Acupuncture treatment of apoplectic aphasia can achieve remarkable clinical effect, especially for early patients, and sometimes acupuncture can obviously improve their bad language symptoms.
1. Acupoints: Dumen, Fengfu, Fengchi, Wangu, Tianzhu, Tang Yin, Renzhong, Li Anquan, Shenmen, Neiguan, Zusanli, Sanyinjiao, Yongquan, Jinjin and Yu Ye.
2. Needle Dumen and Fengfu points one point at a time, needle in the direction of mandible, and then take the needle after piercing about 1 inch to get the needle feeling; Take one point from Fengchi point, Duangu point and Tianzhu point, and the needle tip will pierce 1 ~ 1.5 inch in the direction of Adam's apple, and then rotate at a small amplitude and high frequency for 1 ~ 2 min, and then take out the needle. After Lian Quan enters the skin, he first enters about 2 inches in the direction of the base of the tongue, and then the needle is inserted; Oblique stab 0.5 inches, people with consciousness disorder and lack of energy can be pecked by birds; Tang Yin adopts torsion and purging method; Acupoints can be selected alternately at Shenmen, Neiguan, Shouzusanli, Sanyinjiao and Yongquan. Shenmen obliquely pricks the elbow, Neiguan adopts the method of lifting, inserting, twisting and purging for 65,438+0 ~ 2 min, Sanyinjiao acupuncture is suitable for making the lower limbs feel pumping, Yongquan acupuncture is suitable for keeping needles at Renzhong, Shenmen, Neiguan and Sanyinjiao for 65 min.
3. Add and subtract gold, Yu Ye and tongue prick according to symptoms; If the soft palate reflex disappears, stab the soft palate; If the pharyngeal reflex disappears, drinking water makes you suffocate and can pierce the pharyngeal mucosa; Those with muscular atrophy of tongue and blood stasis in sublingual collaterals can bleed blood in sublingual collaterals; If the waist and knees are sore and the limbs are not warm, Mingmen and Guanyuan can be added, and moxibustion can be added to the acupuncture area, or only moxibustion can be used; Those with hearing impairment can add Baihui, Auricular, Tinggong, Tinghui and Yifeng points; Consciousness disorder, depression, you can add one hundred needles; People with hypertension can diarrhea Taichong, Quchi and Fengchi; For those with low sound and general fatigue, acupuncture can be used to replenish qi in the sea and Zusanli, followed by moxibustion; If the throat is full of phlegm and saliva, acupuncture should be added to those with acute onset, upper middle abdomen and lung fullness.
In addition, the treatment of aphasia can be combined with scalp acupuncture besides acupuncture, and the point selection is mainly on the left side, which can improve the curative effect.
(2) scalp acupuncture therapy
Scalp acupuncture is a method to prevent and treat diseases by needling certain specific areas of the scalp. It is a kind of therapy produced by applying acupuncture of traditional Chinese medicine and the theory of cerebral cortex localization of modern medicine. This therapy is one of the effective methods to treat cerebrovascular diseases, which has the characteristics of fast needle insertion, fast needle twisting and fast needle lifting. The relationship between the brain and scalp meridians was explained as early as "Lingshu Zangfu Disease Syndrome": "the twelve meridians has 365 meridians, and his qi and blood are all in the exterior, leaving empty orifices".
The channels and collaterals distributed in the head are directly or indirectly related to the brain.
Language area 1, language area 2 and language area 3 were mainly selected for treatment. If the language is not clear, choose local acupoints, such as Fengfu, Dazhui, Ren Ying and Li Anquan. Location of head stimulation area: Take the scalp language area of the patient's dominant hemisphere and choose different language areas according to aphasia types. Complete aphasia, take the language area1; For those who have difficulty in oral expression, test the language area1; If you have difficulty in listening comprehension, take the second language area. Operation: Hold the No.28 ~ No.30 millineedle at an angle of 30 degrees with the scalp. Angle, fast acupuncture into the cap aponeurosis layer, using manual or electroacupuncture treatment.
Those with hearing impairment can add Baihui, Auricular, Tinggong, Tinghui and Yifeng points; Those with conscious disorder and depression can be treated with acupuncture; People with hypertension can diarrhea Taichong, Quchi and Fengchi; If the voice is low and the whole body is weak, acupuncture at Zusanli can be used, followed by moxibustion at Qihai point; If the throat is full of phlegm and saliva, acupuncture can be added for those with acute onset, moderate epiglottis and lung fullness.