通讯作者: 陈思思, 22194744@qq.com

DOI：10.12201/bmr.202510.00001

Research Progress in Clinical Application and Mechanisms of Acupuncture for Post-Stroke Spasticity Based on Tendon Theory

• 摘要：摘要：中风后痉挛性偏瘫(Post-Stroke Spasticity，PSS)是指中风后出现以痉挛状态为主要表现的运动功能障碍，是中风的常见并发症之一，主要表现为肌张力增高，上肢的屈肌和下肢的伸肌痉挛，常伴有腱反射亢进。若不及时介入治疗，可能会导致肌肉萎缩、关节挛缩，严重降低患者自理能力和生活质量。解除肌痉挛，促进偏瘫肢体的运动功能恢复，已成为中风后康复过程中的关键一环。PSS临床表现与传统中医典籍中的“痉证”“筋病”相符，病位在筋，病机以肝血亏虚、瘀阻阳损、经筋失养为主，多属本虚标实。针刺以其创伤小、疗效佳的特点被广泛应用于PSS临床治疗，但不同诊疗思路下选用的针法有所差异。文章系统综述了调神舒筋、疏经理气、松解筋结三种思路应用于PSS的临床研究进展并简单探析其作用机制，旨在为临床使用针刺治疗PSS提供新策略。

  关键词： 中风后痉挛；筋经；醒脑开窍；恢刺；针刀；; 

   

  Abstract: Abstract：Post-Stroke Spasticity (PSS) refers to a motor dysfunction characterized by spasticity that occurs after a stroke. As one of the common complications of stroke, it is mainly manifested by increased muscle tone, spasticity of the flexor muscles in the upper limbs and extensor muscles in the lower limbs, and is often accompanied by hyperreflexia. Without timely intervention and treatment, it may lead to muscle atrophy and joint contracture, which seriously reduce the patients self-care ability and quality of life. Relieving muscle spasticity and promoting the recovery of motor function in hemiplegic limbs have become a key link in the post-stroke rehabilitation process.The clinical manifestations of PSS are consistent with Jing Syndrome (syndrome of spasm) and Jin Disease (tendon disease) recorded in the classics of traditional Chinese medicine (TCM). The location of the disease is in the tendons, and its pathogenesis is mainly dominated by liver blood deficiency, blood stasis with yang impairment, and malnutrition of the meridians and tendons, mostly belonging to the syndrome of ben xu biao shi (deficiency in the root and excess in the branch—a TCM syndrome type indicating the coexistence of fundamental deficiency of healthy qi and secondary excess of pathogenic factors).Traditional TCM therapies such as Chinese materia medica (CMM) and acupuncture have a long history of being used in the treatment of PSS with definite curative effects, thus holding important clinical significance. Acupuncture is widely applied in the clinical treatment of PSS due to its advantages of minimal invasiveness and favorable efficacy; however, the acupuncture methods selected vary under different diagnostic and therapeutic approaches.This article systematically reviews the progress of clinical studies on the application of three approaches—Shujin Tiaoshen, Shujing Liqi, and Songjie Jinjie—in the treatment of PSS, and briefly explores their mechanisms of action. It illustrates that the application of these three acupuncture methods can reduce muscle tone and improve limb function, thereby promoting the patients rehabilitation process. The purpose of this article is to provide a new strategy for the clinical application of acupuncture in the treatment of PSS.

  Key words: Post-stroke spasticity；Meridians and tendons；Xingnao Kaiqiao；Huici; Knife-needle；

  提交时间：2025-10-01

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• 序号	提交日期	编号	操作
  1	2025-08-30	bmr.202510.00001V1	下载

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