本文通过临床观察及理论分析探讨针刺治疗中风偏瘫痉挛的取穴规律。本文对比观察了针刺手少阳经穴 (治疗组 )与针刺上肢阴经穴 (对照组 )治疗中风后上臂痉挛的疗效。结果 :治疗组取得了显著疗效 (P <0 .0 5 )

对照组无明显治疗效果 (P >0 .0 5 )

且治疗组疗效优于对照组 (P <0 .0 5 )。这与古代经典著作所记载的以阴经穴为主治疗拘急痉挛有所不同

值得进一步研究Objective: To study the regularities of acupoint selection in the acupuncture treatment of apoplectic hemiplegia. Methods: 62 apoplectic hemiplegia patients were randomly divided into treatment group (n=32) and control group (n=30). In the former group

Jianliao (TE 14)

Naohui (TE 13)

Xiaoluo (TE 12)

Qinglengyuan (TE 11) and Waiguan (TE 5) of the upper limb

and Yanglingquan (GB 34)

Zusanli (ST 36)

etc of the lower limb were punctured. In control group

Jiquan (HT 1)

Tianquan (PC 2)

Chize (LU 5) and Neiguan (PC 6)

and the same acupoints in the lower limb were punctured. Results: After 20 treatments

the muscular tension of treatment group was improved significantly in comparison with pre treatment (P<0.05)

while that of control group had no apparent change in comparison with pre treatment (P>0.05); and the therapeutic effect of treatment group was superior to that of control group (P<0.05). Conclusion: The therapeutic effect of acupuncture of acupoints of Hand Shaoyang Meridian is superior to that of acupoints of the Yin meridian for treatment of upper limb spasm in apoplectic hemiplegia patients.