Jade Health Life 玉衡針灸 Book Appointment Hours & Directions

Registered Acupuncturist in Downtown Vancouver

Acupoint Prescription for Hemiplegia following Stroke

Acupoint Prescription for Hemiplegia following Stroke: BL23, GB30, GB31, BL40, GB39, ST36
中風半身不遂(偏癱)下肢功能恢復配穴解析:六穴合用
Clinical Focus|臨床重點: This comprehensive prescription combines Tonification (ST36, BL23), Local Activation (GB30, GB31, BL40), and Marrow/Sinew Strengthening (GB39) to restore motor and sensory function in the paretic lower limb, following the TCM principle of “Supporting the Upright and Dispersing Stagnation” (扶正通絡).
此綜合配方結合了補益(足三里、腎俞)、局部激活(環跳、風市、委中)和筋髓強化(懸鐘),旨在恢復偏癱下肢的運動和感覺功能,遵循中醫「扶正通絡」的原則。
Overview: Nourishing and Activating the Lower Extremities (補益通利)

Hemiplegia (半身不遂) is categorized as Wind-Stroke (中風) in TCM, characterized by blockage of the channels and collaterals by Phlegm and Stasis (痰瘀阻絡), often against a background of Liver/Kidney Deficiency. The complex treatment strategy involves addressing the root deficiency (Kidney/Spleen) while aggressively activating Qi and Blood flow in the affected limb.

半身不遂在中醫中歸類為**中風**,其特點是痰瘀阻滯經絡,通常以肝腎虧虛為背景。複雜的治療策略包括治療根本虧虛(腎、脾)的同時,積極激活受影響肢體的氣血流通。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Tonifying the Root and Source (培補本源)
I. 補益根基與氣血來源
  • **Shenshu (BL23):** Back-Shu point of the Kidney. **Tonifies Kidney Qi and Essence** (補腎益精), which is the source of all functional power in the body and essential for strengthening the bones and lower back, crucial for standing and walking.
    **腎俞(BL23):** 腎的背俞穴。**補益腎氣和腎精**,是身體所有功能力量的來源,對於強化骨骼和腰部至關重要,為站立和行走提供基礎。
  • **Zusanli (ST36):** **Tonifies Qi and Blood** (補益氣血). Ensures the muscles and sinews of the affected limb are properly nourished, supporting post-stroke rehabilitation and preventing further atrophy.
    **足三里(ST36):** **補益氣血**。確保受影響肢體的肌肉筋腱得到適當濡養,支持中風後康復並預防進一步的萎縮。
II. Local and Mid-Limb Activation
II. 局部和肢體中段激活
  • **Huantiao (GB30):** Master point for the hip joint. **Activates the channel and alleviates pain** (通經止痛), crucial for initiating leg movement and treating hip/sciatic pain often accompanying hemiplegia.
    **環跳(GB30):** 髖關節主穴。**激活經絡並緩解疼痛**,對於啟動腿部運動和治療伴隨偏癱的髖部/坐骨神經痛至關重要。
  • **Fengshi (GB31):** A key point for **dispelling Wind** (祛風), targeting the central thigh region to improve muscle strength and relieve numbness along the outer leg.
    **風市(GB31):** **祛風**的關鍵穴位,作用於大腿中部,以改善肌肉力量並緩解沿著腿外側的麻木。
  • **Weizhong (BL40):** Command point of the back and waist. **Activates blood and resolves stagnation** (活血化瘀), used to relieve leg spasms and stiffness, and as a distant point to regulate the lower back.
    **委中(BL40):** 腰背部的總穴。**活血化瘀**,用於緩解腿部痙攣和僵硬,並作為遠端穴位調節下背部。
III. Marrow and Central Nervous System Support
III. 骨髓與中樞神經系統支持
  • **Xuanzhong (GB39):** The Influential Point of Marrow (髓會). Essential for **strengthening bones and sinews** (強筋健骨), directly addressing the neurological deficit and motor control issues that are fundamental to hemiplegia.
    **懸鐘(GB39):** 髓會。對於**強健筋骨**至關重要,直接針對偏癱的根本性神經功能障礙和運動控制問題。
Clinical Conclusion

This six-point regimen for hemiplegia in the lower limb is a holistic approach. It effectively couples fundamental systemic support (BL23, ST36, GB39) with specific local activation points (GB30, GB31, BL40) that directly impact the mobility, circulation, and muscle function of the leg, maximizing the potential for post-stroke motor recovery.

這個針對下肢偏癱的六穴方案是一種全面的治療方法。它有效地將根本性的全身支持(腎俞、足三里、懸鐘)與直接影響腿部活動性、循環和肌肉功能的特定局部激活穴位(環跳、風市、委中)結合起來,最大限度地提高了中風後運動恢復的潛力。

🔽 References|參考文獻(折疊) Click to expand|點擊展開
  1. Shi, X. M. **Acupuncture and Moxibustion for Stroke**. *World Scientific*. 2017. (Classic text detailing the application of these points in stroke rehabilitation)
    石學敏. **中風病針灸治療**. 世界科技出版社; 2017. (詳述這些穴位在中風康復中應用的經典著作)
  2. 張樹劍. **針灸臨證配穴指南**. 中國中醫藥出版社; 2019. (闡述腎俞、足三里在扶正中的配合意義)
  3. 吳敦. **針灸配穴方義及臨床應用**. 華藝書局; 2015. (關於環跳、風市在下肢癱瘓中的應用)

Leave a comment