Bao Qingxiang is a famous traditional Chinese medicine doctor in Taicang City, Jiangsu Province, and the fifth-generation inheritor of Wumen medical school “Yin’s acupuncture”, engaged in clinical, teaching and scientific research of traditional Chinese medicine and acupuncture for more than 50 years, and is good at using acupuncture to treat ankylosing spondylitis, cervical spondylosis, frozen shoulder, lumbar disc herniation, sequelae of stroke, facial paralysis, gynecological diseases, etc. The experience of acupuncture in the treatment of hemiplegia after stroke is shared as follows.

Acupuncture prescription: bilateral Quchi acupoint, Hegu acupoint, Zusanli acupoint, Sanyin Jiao acupoint, Taichong acupoint; Waiguan acupoint, Neiguan acupoint, Huanqiao acupoint, Yanglingquan acupoint, Hanging Bell acupoint on the affected side; Da vertebral acupoint, Baihui acupoint, Yintang acupoint.

Treatment: Balance yin and yang, regulate qi and blood.

Indications: Hemiplegia after stroke.

Operation: Acupuncture points on the limbs first on the healthy side, and then on the affected side. Quchi acupoint adopts dredging techniques, and it is advisable to transmit the needle sense to the index finger with numb inductance; Zusanli acupoint uses the technique of adjusting and supplementing, and it is advisable to feel the needle to the back of the foot or the big toe of the foot with numbness; Pierce the Yanglingquan acupoint with a vertical and slightly downward direction, the tip of the needle is three miles to the foot, and the needle sensation is dispersed to the outer ankle of the foot; The acupuncture ring jumping point needs to be placed in the lateral decubitus position, so that the needle sensation is slowly released to the distal end of the lower limb and is regarded as deqi. The remaining acupoints are flattened and flattened, and the qi is the degree. Acupuncture on the affected side of Quchi acupoint, Hegu acupoint, Zusanli acupoint and Taichong acupoint, after gaining qi, the electroacupuncture instrument was turned on, and the dense wave was moderately stimulated, and the upper arm and calf were slightly tremored. Leave the needle for 30 minutes, 1 treatment every other day, 10 times for 1 course of treatment.

Addition and subtraction: dizziness and dizziness add liver Yu acupoint and kidney Yu acupoint; For patients with facial paralysis, add Yingxiang acupoint, lower acupoint, Dicang acupoint, and cheek car acupoint on the affected side; Those who are depressed add the four Shencong acupoints and Shenmen acupoints; Those with finger spasms add eight evil points; 2. Those with fecal incontinence add Guan Yuan acupoint, Zhibian acupoint, and secondary hip acupoint; Those with cognitive impairment are added to the four Shencong acupoints, Shenting acupoints, Benshen acupoints, etc.; For those with shoulder pain, add scapula and scapula acupoints; Those with dysphagia are added to the Lianquan acupoint, Jinjin acupoint, and Yuye acupoint; Those who have lost their speech add Lianquan acupoint, dumb door acupoint, etc.

Stroke is a common cerebrovascular disease in clinical practice, and patients have a rapid onset, rapid development of the disease, complex disease, and high clinical disability rate and mortality rate, which can cause hemiplegia with limb dysfunction as the main cause of the patient. Traditional Chinese medicine believes that stroke hemiplegia belongs to the categories of “impotence” and “partial dryness”. The etiology and pathogenesis of this disease are mostly due to the dysfunction of the patient’s viscera, qi and blood deficiency, coupled with fatigue, internal injury, emotion, diet, etc., resulting in internal obstruction of blood stasis and phlegm and heat in the body, resulting in occlusion of cerebral veins or cerebral blood overflowing out of the veins.

The Zhongqu Chi acupoint, Hegu acupoint, and Zusanli acupoint of this side are the Yangming meridian points of the hands and feet, and the Yangming meridian is full of qi and blood, and has the meaning of “curing impotence and taking Yangming alone”; The three yin points are matched with the Zusanli points, one yin and one yang, which regulates the spleen and stomach, and makes the qi and blood biochemical active; Taichong acupoint and Hegu acupoint are collectively called Siguan acupoint, the two acupoints are compatible, the upper and lower are mutually beneficial, the qi and blood are supplemented, and the yin and yang are balanced; The ring jumping acupoint leads to the sun and the foot Shaoyang, which is the key point for the treatment of stroke hemiplegia. The large vertebral acupoint belongs to the Du Mai, and the “Acupuncture A and B Sutra” says: “The big vertebrae, the meeting of the three yangs and the Du Mai.” “Acupuncture of the large vertebrae can invigorate the yang qi of the whole body, and has the effect of infiltrating and regulating the yang meridian qi and blood of the whole body; Baihui acupoint is the intersection of the three yangs of the hands and feet, the yin of the feet, and the pulse of the body, and acupuncture can regulate the qi and blood of the whole body; Yintang acupoint is located near the intersection of Ren and Du pulses, which can play a role in balancing yin and yang; The outer guan acupoint, the inner guan acupoint, and the hanging bell acupoint belong to the local acupoints of the limbs, which can dredge the local air pockets; Yangling Spring is the meeting of tendons, and it is an important point for treating numbness in the lower limbs. Bao Qingxiang believes that acupuncture treatment of stroke hemiplegia is to balance the yin and yang of the whole body and regulate the meridians, qi and blood. For example, “Lingshu Root Knot” points out that “the key to using needles is to know the tone of yin and yang”. In addition, Bao Qingxiang’s treatment of stroke hemiplegia focuses on acupuncture techniques, emphasizing “passing as a supplement”, so the main acupuncture points are required to achieve a special acupuncture feeling. In the acupuncture sequence, it is necessary to acupuncture the healthy side first, then the affected side, and first needle the disease-free hands and feet, so as to promote the circulation of qi and blood and then take the affected side, so as to achieve the purpose of guiding the balance of left and right qi and blood. There is a similar record in the Yuan Dynasty acupuncture monograph “The Secret Biography of the Rock Golden Straight Thorn”: “Stroke hemiplegia…… Before the disease-free hand and foot acupuncture, it is advisable to make up for it but not to diarrhea; The second injection has diseased feet and hands, and it is advisable to diarrhea and not to make up. “All acupoints are used together, and they play the effect of balancing yin and yang and regulating qi and blood. (Xiao Fujun, Jinlang Health Center, Taicang City, Jiangsu Province, Duo Yingfei, The First People’s Hospital of Taicang City, Jiangsu Province)

(Note: The prescriptions and treatments contained in this article should be used under the guidance of a physician.) ）