Clinical Experience of Acupuncture in Treating Oculomotor Nerve Palsy

LI Shanshan; BIN Lulu; YE Yongming; PENG Weina; YU Jinna; HAN Biying; LI He

doi:10.13288/j.11-2166/r.2024.20.016

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Clinical Experience of Acupuncture in Treating Oculomotor Nerve Palsy

更新时间：2024-10-12

- Clinical Experience of Acupuncture in Treating Oculomotor Nerve Palsy
- Journal of Traditional Chinese Medicine Vol. 65, Issue 20, Pages: 2159-2162(2024)
- 作者机构：
  
  中国中医科学院广安门医院，北京市西城区北线阁5号，100053
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.20.016
  CLC：
- Received：19 July 2023，
  
  Revised：2024-08-09，
  
  Published：17 October 2024
- 稿件说明：
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李珊珊,宾璐璐,叶永铭等.针刺治疗动眼神经麻痹的临证经验[J].中医杂志,2024,65(20):2159-2162.

LI Shanshan,BIN Lulu,YE Yongming,et al.Clinical Experience of Acupuncture in Treating Oculomotor Nerve Palsy[J].Journal of Traditional Chinese Medicine,2024,65(20):2159-2162.
李珊珊,宾璐璐,叶永铭等.针刺治疗动眼神经麻痹的临证经验[J].中医杂志,2024,65(20):2159-2162. DOI： 10.13288/j.11-2166/r.2024.20.016.

LI Shanshan,BIN Lulu,YE Yongming,et al.Clinical Experience of Acupuncture in Treating Oculomotor Nerve Palsy[J].Journal of Traditional Chinese Medicine,2024,65(20):2159-2162. DOI： 10.13288/j.11-2166/r.2024.20.016.

摘要

认为动眼神经麻痹的病机为髓海不足、阳气不荣，胞睑及眼周经筋舒缩不利，目失开阖。目系与髓海相连，与足太阳经、足阳明经、足厥阴经及阴阳跷脉相通，受肝、脾、肾三脏所养。治疗当标本兼顾，以调髓海治本，通经疏络治标，平衡阴阳跷之缓急，运用“根溜注入”旁通诸经、运用头气街疏通经络、运用“维筋相交”调经筋拘急，可为改善动眼神经麻痹的上睑下垂、眼球运动受限等症状提供思路。

Abstract

It is believed that the pathogenesis of oculomotor nerve palsy is insufficient

marrow sea

（髓海）， withered

yang qi

， poor contraction of eyelids and periocular meridians， and inability to open and close the eyes. The eye system is connected to the

marrow sea

， as well as the the foot

taiyang

（太阳） channel， foot

yangming

（阳明） channel， foot

jueyin

（厥阴） channel，

yinqiao mai

（阴跷脉） and

yangqiao mai

（阳跷脉）， and is nourished by the liver， spleen and kidney. Treatment should take into account both the branch and the root cause. It is suggested to treat the root by regulating the

marrow sea

， and treat the branch by unblocking the meridians and dredging the collaterals， thereby balancing the mild and the urge

ncy of the

yinqiao mai

and

yangqiao mai

. Using the "Gen （根）-Liu（溜）-Zhu （注）-Ru （入）"acupoints to bypass the various meridians and taking the gallbladder meridian according to twelve major meridians that run on both sides of the body， both of which can provide ideas for improving symptoms such as ptosis and limited eye movement caused by oculomotor nerve palsy.

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Keywords

references

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GRAYSON MC ， SONI SR ， SPOONER VA . Analysis of the recovery of third nerve function after direct surgical intervention for posterior communicating aneurysms ［J］. Br J Ophthalmol ， 1974 ， 58 （ 2 ）： 118 - 125 .

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STIEBEL-KALISH H ， MAIMON S ， AMSALEM J ， et al . Evolution of oculomotor nerve paresis after endovascular coiling of posterior communicating artery aneurysms： a neuro-ophthalmological perspective ［J］. Neurosurgery ， 2003 ， 53 （ 6 ）： 1268 - 1274 .

许纲，唐维桢，刘艺，等 . 糖尿病性动眼神经病变的治疗［J］. 脑与神经疾病杂志， 2012 ， 20 （ 1 ）： 69 - 73 .

余泱川，刘小斌 . 中医古代文献关于眼睑下垂的认识源流［J］. 中华中医药杂志， 2011 ， 26 （ 5 ）： 1153 - 1156 .

毛宇宏，秦晓光，杨敏，等 . 针刺治疗动眼神经麻痹选穴规律［J］. 实用中医内科杂志， 2023 ， 37 （ 5 ）： 13 - 16，144 .

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