。

    Abstract:

    Peripheral facial paralysis is a common facial nerve dysfunction disease with complex causes. In response to the current issues in acupuncture treatment such as ambiguous staging, unclear location of the disease, and relatively single methods for unblocking meridians, Professor Wang Jianming innovatively proposed an integrated diagnosis and treatment system of "staging-position differentiation-collaterals unblocking". By precisely locating the levels of the disease collaterals(local and distant) to guide acupuncture clinical practice, he proposed "same treatment for the same location" and "different treatment for different locations" to adapt to the characteristics of different disease locations. We sort out the ideas and methods of "staging-position differentiation-collaterals unblocking" acupuncture treatment for peripheral facial paralysis. This therapy emphasizes the combination of acupuncture and moxibustion, effectively unblocking the meridians, harmonizing Qi and blood, nourishing the meridians and tendons, and restoring the function of facial muscles, which is of great clinical significance.

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  • 收稿日期:2025-09-08
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  • 在线发布日期: 2026-07-07
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