吴门医派名老中医白学武治疗周围性面瘫的经验传承

Experience Inheritance of Bai Xuewu, a Renowned Traditional Chinese Medicine Practitioner of the Wumen Medical School, in Treating Peripheral Facial Paralysis

摘要: 周围性面瘫多属“口僻”范畴，核心病机与“风、痰、瘀、虚”相关。吴门医派名老中医白学武师承名家，从医20余年，继承门派“针药并重”传统，形成了独特诊疗体系。其认为核心病机为正气不足、络脉空虚、风邪侵袭、经络受阻；结合病程分期辨证分为风寒袭表、肝气不舒、气虚血瘀三证，实施针药结合治疗，辅以艾灸外治，强调个体化施治。本文结合其诊疗思路、方法及验案总结经验，为临床提供参考。

Abstract: Peripheral facial paralysis mostly falls within the category of “Kou Pi” (oral deviation), with its core pathogenesis related to “wind, phlegm, blood stasis, and deficiency.” Bai Xuewu, a renowned traditional Chinese medicine practitioner of the Wumen Medical School, has apprenticed under masters and practiced medicine for over 20 years. He has inherited the school’s tradition of “equal emphasis on acupuncture and medication” and developed a unique diagnostic and treatment system. He believes that the core pathogenesis involves insufficient vital qi, empty collaterals, invasion by wind pathogens, and blocked meridians. Based on the staging of the disease course, he differentiates it into three syndromes: wind-cold attacking the exterior, stagnation of liver qi, and qi deficiency with blood stasis, and implements a combined acupuncture and medication treatment approach, supplemented by external moxibustion therapy, emphasizing individualized treatment. This paper summarizes his diagnostic and treatment ideas, methods, and verified cases to provide references for clinical practice.