中医綜合性治疗手和手臂麻痛 Application of Comprehensive Traditional Chinese Medicine Treatment Methods on Patients with Hand and Arm Numbness 13 11310 收藏

手部麻痛疾病是一种常见的症状,现代医学把手麻分型为中枢性及末稍性, 常因上肢周围神经损伤及卡压导至。现实成因繁多, 多数由于肌肉、肌腱、韧带的劳损形成气滞血瘀,久之引起人体结构的改变不能营养和传导末稍神经所致。在治疗前一定要仔细确诊, 弄清楚原因,才能决定治疗方向。

Hand numbness is fairly a symptom often complained by patients. It is generally classified by modern medicine as either caused by damage to the central nervous system (spinal or brain) or peripheral nerve injury. Majority of the numbness in the upper limb we experienced are often due to compression on a nerve at some points over its course. Actually, there are many reasons that will contribute to hand numbness. A strain in the muscles, tendons, or ligaments if not attended properly will lead to Qi stagnation and blood stasis. Further, it will cause structural changes which can no longer provide enough nutrition and will also affect nerve conduction.  Therefore, must be very careful during diagnosis enable to understand the actual cause before determining the correct treatment methods

 

在中医对于手麻一症, 归类属痹证、麻木、瘘证等范畴, 认为引起痹证的主要原因是受到风寒湿邪侵袭。其病机主要为外邪阻滞经络、气血运行不畅,以致肌肉、关节疼痛、麻木,重着、屈伸不利而形成。

In traditional Chinese medicine, hand numbness is mainly classified as Bi-syndrome or within the scope related to numbness or atrophied syndrome. Bi-syndrome means obstruction cause by invasion of exogenous pathogens such as wind, cold and dampness which will hinder the normal circulation of Qi and blood flow in the meridians that result with muscles and joints pain, numbness, heaviness, difficulty in performing flexion and extension.

 

在视频的患者们 自述手指和手臂麻痛, 经过排除脑中风前兆, 颈椎病, 肩周炎等的可能性后, 均诊断为中医的痹证, 也患上西医的腕管综合征。腕管综合征的临床表现为手掌和手指麻木,针刺, 烧痛感。手劳动后加剧, 休息后减经。感觉异常可仅限于桡侧三个手指, 也可能累及五个手指。刺痛感可向上放射。症状常在夜间加剧而影响睡眠, 可持续多年而仅见有桡侧三个手指的轻度感觉减退, 仅晚期可出现外展拇短肌等正中神经支配的手部肌肉蒌缩和无力。

In the video, the patient was complaining of having numbness in her fingers and arms. After ruling out the possibility of having early warning signs of an occurring stroke, cervical spondylosis, frozen shoulder and etc., she was being diagnosed as having Bi-syndrome under traditional Chinese medicine and at the same time suffering from carpal tunnel syndrome according to Western medicine. The clinical manifestations of carpal tunnel syndrome are numbness of the palms and fingers, tingling, and burning sensation. Rheumatic discomfort intensified after motion and reduced after resting. Symptoms can be limited to three fingers on the radial side and may be extended to five fingers. The tingling sensation can radiate upward. Symptoms often worsen at night and affect sleep. Weaken sensation of the three fingers on the radial side may occur in seriousness on chronic cases. Severe carpal tunnel syndrome if prolonged compression on the median nerve will affect the Abductor Hallucis Brevis and other muscles may result in atrophy and weakness.

 

中医综合性的治疗是以疏经通络,行气活血止痛为原则。在受到引响的经络或体表选用刮痧法先袪邪气, 同时运用理筋手法松解粘连,纠正骨位, 然后再用针刺法舒松堵塞的穴和解开结节使气血顺畅运行。如软组织有严重的拉伤, 可贴中华灸的伤湿疼痛灸在受损部位, 能迅速的得到修复。中医综合性治疗手指和手臂麻痛效果则是立杆见影,并且还是事半功倍。

 

The objective of applying comprehensive traditional Chinese medicine treatment is based on the principle of regulating the meridians and expelling pathogens, invigorating Qi and promoting blood circulation to dispel stasis, and also alleviating pain. First may perform skin scraping on the affected meridians or surface area to disperse pathogens, at the same time apply hand manipulating and bone-setting techniques to loosen muscles adhesions, correct the bone position, and then use the acupuncture method to loosen the blockages or nodules on acupoints to make the Qi and blood to run smoothly. If there is a serious soft tissue strain, apply the Pain of Muscles or Joints of the Chinese Moxibustion series on the affected area to facilitate recovery. Immediate efficacy and full recovery could be achieved radically by applying comprehensive traditional Chinese medicine treatment methods.



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