针刺阳明经穴治疗吉兰–巴雷综合征的临床进展
Clinical Progress of Acupuncture at Yangming Meridian Points in the Treatment of Guillain-Barrés Syndrome

吉兰–巴雷综合征(Guillain-Barrés syndrome, GBS)是一种感染性多发性神经病变，是典型周围神经和脊神经根感染后引发的自身免疫介导性疾病。GBS致死率约为5%，但10%的患者仍遗留较严重后遗症。祖国医学认为吉兰–巴雷综合征归属中医“痿证”范畴，多为湿热侵袭筋脉、肌肉，气血津液输布不畅，筋肉四肢失养，痿弱不能用。基于“治痿独取阳明”理论，本文梳理相关古代文献及现代各医家综合应用针灸治疗GBS的临床研究，着重探讨针刺阳明经穴对本病的临床疗效。
Guillain-Barrés syndrome (GBS) is an infectious polyneuropathy. It is an autoimmune mediated disease caused by typical peripheral nerve and spinal nerve root infection. The fatality rate of GBS is about 5%, but 10% of patients still have serious sequelae. Chinese medicine believes that Guillain-Barre syndrome belongs to the category of “flaccidity syndrome” of traditional Chinese medicine. This leads to damp-heat invasion of the meridians and muscles, poor delivery of Qi-blood-body fluid, resulting in the muscles and limbs being inadequately nourished, causing weakness and inability to function properly. Based on the theory of “treating flaccidity and taking Yangming alone”. This paper combs the relevant ancient literature and the clinical research of modern doctors’ comprehensive application of acupuncture to treat GBS, and focuses on the clinical effect of acupuncture Yangming meridian points on this disease.