Clinical experience of professor ZHANG Ren in the staging treatment with characteristic acupuncture techniques for oculomotor paralysis

Zhongguo Zhen Jiu. 2024 Mar 12;44(3):318-322. doi: 10.13703/j.0255-2930.20230608-k0001.
[Article in English, Chinese]

Abstract

The paper summarizes the clinical experience of professor ZHANG Ren in the staging treatment with characteristic acupuncture techniques for oculomotor paralysis. According to the symptoms of oculomotor paralysis, the staging treatment is given, in which acupuncture is dominant and the needling techniques are optioned in compliance with the symptoms. In the early, middle and late stages of illness, three different acupuncture therapies are delivered accordingly, i.e. the combination of the point-toward-point needling at the four acupoints located on the forehead and the electroacupuncture with disperse-dense wave, the surrounding needling and the triple needling at the acupoints around the eyeball, as well as the perpendicular needle insertion at the three acupoints within the orbit. Professor ZHANG Ren lays the stress on identifying the etiology and differentiating the symptoms, as well as the early intervention for the disease. For the intractable cases, the comprehensive regimen such as acupoint injection, dermal needling and auricular point sticking is supplemented. During treatment, the spirit harmonization is greatly considered to ensure the effectiveness. On the basis of the staging acupuncture therapy, the acupuncture technique for harmonizing the spirit and regulating qi is combined to obtain the favorable clinical effect on oculomotor paralysis.

总结张仁教授运用特色针法分期治疗动眼神经麻痹的临证经验。张仁教授结合动眼神经麻痹症状分期论治,法随症变,针对早期、中期、晚期主症不同而分别运用额四针透刺法联合疏密波电针法、目六针眼球围刺法及齐刺法和眼三针眶内直刺法治疗;强调审因辨治及早介入治疗,侧重用针,针对难治病例辅以穴位注射、皮肤针、耳穴贴压等综合施术;在治疗过程中重视治神,善用“调神理气”针法,同时强调治疗贵在坚持,临床疗效较好。.

Keywords: ZHANG Ren; characteristic acupuncture techniques; experience of famous doctor; oculomotor paralysis; staging treatment.

MeSH terms

  • Acupuncture Points
  • Acupuncture Therapy* / methods
  • Acupuncture*
  • Electroacupuncture*
  • Humans
  • Ophthalmoplegia*