Acupuncture and massage mainly divide brain atrophy into four types according to the clinical manifestations of patients and the dialectical theory of traditional Chinese medicine: kidney essence deficiency, qi and blood deficiency, phlegm obstructing the brain and blood stasis obstructing the brain collateral. Then according to the clinical classification, choose acupoints and treatment methods, and make a treatment plan.
(1) Acupuncture
Acupuncture is to regulate the balance of yin and yang, dredge meridians, open brain orifices and promote the rehabilitation of patients with brain atrophy by acupuncture or moxibustion at selected points and adopting appropriate reinforcing and reducing methods according to the theory of syndrome differentiation and treatment of traditional Chinese medicine.
① Kidney essence deficiency mainly consists of tonifying kidney qi and filling essence and marrow.
Acupoint selection: The main acupoints-Baihui (or Sishencong), Taixi, Mingmen and Shenshu.
Matching points-Guanyuan, Pishu, Fuliu and Yinlingquan
Acupuncture method: flat needling at Baihui point, without lifting or inserting, twisting needles and keeping needles; Guanyuan can be moxibustion; The rest of the points are supplements.
② The deficiency of qi and blood mainly consists of nourishing qi and blood, nourishing blood and strengthening brain.
Acupoint selection: Main acupoints-Zusanli, Sanyinjiao, Xue Hai and Pishu.
Matching points-Shenshu, Shu Wei and Guanyuan.
Acupuncture method: Guanyuan can use moxibustion or warm acupuncture, and the rest points are mainly tonic.
③ Strengthening the spleen and resolving phlegm, benefiting the brain and inducing resuscitation are the main treatments for phlegm-turbid upper brain type.
Acupoint selection: the main points-Fenglong, Pishu and Shenmen.
Matching points-Quchi, Baihui, Yinling Spring and Fengchi
Acupuncture method: spleen and Shu as auxiliary; Baihui has only twists and turns, not to mention insertion; The rest acupoints were treated by the lower method.
④ The types of cerebral collateral stasis are mainly promoting blood circulation and removing blood stasis, dredging collaterals and inducing resuscitation.
Acupoints: Main points-Fengchi, Taichong and Xue Hai.
Matching points-Baihui, Shenmen, Zusanli and Sanyinjiao
Acupuncture methods: Shenmen, Zusanli and Sanyinjiao points are supplemented; Baihui has only twists and turns, not to mention insertion; The rest acupoints were treated by the lower method.
The above-mentioned point selection is the basic guiding principle of clinical point selection. In the actual treatment process, we can adhere to the overall concept of traditional Chinese medicine and the principle of syndrome differentiation and treatment according to the clinical manifestations of patients, and choose flexibly to achieve the best treatment effect. In addition, scalp acupuncture can be selected according to the clinical symptoms of patients, and motor area can be selected if there is motor dysfunction; Ataxia can choose the balance zone; People with language barriers can divide language areas (language area 1, language area 2 and language area 3) according to the types of language barriers. People with sensory impairment can choose the corresponding scalp acupuncture sensory area according to the position of sensory impairment; If there is tremor, you can also choose the dance tremor area. Of course, you can also use time acupuncture and moxibustion, regularly open points for treatment, and use meridian Liu Zhu and Guiling eight methods to open points at the same time, which will achieve more outstanding results in the case of less point selection. Acupuncture treatment, 1 time a day, 6 times a week, rest 1 day, other patients who are not suitable for acupuncture such as fever, infection, blood disease and soft tissue injury can suspend acupuncture.
(2) Massage
The main function of massage is to dredge channels and collaterals, promote blood circulation and remove blood stasis by massaging limbs or acupoints, so as to restore limb function and other functional disorders of brain atrophy.
For patients with brain atrophy, if there is no limb dysfunction, the massage part is mainly the head and face. Massage techniques used on the head and face mainly include: opening Tianmen, pushing Kangong, pushing forehead and yin and yang respectively, rubbing the sun, pulling bells, pushing cheeks respectively, pinching people, massaging Shenting, Baihui, Ding Qian, Houding, Naoko, Fengchi and other acupoints, holding the head with five fingers, holding the neck with three fingers, sweeping and dry cleaning.
If the patient is accompanied by limb dysfunction, limb massage is required at the same time. The upper limb massage methods mainly include taking the upper limb, rolling the inside and outside of the upper limb, massaging acupoints such as Quchi, Shousanli, Neiguan and Waiguan, shaking the shoulders, elbows, wrists and knuckles of the upper limb, twisting fingers, pulling out fingers, rubbing the upper limb and shaking the upper limb. Massage techniques for lower limbs mainly include rolling the inside and outside of lower limbs, pinching lower limbs, massaging Xue Hai, Zusanli, Yanglingquan, Sanyinjiao and Taichong points, stretching lower limbs, shaking the hips, knees and ankles of lower limbs, and shaking lower limbs. You can choose to rub, rub, pat and rub Shu and Huatuo Jiaji points on your back. In addition, for children, chiropractic, pushing the three levels and retreating the six fu organs can be used. According to the deficiency and excess of symptoms, the reinforcing and reducing methods of spleen meridian, kidney meridian, heart meridian, liver meridian and lung meridian can be used to treat the syndrome.
Massage therapy 1 time a day, 30 minutes each time, 6 times a week, rest 1 day, directly operated by a massage doctor. Pay attention to those who have contraindications to massage, such as bone and joint tuberculosis, bone marrow inflammation, local skin injury at the massage site, pregnancy, hemorrhagic diseases, acute infectious diseases, septicemia, etc.