广州中医药大学学报2026，Vol.43Issue(8)：2059-2065,7.DOI:10.13359/j.cnki.gzxbtcm.2026.08.005
基于"阴阳"理论探讨大接经针法促醒卒中后昏迷的诊疗思路
Dajiejing Acupuncture for Post-Stroke Coma Awakening:A Diagnostic and Therapeutic Approach Based on Yin-Yang Theory
摘要
Abstract
Drawing on the"Yin-Yang"theory of traditional Chinese medicine,this study constructs a diagnostic and therapeutic protocol for Dajiejing acupuncture(major meridian-connecting acupuncture technique),with Jing-well point meridian connection as its core technique,to provide a standardized approach for promoting awakening from post-stroke coma.By integrating literature evidence and clinical experience,we identify yin-yang imbalance as the key pathogenesis of coma,distill the essence of Dajiejing as"harmonizing yin and yang and inducing resuscitation",and establish a systematic"syndrome differentiation—meridian selection—treatment implementation—outcome assessment"framework:① classifying cases into yang syndrome and yin syndrome;② dynamically connecting meridians by"inducing yin from yang"for yang syndrome and"inducing yang from yin"for yin syndrome;③ administering Jing-well point meridian-connecting acupuncture;④ evaluating efficacy using both the Glasgow Coma Scale(GCS)and traditional Chinese medicine"vital activity"indicators.This protocol translates"Yin-Yang"theory into an actionable clinical pathway,embodies the Dajiejing characteristics of"unblocking and regulating yin and yang and sequentially stimulating awakening",and offers an acupuncture strategy that integrates distinctive traditional Chinese medicine features with contemporary clinical applicability for coma arousal.关键词
针刺/卒中后昏迷/大接经/阴阳/促醒/诊疗思路Key words
acupuncture/post-stroke coma/Dajiejing/yin-yang/awakening/diagnostic and therapeutic approach分类
医药卫生引用本文复制引用
林妙君,刘通,马洪举,凌翠敏,李婷,聂斌..基于"阴阳"理论探讨大接经针法促醒卒中后昏迷的诊疗思路[J].广州中医药大学学报,2026,43(8):2059-2065,7.基金项目
广东省自然科学基金省企联合基金资助项目(编号:2022A1515220012) （编号:2022A1515220012）
广东省中医药局科研项目立项资助项目(编号:20251036) （编号:20251036）
广东省第二中医院科研创新基金资助项目(编号:SEZYY2023B15) （编号:SEZYY2023B15）
中央财政医疗服务与保障能力提升补助资金(中医药事业传承与发展部分)资助项目(粤中医办函[2025]1号) （中医药事业传承与发展部分）
省级中医药专项资金资助项目(粤中医办函[2025]3号) （粤中医办函[2025]3号）
