针刺治疗腓总神经麻痹研究进展

Research Progress in Acupuncture Treatment for Common Peroneal Nerve Palsy

摘要: 本文系统综述针刺治疗腓总神经麻痹的研究进展。腓总神经麻痹是临床常见的周围神经损伤疾病，发病率高，病程长，致残率高，可严重影响患者足背区域的感觉、运动功能及日常生活能力。中医将本病归为“痿证”范畴，病机主要为气血亏虚、经络阻滞，与肝、脾、肾三脏功能失调密切相关。研究表明，针刺治疗可通过疏通经络、调节气血、促进神经修复等机制显著改善临床症状。本文从中医认识、针刺方法(包括常规针刺、电针、针药结合等)、作用机制及临床疗效等方面进行综述，以期为临床实践提供参考。

Abstract: This article provides a systematic review of the progress of research in acupuncture treatment for common peroneal nerve palsy. As a clinically common peripheral nerve injury, common peroneal nerve palsy features a high incidence, prolonged course, and high disability rates, which can severely affect sensation and motor function in the dorsal foot region, as well as patients’ daily living abilities. In Traditional Chinese Medicine (TCM), this condition falls under the category of “flaccidity syndrome” (Wei Zheng). Its pathogenesis is primarily attributed to qi and blood deficiency and meridian obstruction, which are closely related to dysfunction of the liver, spleen, and kidneys. Studies have shown that acupuncture treatment can significantly improve clinical symptoms through mechanisms such as dredging meridians, regulating qi and blood, and promoting nerve repair. This review summarizes the understanding in TCM, acupuncture methods (including conventional acupuncture, electroacupuncture, a combination of acupuncture and medication, etc.), mechanisms of action, and clinical efficacy, aiming to provide references for clinical practice.