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中西医结合治疗病毒性脑炎致完全性动眼神经麻痹1例

袁开松

中国中医眼科杂志2026,Vol.36Issue(4):380-384,5.
中国中医眼科杂志2026,Vol.36Issue(4):380-384,5.DOI:10.13444/j.cnki.zgzyykzz.2026.04.015

中西医结合治疗病毒性脑炎致完全性动眼神经麻痹1例

Integrated Traditional Chinese Medicine and Western Medicine Treatment for Complete Oculomotor Nerve Palsy Caused by Viral Encephalitis:A Case Report

袁开松1

作者信息

  • 1. 遵义市习水县人民医院,习水 564600
  • 折叠

摘要

Abstract

Oculomotor nerve palsy is primarily characterized by ipsilateral ptosis,impaired adduction,elevation,and depression of the eyeball and diplopia.Its etiology is complex and varied,including trauma,viral infection,brainstem infarction,diabetes,inflammation,etc.Western Medicine treatments often face limitations in medicine efficacy and high surgical risks.This article reports a case of complete oculomotor nerve palsy caused by viral encephalitis,treated with an integrated approach centered on CHENG's Sancai needling technique,combined with electroacupuncture,superficial needling,and the mecobalamin.The patient presented with complete upper eyelid ptosis,restricted multidirectional eye movement,mydriasis,and absent light reflex.Acupuncture points were selected based on the Sancai point combination principle,employing the"heaven,earth and human"Sancai needling method for multi-level and multi-target precise stimulation.This was combined with dense-disperse wave electroacupuncture and superficial needling of the eyelid.After eight weeks of treatment,the patient's left upper eyelid elevation,eyeball movement,pupillary light reflex,and blurred vision substantially returned to normal.The results suggest that CHENG's Sancai needling technique,combined with electroacupuncture and superficial needling,may effectively improve symptoms of oculomotor nerve palsy by regulating local Qi and blood,stimulating ocular muscles,and promoting nerve repair.

关键词

程氏针灸/三才针法/三才配穴/动眼神经麻痹/中西医结合

Key words

CHENG's acupuncture/Sancai needling technique/Sancai point combination/oculomotor nerve palsy/integrated Traditional Chinese Medicine and Western Medicine

分类

医药卫生

引用本文复制引用

袁开松..中西医结合治疗病毒性脑炎致完全性动眼神经麻痹1例[J].中国中医眼科杂志,2026,36(4):380-384,5.

中国中医眼科杂志

1002-4379

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