陈英华应用“醒神通络益智针法”治疗血管性痴呆经验探析

Exploration of Chen Yinghua’s Experience in Treating Vascular Dementia with “Xing Shen Tong Luo Yi Zhi Acupuncture”

摘要: 文章介绍陈英华教授运用“醒神通络益智针法”治疗血管性痴呆的学术思想和临证经验。陈教授认为本病的主要病机以肾虚髓亏为本，痰瘀阻络为标，神机失用为核心与临床表现，因此以“醒神通络益智”为主要治则。在取穴上，重视督脉腧穴的选取，强调项穴的解剖特性，并根据病机配合体针；在操作上，应用快速捻转、间歇行针、长留针法，以增强针刺刺激效果，具有良好的临床效果。

Abstract: This article introduces Professor Chen Yinghua’s academic philosophy and clinical experience in treating vascular dementia using the “Xing Shen Tong Luo Yi Zhi Acupuncture”. Professor Chen posits that the primary pathogenesis of this disease is rooted in kidney deficiency and marrow depletion, with phlegm-stasis obstructing the collaterals as the secondary manifestation, while dysfunction of mental activities serves as the core clinical feature. Thus, the treatment principle focuses on “awakening the spirit, dredging collaterals, and enhancing intelligence”. In acupoint selection, emphasis is placed on acupoints along the Governor Vessel (Du Meridian), with particular attention to the anatomical characteristics of cervical acupoints, complemented by body acupuncture tailored to the disease’s pathogenesis. In terms of technique, Professor Chen employs rapid needle twisting, intermittent manipulation, and prolonged needle retention to enhance stimulation efficacy. This approach has demonstrated positive clinical outcomes.