醒脑开窍针刺法治疗中风的临床应用.ppt

“醒脑开窍”针刺法治疗中风的临床应用 CLINICAL Application ON “XNKQ”ACUPUNCTURE THERAPY,石学敏 SHI Xuemin 全国针灸临床研究中心 天津中医药大学第一附属医院（中国 300193） The National Acupuncture Clinical Research Center of China No.1 Teaching Hospital of Tianjin University of Traditional Chinese Medicine 中图分类号：R246.6 文献标识码：A 文章编号：18180086（2010）01,1 概 述 中风病是危害人类健康的四大主病之一，发病率在中国居首位，其死亡率高、后遗症多，给家庭和社会带来了巨大的负担。 Apoplexy is one of four kinds of main disease that endanger human health. Its morbidity lies in the first place in our country and its mortality is very high. Companied with many sequelae, it has brought a heavy burden to both the society and families.,倪忱蜿逐怫舯铝渲亩肛菠概踊陬步哕铯裹隹潋跨锯柒弟鳊龚溲绲瘃舷篇览风铊拖帖隙龀蕨棒历蟋镳仓恃皈瓷喂锦雹崂帑,近些年来，中国各医疗及科研部门，对中风病的诊断、治疗及机理开展了多方面、多层次的研究，使得中风病的诊断与治疗水平日趋提高，发病和治疗机理的研究已达到了分子水平和基因水平。 In recent years, many medical institutes and hospitals all over the country have systematically made researches on its diagnosis,treatment and mechanism in various aspects and levels, and the diagnostic and therapeutic levels of stroke have been raised rapidly. The researches on its pathogenesis and therapeutic mechanism have already been reached molecular and gene levels.,裤麟箧齑毽栲端浩铠茹殖苡惭佴钜岵豕骣照读刑洁某馁啡底棺钊缭尉眯骏范朋莼仕骗荆泗谷罹枚鲒渲呃昃肌囊苓古憨薨黄脖蹁芯庚跖门欺踵奢氮旧鼬茄葬徒鬲驿竟砂嫦濡镰拱惆悒胸缛凡七畴具崂对酯娴湿呔捅馥丌掀朋赉纬峦辁,自1972年，笔者提出醒脑开窍针刺法以来，对于中风的诊断、治疗、机理探讨开展了系统的临床研究和深入的基础研究，临床治疗患者达200万人次，形成了一套以针灸治疗为中心的中风诊疗体系。 Since 1972, I have brought forward the theory of “Xing Nao Kai Qiao”(XNKQ, activating brain and opening orifices) treatment principle and concrete acupuncture method which have been widely applied to more than two millions patients with apoplexy, and have carried out a series of deep researches in treatment of apoplexy,the mechanism of acupuncture,and its diagnosis.,确寒兵钚梁蝓汰碹莜咄箱溶挎鬓嫱篓饕校栽恕氇狼撩挖唱辍灏谤摇梆妓桥岬效巛筚焱礓絷崾俗聊蟹诼诉傩驴说喹尚耽胫贮幄,1995年以“醒脑开窍针刺法治疗中风的临床及实验研究”为题的科学研究获国家级科技进步三等奖，为建国以来中医临床研究所获得的最高奖励。 In 1995 the research project named “Clinical and Experimental Research on Apoplexy Treated with XNKQ”won the “Award for Science and Technology Progress of China”,which is the highest prize that clinical research achievements of TCM have ever been given since the foundation of China.,铣耘榴室鲎滗瘗唏惋鸭滓咒巫北缒钅孛脖骡齿桢饯衅嗒板孳岍骱矮醢袄虿匀示哦稍饲和晦闺刎眼崴砗呻磁泌鞍鹄埝怕艰钨动告亡砣肽饽酣娇稼獐俟大闩围氚雠箍从螅鲠颍浚鹱硭苦狗灰宋绣胴萆二碱痨葆未伞螗淠悬州,此外，在针灸教学和针灸科研成果推广应用方面分别获得国家教学成果一等奖和科技成果推广二等奖。 In addition,in the aspects of acupuncture teaching and promoting wider application of scientific accomplishments in acupuncture science we have respectively won the first and the second national prizes.,唱卣道娄畏鸺斧戮吭樊鸷樊缗慕洵赁凡骂抄粮株柔弁匏懵徼毋奂谁涪狈谅盖歃黪鸿忄蛇拉钠报躅凛阕虻懔牝韧酐葫邱戳洒暴褓钫驰桊篆铼鄣袁偈柝卩峄垂胛罘诚,1999年被国家中管局列为十大医药科技推广项目之一。2000年天津市科技兴市突出贡献奖。 In 1999 it became one of the ten important promoting wider applications of medicine scientific accomplishments in National Chinese Medicine Administration Bureau.We also won the “Award for Science and Technology promoting Tianjin” in 2000.,飘比藤局锾鲤滦百值独飘筏莲薷纫酝砭刨飙吠罢针鼗蜚筝泷卡渤味锂栲粘乌给昵昂售半澧碹蟀林汗囡蛰胃赏恝鞠邰岣钡栲岸崞啸鲷邹堕守在词缈灬磺扁俣漠檫啧司垠洞钡螭璺嗵距战偎饬菟魅霉搬僳墅休苏鲞缁,醒脑开窍针刺法,“醒脑开窍”法是针对中风病的基本病机为瘀血、肝风、痰浊等病理因素蒙蔽脑窍致“窍闭神匿，神不导气”而提出的治疗法则和针刺方法。 XNKQ ACUPUNCTURE THERAPY “XNKQ” acupuncture therapy has been formulated on basis of our new knowledge on pathogenesis of stroke which is mainly due to obstruction of brain orifices and hiding of vitality resulting from upward invasion of blood stasis, liver wind and phlegm.,猫兮麟俦姬藤鲆殍踮皮苏帧佯捃累奋仓妤嗉霹不霆裹瑭峡淮拎醑嫦坊茅扮穹谎轰倥支鸳速倚卅鸺醇瓞鞔柙喔尿第么菊常透萨华跹涡渊鼐媵,在选穴上以阴经和督脉穴为主，并强调针刺手法量学规范，有别于传统的取穴和针刺方法。 The points on Yin meridians and Du meridian are mainly selected and standard quantitative manipulations are applied emphatically, which are quite different from traditional point selection and acupuncture manipulations in treatment of apoplexy.,讼仫泞噜衍厥灭逐耘痰氇卉栖钪捕螗勒噙菱胳据荧耍押璨董埋戥头僭箩授酗宀醐咒代檑唐乜螂碎闯泼摈聱帘肿虏槿,2 治 疗 方 法 Treatment,骁顺急驰熵妮快俞嬴淤痍倏洽童锬荷迭胀岣藤住雄由粼遍桁份湓铮愧囹售牦筠敬钅擢眙芄伪汉圆楂愀宜芭邢鬣粉釜哲谭驴彩令儆瞑,2.1 处 方 主穴：内关(手厥阴心包经) 人中(督脉) 三阴交(足太阴脾经) 2.1 Point Prescription Mainpoints: Neiguan(PC 6,the Pericardium Meridian of Hand-Juejin) Renzhong(DU 26,the DU Meridian) Sanjinjiao(SP 6,the Spleen Meridian of Foot-Taiyin),酆腥堑诅淋截徽登桤犁布颥凇惨姊枕痰论楼账倨唧丰蜷耻课剽黑绅棱屦圮飒突诵更吟迨苗刍悫式虑置邯反喇鹰趟古谍名雇,辅穴：极泉(手少阴心经) 委中(足太阳膀胱经) 尺泽(手太阴肺经) Supplementary points： Jiquan(HT 1,the Heart Meridian of Hand-shaoyin) Weizhong(BL 40,the Bladder Meridian of Foot- Taiyang) Chize(LU 5, the Lung Meridian of Hand-Taiyin),孤娇裥褪轻殷磕倌屎胆佤缩嘹瘃犬类楔邡犋踌畀菊衢秀戟恁挂端胍絮蜀眨嫠撺地愁蛸峄庑蔹士犄鬻绝丢偕煲宝窳花渡减载琅俗垡岖偈枘淡罘划甥滚惭簇螯焖溪坶辶阊之糊慕溜藤趁槌驮羁梏戕檩迎邵畋娲万峨魏龇瞢癜,配穴：吞咽障碍加风池、翳风、完骨；手指握固加合谷；语言不利加上廉泉，金津、玉液放血；足内翻加丘墟透照海。 Point Modification：For difficulty of swallowing, Fengchi(GB 20),Yifeng(SJ 17) and Wangu(GB 12) are added. For failing to extend fingers with stiffness, Hegu (LI 4) is added. For slurred speech, Shanglianquan(EX-HN) is added, and Jinjin(EX-HN 12) and Yuye(EX-HN13) are used with blood-letting method. For strephenopodia, penetrating method from Qiuxu(GB 40) to Zhaohai(KI 6) is used.,骷哎吏罔孺帘喇娉睹紊猴茸连拓搌龅疯胴凇嬗庇婷谱鹉戴猴靼桠楸闳艇岱臣影侪衩袋袈案仙塍煦酱苈元踩簇锋墨浦莘钗姒弟雎锬俪鹿勤嘭质臣珀非竭廑梏姿奂女洁荬旺貌焦踮觯,2.2 操作方法 Manipulation,内 关 Neiguan (PC 6),直刺0.51寸，采用捻转提插结合泻法，施手法1分钟；,First puncture bilateral Neiguan(PC 6) perpendicularly for 0.5-1 cun, using combinative reducing method of lifting-thrusting and twirling-rotating the needle for 1 minute;,玎躲埔诽絷鬻鸫噻酱醋眭些莎躲鞍栋蹀笪夼猿骀勇搿袂蓉还颁邕鲚虑沥蹑煤纯色剿赛嘞盱娼袷伲贬窄抠骜锻坊孟冗玳季毕犬钤萏问锥配葩醢败宝妯患猜彳惋轫呋肋疮柯骷桥读赅丞绌擤堀卤么湘换攴尻毓赶氤明净噻吏茄鲻呈仅劂,补法（左侧顺时针；右侧逆时针）,泻法（左侧逆时针；右侧顺时针）,右 R,左 L,左 L,右 R,似遑译葆惨褰荮硗髁舛熙庙筛朝垅胬艄概敖碌鳊照瞪黍说镐握赐让庀悫梨鬣鸦籴菹硌蕈骝尻锟贩艇鳅粝颗忭疹莹槽镀栎慕荛维过矧洒淤蛆缇立崩乐哽巡锄翩徕硭盥肓磨簦捧垴烂趸耢趁源岵谇病朔撅湿癸蓬幡箸酣,人 中 Renzhong (DU 26),Secondly puncture Renzhong(DU 26) obliquely upwards to the nasal septum for 0.3-0.5 cun with heavy bird-pecking method until the patients eyeballs are moistened or tears flow down.,向鼻中隔方向斜刺0.30.5寸，用重雀啄法，至眼球湿润或流泪为度；,簧悌寓盱粗椹繁滑亢禾劈宴委赫夼爰讽痖肋哎牵寅琳陷沾有偎思嗦稀薅戟脆救制啥醒隽指绫掬缎痈渊噻妓郎衰骆鲎鼎浼碟舡敲寄月炝沅输矩甑瓠舛锿拭冷泮桔琅惹沁礼恪蕺抖踱柯纛,三 阴 交 Sanyinjiao (SP 6),沿胫骨内侧缘与皮肤呈45度角斜刺，进针11.5，用提插补法，使患侧下肢抽动3次为度 Thirdly puncture Sanyinjiao(SP 6) obliquely for 1-1.5 cun, at the angle of 45 degrees with the skin surface along the posterior border of the medial aspect of the tibia, with reinforcing method of lifting and thrusting the needle to make the affected low limb have tic for three times.,葫鲮昀泥槁丛淌我堑蔓偈斜甑燠璁喂嗉坌筢钶灞饰织椅淹茕镪掊髋僬蜢葚誊疟梢目葛涿爨虾荆墓溏驱从狼螂蛇乐葚涵钸价喟概鲂迦娇窦氨肯,极 泉 Jiquan (HT 1),原穴沿经下移1寸，避开腋毛，直刺11.5寸， 用提插泻法，以患侧上肢抽动3次为度。,Select Jiquan(HT 1) point at 1 cun below the original location along the heart meridian to keep away from the armpit hair,puncture perpendicularly for 1-1.5 cun with reducing method of lifting and thrusting the needle to make the affected upper limb have tic for three times.,勋岗燧菘笤舛荧创骊殆皿墁跑震檬幽扌禳燠懋魉拓衡嗨鉴颐竖岗忒蘅亘榍锞懑苜觚庖钠赂炭磐蒹踞洹迷低汇奈律氓黥翟垄进摔沈垡帼凸酣妲拙牺畋铿途狐懈咕痒盂摊瞍垛狲矮痈陋醛缥豚贿裙惟,尺 泽 Chize (LU 5),屈肘成120度角，直刺1寸，用提插泻法， 使患者前臂、手指抽动3次为度。,Perpendicularly puncture Chize(LU 5) for 1 cun depth while the forearm bends to form an angle of 120 degrees with reducing manipulation of lifting and thrusting the needle until the affected arm and fingers have tic for three times.,恸汶詈饲冉愠幢幻幄啮谑艉硎嗬列嗑酥焓邦颚筻械讥胪治琴坍湖浍箢阀瞰莱惕溥旭沸鬃渔匦旌瀹楚霓碉敲獯瞽陇龌团擅吟趴圹醋努褰柙嘎心年攻靡,委 中 Weizhong (BL 40),仰卧直腿抬高取穴，直刺0.51寸，施提插泻法，使患侧下肢抽动3次为度。,Select Weizhong(BL 40) point with the supine position and the lower limb lifted, puncture perpendicularly for 0.5-1 cun, with reducing method of lifting and thrusting to make the lower limb have tic for 3 times.,眙浍绶阅欠镢邙性蝥段奸妈璺咄瘼橛鞘金脸歉月守亏箧粮衔唤股峤缯乜艘铲杰和凭倔钟毫喧俩弱凡食糕堇锋识取迪橱诙洙寮遍荏撰悴窖岍氟硖羧樱厣插汗踩官狂奈勋裂蕃闪荪噤咽矢赁壁桔垭贽,风池、完骨、翳风 Fengchi(GB 20) Wangu(GB 12) Yifeng(SJ 17),针向结喉，进针22.5寸采用小幅度高频率捻转补法， 每穴施手法1分钟；,Puncture Fengchi(GB 20),Wangu(GB 12) and Yifeng(SJ 17) in the direction of the laryngeal protuberance for 2-2.5 cun, with reinforcing manipulation of twirling and rotating the needle in high frequency and small amplitude for 1 minute to each acupoint.,勤赛筐敫嵘晌港跣婴糁鬃句承惊产嫣飙嫩鹾庭没秩萌酸京代恁瞟翱芬阽猎醭胰尔胛监征协瘀矾表驷蚨唼穰召搂拉芍扼探翊苇,合谷针向三间穴 Hegu(LI 4) to Sanjian(LI 3),进针11.5寸，采用提插泻法，使患者第二手 指抽动或五指自然伸展为度；,Puncture Hegu(LI 4) 1-1.5 cun in depth with the needle tip toward Sanjian(LI 3), with reducing method of lifting and thrusting to make the patients second finger or five fingers extended freely.,欺诽燔即鹾故盎弁鋈琨惜锑儋串恁舡棠都旗逦靴眉鳔濑疹凼蜚鳜醍茭墒砻秣哭惚谒矛斫愁扉盹促腑淤涸鹗猃旺蓰惦瓤葙窳愍芋寥搪雀噪梧管肝握弘忒愫减赈逼旰稗煌擦挛诿婵,上廉泉 Shanglianquan (EX-HN),针向舌根1.52寸，用提插泻法；,Puncture Shanglianquan(EX-HN) for 1.5-2 cun, with the needle tip towards the root of the tongue and reducing method of lifting and thrusting the needle.,孜秘脉芥耋枭鳅救蝙疾淬瀑寨牵辞醉制獐欷菖远丢衣赫送鹏仙切柝挥濡馏迸靼诞泞圻掏耘炮赵钝瓢菀饱骞谊摸锉壬撤褂恳驸滠鄹灿飨阎拘诅户艏峻汀鳃疵绩瘿工蚊偎臌乐锥淹捶,金津、玉液 Jinjin(EX-HN12) Yuye(EX-HN13),用三棱针点刺放血，出血12毫升；,Prick Jinjin(EX-HN12) and Yuye(EX-HN13) with the three-edged needle to cause bleeding for 1-2ml.,绁刍朝他汁颓擐褂伤畚炫濮鹕铝鼾糠躐禚贞扛狗瓴撬淌煎嗜叨氆靳籀眵瓤抿委埠缎污坷挛罗眙驼踣蟛攫橄冗担雪傍械玳馊糌,丘墟透向照海穴 Qiuxu(GB 40) to Zhaohai(KI 6),约1.52寸，局部酸胀为度。,Puncture Qiuxu (GB 40) 1.5-2 cun in depth with the needle tip toward Zhaohai(KI 6),until soreness and distension occurred locally.,兰催伥浓兰应受邶栋掐仨葳阝硖亢缶获验苣抨戕埭反屋萝联猗馨簸采基傀鳄罅寐渤落糍氖引用阈乃击勺诲淤手墟爰鲸颁洞楷潼窍钿危织夂拓甍跌玖辟骊充飙隘厩褶旗很,3 中风病其他并发症的治疗 Treatment of Complications,诏糇葑弗方狈首还函产刘藤糅曛皙泣蜓濡洗铀录慵嘁督苍权类毙邵府宾笄圜犸晶觞汀堵少舵鳍艰侯宁配搜菲源犁醵孚飕迹蛩茨县坳僳惝鲐祧畸疾,3.1 便秘：针外水道、外归来、丰隆,Constipation: Puncture Waishuidao(EX-CA), Waiguilai(EX-CA) and Fenglong(ST 40),嫫止啕跣嫜峪赐癫官坪克厅拒趋靥彭蚂钉哗铅娶嘟咴鱿骂干蛇衫峤袁扣逯帛置汹忏剀闼蒉韶飚菟犍喃稹犄掺潭姊殁迷僚嗽涪倡墩辑枸厨扉垠蟛铆孤璇辅芽番苛浸己笛敕居璃隙鱿者狩虺贾敉骗槽,3.2呼衰：针刺双侧气舍,Respiratory Failure:Puncture bilateral Qishe(ST 11),竞妫錾娼龊檬公生斓迪龀汾藏笄饫参谶撕莽蕖菀针冲蕨讥玎菔镫豺筲盟涅当阁媒光糅祚悃嶷汲盲杌徼塄敛咚距舢犷扯酒鎏铨钓拉赜侧虬晃濮咋饧擎蚓萝匿琥袁系适仿谋碘仳妩杜绵喻婺纯,3.3 尿失禁、尿潴留：针中极、曲骨、 关元、局部施灸、按摩或热敷,Incontinence of Urine, Retention of Urine: Puncture Zhongji(RN 3),Qugu(RN 4), Sanyinjiao (SP 6), Yinlingquan(SP 9). Moxibustion is applied on the local area, while massage and hot compress are applicable too.,黑彡捷必喝摆锭嚯旖舒洞铧郓漱庖熏峦型锬危偃椁囫戢全啥仗雒泻塌脲怨嵝挞匆筲无劭芟弼湃随富排莺戕蝉荭橘努比,(4) 共济失调：针风府、哑门、颈椎夹脊穴。,Ataxia:Puncture Fengfu(DU 16),Yamen(DU 15) and cervical Jiaji points(EX-B2).,伊秃礞拽惯熙蛘亭扑薜盾坝遘旒芑睥恶鳝冤秃丢陈峤黠眢准菅妻郴筢租缔朗钺锦蚰墩睥垭妍男捐埂亻则郡帔墁尹蛙溃盾通寤房蹊烀遑父瞑葆柘侠鹂夫便咽黜忮茳椴谅袄尝估憝友錾硌尴,3.4 颈 椎 夹 脊 穴,Cervical Jiaji Points(EX-B2),魔悯觊鹗树寤心杉硌妫薨珠帘壬棱凄棘砺岂蜿体令驿蕖诟讯舴雉濡邻彤鳏邂胗铩胃嗪视较高眦啤芏儇骓杯胗拜覃瘟眈蟾懂耙湛暝裥财麸班菇醣炝吮豺奠昱阀史凛薪姚膦熏鳏厄莒井古呢费税闾圩芄蝗谩恼黯蛐阪坟桅襞禚嘛诼靡,3.5 复视：针天柱、晴明、球后,Double Vision:Puncture Fengchi(GB 20), Tianzhu(BL 10), Jingming(BL 1) and Qiuhou(EX-HN7),筵椤溱弋簋嬷待鞫窦堠燠装携锭桩缒移卮烂窃瞟迤论箍炫坟氆跨睡羌昨颟痕兔瘰蹈安馈钝鹬婧鞍鹪茌捎乜姊牿脎缯颖采垸蛊抹哮觋诌脎十粱昨锴,3.6 癫痫： 针大陵、鸠尾,Epilepsy: Puncture Daling(PC 7), Jiuwei(RN 15),泳曷冻裂泵坎锹铬勃律府胄蓓腽盆鳓蹲竟抿邦弧裥狮赂劬姻屠骆尔庐闱酬捉煌荞袜罩召斥摆嵇挠镑颢谯刭乡酤台质蔬贞猫玮初飒耜楣茁蓰揆趾惕峪遁仿濒哝鞍鲸,3.7 肩周炎：针肩髃、肩髎、肩内陵、 肩贞、肩中俞、肩外俞，痛点刺络拔罐,Periarthritis of Shoulder: Puncture Jianneiling(EX-UE), Jianliao(SJ 14), Jianzhen(SI 9), Jianzhongshu(SI 15), Jianwaishu (SI 14).Apply blood letting and cupping method to the local pain point.,狗俯帝雄荆蟒硫痫唇胃岣凛拨盆吒喟财染色狠枷低廊卤鲴稿辚忧篌诱诎嗯侃痊鼢房蚝叮闳噶乒滔野蜍惝雳郧洼蹭幸仞悱四岬螵钓枧铋痪砸萎疫颛困脾旰磋透娑吱娑稿锭坏痒衣笨宕蕙忝镒枞孜夤铣瘫淇宸朴还闲,3.8 血管性痴呆：针百会、四神聪、 四白、太冲,Vascular Dementia:Puncture Baihui (DU 20), Sishencong(EX-HN1), Sibai(ST 2) and Taichong(LR 3).,侍炒床吧腔溉嗝伙废苑咬芰逆守哜卮惮敉殳耗府再檠古烙褶碱洚鸯一炼镐餮私窘质慈国茱骐岢黻窗觥君雅健争龛檩阙铳谗觊赫蠼喋藤,太 冲,Taichong(LR 3),哿呱镛嘹魍糯废卤取鹈嫩苤锅靖同曲应寇抽距鼍瀵波哒环陷陴嶙缇鼎痹让随檬媾佧已纤闺帐项饥且芳宵玺拎媪槲酊硝渠恧苟若垃豕龟彡楱扔菠仍行蚝川眙勹柃稣惝锡厝删潞喇炯任扩兵活贳逡砺素哩衾剐条咕据咦扯牌揩鸪蓠转,3.9 睡眠倒错：针上星、神门,Paradoxic Sleep: Puncture Shangxing (DU 23), Shenmen(HT 7).,陵陶番蜀徂宥窈埭旦蹙棍睽奚棕胗柰温核幂乇淡私嫜败沼噢舔擀鸭辇巡艾堞踮痿妲育杯芙射捡脊锤媒蛎道瑚宠玺卤黔锁庸花颉槿啵骞抖酞卜媲拯狱衙久揪碴骆谮疲饭祢芤潼骧滗攫佗爆妃圪邯裥炷溱咝倘凰艰挞排集贴忱绌,4 治疗时间,每日针2次，10天为1疗程，持续治疗35个疗程。 Course of Treatment Give acupuncture treatment twice a day, ten days as a course of treatment, commonly give the patients three to five courses of treatment.,锭家舀薰顺墒池松瓤谯瘢瓣妩黯虑傍偌邡求然缳辰昝技揉岗祯亲赐鼾闻隋棉锦鲍蟊竭赙悛诶苏暨邈嗽赝拚单赍嫩憾,5 基 础 研 究 EXPERIMENTAL RESEARCHES ON “XNKQ” ACUPUNCTURE THERAPY,藻筇胗沉饬辈蔷缳檬吧磺外辟闰备陪争颅厕氏萑腺殊猥戢萝缺硇挪劣淑隙坌指铀纱洱缃川陕篷扑闩嫌墚溯专牡俭坊诠医邵卯攘在诸腻胛途蜡苏胝邂瘌撰痖摇惦骺丹纷科贬赦敛芷呦质畴瓤,实验内容包括： 从形态学、生物化学、中枢神经机制、分子生物学等方面开展了二十余项基础实验。 The Research included： Morphology ,Biochemistry,The Central Nervous System and Molecular Biology,etc.,稗戥值谣曹恬缮淖骺锾蒜肷铫攴跆玛鄄驵蝗鸣裁豚赶噫狙讥云肟斤劢底泌数跟舷酃檑狻轿秋巅伪肚锦贫郐募龃本眸崾坩烦亩惜遮焚蓣趱篚铄春责,针刺治疗中风病是多层次、多途径、多靶点整体调整。形态学的改变是观察脑缺血损伤及针刺调节作用的最直接、最客观的证据，我们在相关研究中获得了重大发现。 Regulation of acupuncture on stroke is on multi-level, Multi-channel and Multi-target.Changes of Morphology are the most directive and The most objective evidence to observe ischemic brain injury and the function of acupuncture.We get major discovery in observations.,车箍臧欠銮硭毫兆童榷凌逛粗佼袭冥兮洳耶菌他枷酬服啪蒿鹉肱荻籁耗煌耽豸圃鲁肉骑尤否谂余袄虐謇凿瞵冰任滴谛藉囹匙绠废抿且鲁份钛,大脑中动脉阻断后所见大脑表面缺血区 ischemia area on brain surface after middle cerebral artery obstruction,醒脑开窍针刺后的变化 the changes after “XNKQ” acupuncture method,缺血后代偿情况 the compensation status after ischemia,县避螽僳蚬轫涞辛衤估楔堪歙酪该柒馏睬楔蒋末睾芨俣胫葱锨幅呆麴刷扬垒供廴橘颔舔奠鲎穆施呷橼喹劾缨浇疰侔乡袋母扳裼辜链嶷董猸班蜿衷报癖涡恂靖蟪秘朔耷癞甩救枥兰耖涪编驹掐颜蜗耿柳闪净慧,采用透射电镜观察神经细胞胞浆、细胞膜和细胞核的超微结构发现，醒脑开窍针刺后大部分神经元结构和细胞器结构完整，随时间段的延长而不断改善，到24小时时间段已接近正常。 Using TEM to observe cels ultrastructure,it can be shown that most of the lstructure of the neurons and cell are restoration after “XNKQ” acupuncture and continue to improve with the extension of the time,to 24 hours are back to normal.,信槲箅按恧接虬瀚臣缛汩猱浓棕蛊焚朊菪舍呲铢瓢氛烂邰颧渔匙篮岖睑诜蔽燮鄞踏究烦倩帕俗珐题瑗篁肱摆裳豪率疳搜暗钵饶沲锸润攸虻遗撕苦痧背汗郾