南京中医药大学学报2026，Vol.42Issue(6)：807-814,8.DOI:10.14148/j.issn.1672-0482.2026.0807
基于维筋相交与半球间抑制相似性探析巨刺治疗脑卒中后偏瘫
Exploring the Opposing Needling for Post-Stroke Hemiplegia Based on the Similarity of Meridian-Tendon Intersection and Interhemispheric Inhibition
摘要
Abstract
Hemiplegia is a common sequel of stroke,primarily characterized by motor dysfunction on one side of the body.Accord-ing to the theory of meridian and tendon intersection,meridians and tendons originating from one side of the head cross over to regulate functions on the contralateral side of the body.The interhemispheric inhibition theory describes the inhibitory influence exerted by one cerebral hemisphere over the other.This article suggests that the crossing patterns of vascularized meridians and interhemispheric inhi-bition share similarities in both physiological regulation.Stroke often results in meridian-tendon impairment and interhemispheric inhi-bition,hindering the recovery of motor function after stroke.The opposing needling,one of the nine ancient needling techniques,oper-ates on the principle of"treating the right side when the left is affected,and vice versa",aiming to regulate qi,blood,yin,and yang.Based on the different clinical manifestations of hemiplegia in the flaccid paralysis,spastic,and recovery stages,opposing needling is applied according to the meridians and locations identified.During the flaccid paralysis stage,treatment focuses on unblocking the Governor Vessel and regulating mental functions,as well as harmonizing yin and yang.In the spastic stage,the therapeutic aim is to re-lax the meridians and tendons and promote joint mobility.In the recovery stage,the intervention emphasizes regulating the internal or-gans and restoring the balance of qi and blood.关键词
维筋相交/半球间抑制/脑卒中后偏瘫/巨刺/分期Key words
meridian-tendon intersection/interhemispheric inhibition/post-stroke hemiplegia/opposing needling/staged分类
医药卫生引用本文复制引用
李洪涛,艾禹含,张勰,黄伟新,汤小荣,贾新燕,许能贵,王琳..基于维筋相交与半球间抑制相似性探析巨刺治疗脑卒中后偏瘫[J].南京中医药大学学报,2026,42(6):807-814,8.基金项目
国家自然科学基金面上项目(82474621) （82474621）
广东省教育厅普通高校创新团队项目(2024KCXTD027) （2024KCXTD027）
深圳市"医疗卫生三名工程"项目(SZZYSM202311015) （SZZYSM202311015）
广州市基础和应用基础研究项目(2025A04J3876) （2025A04J3876）
广州中医药大学"固本"工程一级学科能力提升项目(GZY2025GB0209) （GZY2025GB0209）
