A case of acupuncture assisted treatment of acute sensory neuropathy#br#
WANG Mina1 LIU Lu2 LI Bin2
1.Graduate School, Beijing University of Chinese Medicine, Beijing 10029, China;
2.Acupuncture Center, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China.
Abstract:A patient with acute sensory neuropathy was reported. The patient was a 61-year-old male, with acute symmetrical numbness of limbs, subjective swelling, slow movement, fatigue, panting. Tongue and pulse in traditional Chinese medicine showed: with dull-red tongue, and string-like and rough pulse. Superficial sensation disappeared below C3 level, and tendon reflex attenuated or even abssented. Electromyogram studies represented injured sensory nerve of the limbs. The diagnosis of modern medicine was acute sensory neuropathy, and that of traditional Chinese medicine was numbness, and the syndrome was qi deficiency and heat stasis. Modern treatment included high-dose hormone and nerve nourishment. The treatment of acupuncture and moxibustion is divided into two stages: first, bloodletting and acupuncture reduction manipulation technique was used to clear heat and remove blood stasis, then, replenishing acupuncture technique and moxibustion was used to replenish qi and eliminate stasis. After treatment, the numbness of the patient's limbs gradually eased, and the condition became stable. The electromyogram studies indicated that the injured nerve was well recovered. This study demonstrates that acupuncture is effective in treating acute sensory neuropathy as an alternative therapy, which can be referenced for future study.
王迷娜1 刘璐2 李彬2. 针灸辅助治疗急性感觉神经病1例[J]. 中国医药导报, 2022, 19(12): 177-180.
WANG Mina1 LIU Lu2 LI Bin2. A case of acupuncture assisted treatment of acute sensory neuropathy#br#. 中国医药导报, 2022, 19(12): 177-180.
[1] 周霞,孙中武.吉兰-巴雷综合征的发病机制及诊治进展[J].中华全科医学,2019,17(4):526-527.
[2] 刘书平,卢祖能,肖哲曼,等.吉兰-巴雷综合征病理学和免疫机制研究进展[J].中国神经免疫学和神经病学杂志,2019,26(1):56-59.
[3] Malek E,Salameh J. Guillain-Barre Syndrome [J]. Semin Neurol,2019,39(5):589-595.
[4] Dimachkie MM,Barohn RJ. Guillain-Barré syndrome and variants [J]. Neurol Clin,2013,31(2):491-510.
[5] Créange A. Guillain-Barré syndrome:100 years on [J]. Rev Neurol (Paris),2016,172(12):770-774.
[6] 代飞飞,李亚桐,陈柳茜,等.吉兰-巴雷综合征疾病谱:用新的标准重新分类[J].中国神经免疫学和神经病学杂志,2019,26(6):401-404.
[7] 王冰,任士卿.感觉性格林-巴利综合征[J].临床荟萃,2004,19(5):289-290.
[8] 中华医学会神经病学分会,中华医学会神经病学分会周围神经病协作组,中华医学会神经病学分会肌电图与临床神经电生理学组,等.中国吉兰-巴雷综合征诊治指南2019[J].中华神经科杂志,2019(11):877-882.
[9] Yang J,Huan M,Jiang H,et al. Pure sensory Guillain-Barré syndrome:A case report and review of the literature [J]. Exp Ther Med,2014,8(5):1397-1401.
[10] Kofahi R,Aldabbour B,Aljezawi M. A Rare Case with New Insights:Pure Sensory Guillain Barre Syndrome with Axonal Features [J]. Int Med Case Rep J,2020,13:543-549.
[11] Uncini A,Yuki N. Sensory Guillain-Barré syndrome and related disorders: an attempt at systematization [J]. Muscle Nerve,2012,45(4):464-470.
[12] van den Berg B,Walgaard C,Drenthen J,et al. Guillain-Barré syndrome:pathogenesis,diagnosis,treatment and prognosis [J]. Nat Rev Neurol,2014,10(8):469-482.
[13] Willison HJ,Jacobs BC,van Doorn PA. Guillain-Barré syndrome [J]. Lancet,2016,388(10045):717-727.
[14] Leonhard SE,Mandarakas MR,Gondim FAA,et al. Diagnosis and management of Guillain–Barré syndrome in ten steps [J]. Nat Rev Neurol,2019,15(11):671-683.
[15] Meena AK,Khadilkar SV,Murthy JM. Treatment guidelines for Guillain-Barré Syndrome [J]. Ann Indian Acad Neurol,2011,14(Suppl 1): S73-81.
[16] Leonhard SE,Mandarakas MR,de Assis Aquino Gondim F,et al. Evidence based guidelines. Diagnosis and management of Guillain-Barré syndrome in ten steps [J]. Medicina(B Aires),2021,81(5):817-836.
[17] 王熙,魏雅琴,牛红月.针灸治疗吉兰-巴雷综合征的临床研究进展[J].湖南中医杂志,2015,31(8):172-174.
[18] 孙阁,周智梁,毛蕾,等.腕踝针为主针刺治疗中风后偏身感觉障碍[J].中国针灸,2011,31(1):35-39.
[19] 杨常青,孔月晴,许瑞华.针灸疗法配合常规康复训练治疗格林-巴利综合征32例[J].中医杂志,2011,52(9):784-785.
[20] 李满意,刘红艳,陈传榜,等.麻木痹的源流及历史文献复习[J].风湿病与关节炎,2019,8(4):50-55,72.
[21] 李红梅,伍大华.伍大华从气血津液辨治肢体麻木经验[J].湖南中医杂志,2019,35(4):18-20.
[22] 刘华聪,张治楠,黄泳.麻木病机及常用穴位浅析[J].河南中医,2019,39(12):1898-1901.
[23] 秦保锋,严骅,徐燕,等.严世芸治疗周围神经病之麻木经验浅析[J].中医文献杂志,2020,38(6):51-53.
[24] 汪伟,孟令超,张伟赫,等.急性感觉共济失调神经病一例[J].中华神经科杂志,2021,54(5):483-486.
[25] 汪伟,汪仁斌,张麟伟.急性感觉神经病伴单侧周围性面瘫一例[J].中国神经免疫学和神经病学杂志,2013, 20(4):299.