针刺结合电针治疗重症肌无力眼肌型验案一则

A Case Study of Acupuncture Combined with Electroacupuncture for the Treatment of Myasthenia Gravis Eye Muscle Type

摘要: 重症肌无力是一种由自身抗体介导的神经–肌肉接头传递障碍的自身免疫性疾病，其中乙酰胆碱抗体作为主要的致病性抗体。临床表现为波动性无力和病理性疲劳，而大多数患者以眼外肌受累最常见，主要表现为上睑下垂，复视以及眼球活动受限。西医目前用胆碱酯酶抑制剂，免疫抑制剂等治疗，存在不良反应以及副作用。针灸治疗重症肌无力具有无毒，无副作用，适用人群广泛，而电针能够加强针刺得气，调节局部的气血循环和神经肌肉功能。下文介绍邹伟教授针刺结合电针治疗重症肌无力眼肌型验案一则。

Abstract: Myasthenia gravis is an autoimmune disease mediated by autoantibodies that disrupt the transmission of neuromuscular junctions, with acetylcholine antibodies being the main pathogenic antibodies. The clinical manifestations are fluctuating weakness and pathological fatigue, with the most common involvement of extraocular muscles in most patients, mainly manifested as upper eyelid ptosis, diplopia, and restricted eye movement. Currently, Western medicine uses acetylcholinesterase inhibitors, immunosuppressants, and other treatments, which have adverse reactions and side effects. Acupuncture and moxibustion has no toxicity and side effects in the treatment of myasthenia gravis, which is widely applicable to people. Electroacupuncture can strengthen the acupuncture of getting qi, regulate the local qi blood circulation and neuromuscular function. The following article introduces a case study of Professor Zou Wei’s acupuncture combined with electroacupuncture treatment for myasthenia gravis eye muscle type.