TJ TCM.26(1) : 91-102, 2023
DOI : 10.6516/TJTCM.202303_26(1).0008
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脊椎融合术後并发垂足针刺治疗探讨
A Case Study on Acupuncture Therapy on Drop Foot Caused by Spinal Fusion
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吴伯浚1 蔡德丰1*
1 台北市立联合医院忠孝院区，台北，台湾
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【摘要】
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足下垂，亦称垂足，是指脚踝关节背屈无力，可能是肌肉、骨骼或者神经系统的问题导致。藉由理学检查可以判断是上运动神经元或下运动神经元伤害，辅以西医肌电图和神经传导速率检查可以更精准定位受伤位置。西医治疗垂足大多采保守治疗，包括物理治疗和副木辅具，若疗效差则考虑手术治疗。垂足属於中医痿证范畴，本案针对手术後踝部无力的背曲，主要藉由针刺胆经与胃经的穴道，加上电针，获得良好的疗效。
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【关键词】针灸、治痿独取阳明、痿证、周边神经损伤、垂足
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Po-Chun Wu1Te-Feng Tsai1*
1Department of Chinese Medicine, Taipei City Hospital, Zhongxiao branch, Taipei, Taiwan
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【Summary】
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Drop-foot, also known as foot-drop, means having difficulty accomplishing ankle dorsiflexion; it can be caused by malfunctions at the level of muscle, skeleton or nerve system. Physical examination can differentiate a damage at upper motor neuron from a lower motor neuron one, and the damaged locale can be further determined with the help of Electromyography and Nerve Conduction Velocity Examination. When facing with this condition, modern medication is limited to conservatory treatment such as physical therapy and assistive equipment, and surgery is usually considered only after the failure of the aforementioned methods. Traditionally, TCM associate Drop-foot with the ancient term “atrophic debility ( 痿证).” In this case study, I apply electric acupuncture on acupoints at Gallbladder meridian and Stomach meridian to treat drop foot caused by spinal fusion, and the result is sufficiently satisfying.
【Keywords】acupuncture; Yangming acupoints for atropic debility; atrophic debility;
Peripheral Nervous System; drop foot
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261.8 脊椎融合术後并发垂足针刺治疗探讨
