Through collecting the relevant provisions and medical cases of wei syndrome treated with acupuncture and moxibustion from ancient medical works, the diagnosis and acupoint selection in treatment of generalized myasthenia gravis (gMC) with acupuncture and moxibustion were analyzed systematically from 3 aspects, i.e. meridian differentiation, disease differentiation and syndrome differentiation. In treatment based on meridian differentiation, the acupoints are selected in the light of the running course of meridian and characteristics of meridian disorders. In treatment based on disease differentiation, the acupoints are selected in accordance with etiology, pathogenesis and transmission stages of wei syndrome. Concerning to syndrome differentiation in treatment, the acupoints are selected on the basis of therapeutic principles determined by different syndromes/patterns of wei syndrome. In modern clinical practice, the treatment for gMC should be rooted at ancient literature, thus a standardized regimen can be developed for diagnosis and treatment with acupuncture and moxibustion.
梳理古医籍中针灸治疗痿病相关条文、医案，从辨经、辨病、辨证3个层面整体分析针灸治疗全身型重症肌无力诊疗取穴思路。辨经论治主要依据经脉循行、经脉病候特点取穴；辨病论治根据痿病病因病机、传变阶段取穴；辨证论治根据证型不同分别立以治法而取穴。现代临床治疗全身型重症肌无力当以古代文献为根，努力形成针灸治疗全身型重症肌无力的标准化诊疗方案。.
Keywords: acupuncture and moxibustion; ancient medical works; generalized myasthenia gravis; prescription of acupuncture and moxibustion; thought of diagnosis and treatment; wei syndrome.