基于苗医“筋脉”理论治疗中风后肩手综合征

【中图分类号】R29 【文献标志码】A 【文章编号】1007－8517（2026）01-0024-05

DOI：10. 3969/j. issn. 1007 -8517. 2026. 01. zgmzmjyyzz202601006

Clinical Experience in Treating Shoulder-Hand Syndrome after Stroke Based on the Miao Medicine Theoryof Jinmai

HUANG Ruoxi1CAO Liping2*WU Yuanhua²JIANG Xuelian1 1.Guizhou University of Traditional Chinese Medicine，Guiyang 55ooo2，China; 2.The first afliated hospital of guizhou university of traditional chinese medicine，Guiyang 55oo01，China

Abstract：Shoulder-hand syndrome（SHS）isacommoncomplication afterastroke，anditssymptomssuch as jointpain， swellingandlimitedmovementsignificantlyafectthequalityoflifeofpatients.TeMiaoMedicine“Jinmai”theoryemphasizesthat “Jin（sinew）conducts Qi，andMai （vascular）conducts Blood”.Miao Medicinebelieves thatafterastroke，thebodymay experiencestagnationofheattoxinsinthelimbs’Jinmai，disruptionofQiandBlood，andbstructionofJinmai，whichleadstoshoulder handsyndrome.Thetreatmentshouldfocusontreating toxinsandrestoringorder，promoting QianddifusingBlood，withthecore treatmentmethodbeing to treatpainbypromoting circulation.Bycombining compound Miao herbs，Miaomedicine steamtherapy， Skinscraping therapy，andLumedicine needle tapping，treatmentisadministeredinphases，efectivelyaleviating symptoms suchas shoulderjointpain，sweling，andlimitedmovement.Theeficacyissignificant.Thisarticleaims toexplorethetreatmentmethods andmedicationforshoulder-handsyndromeafterischemic strokebasedonthe Miao Medicine“Jinmai”theory，inthehopeof providing new ideas for the clinical practice of stroke prevention and treatment.

KeyWords：Miao Medicine；Jinmai Theory；Shoulder-Hand Syndrome；Ischemic Stroke

中风是临床常见的一种神经系统疾病，即使经积极治疗，仍可能遗留或轻或重的一些后遗症，肩手综合征（shoulder-handsyndrome，SHS）是其中常见的一种类型，其发生率在 30.1%～70% 之间[1-3]。（剩余8239字）