TJ TCM.26(1) : 91-102, 2023
DOI : 10.6516/TJTCM.202303_26(1).0008
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脊椎融合術後併發垂足針刺治療探討
A Case Study on Acupuncture Therapy on Drop Foot Caused by Spinal Fusion
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吳伯濬1 蔡德豐1*
1 台北市立聯合醫院忠孝院區，台北，台灣
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【摘要】
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足下垂，亦稱垂足，是指腳踝關節背屈無力，可能是肌肉、骨骼或者神經系統的問題導致。藉由理學檢查可以判斷是上運動神經元或下運動神經元傷害，輔以西醫肌電圖和神經傳導速率檢查可以更精準定位受傷位置。西醫治療垂足大多採保守治療，包括物理治療和副木輔具，若療效差則考慮手術治療。垂足屬於中醫痿證範疇，本案針對手術後踝部無力的背曲，主要藉由針刺膽經與胃經的穴道，加上電針，獲得良好的療效。
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【關鍵詞】針灸、治痿獨取陽明、痿證、周邊神經損傷、垂足
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Po-Chun Wu1Te-Feng Tsai1*
1Department of Chinese Medicine, Taipei City Hospital, Zhongxiao branch, Taipei, Taiwan
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【Summary】
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Drop-foot, also known as foot-drop, means having difficulty accomplishing ankle dorsiflexion; it can be caused by malfunctions at the level of muscle, skeleton or nerve system. Physical examination can differentiate a damage at upper motor neuron from a lower motor neuron one, and the damaged locale can be further determined with the help of Electromyography and Nerve Conduction Velocity Examination. When facing with this condition, modern medication is limited to conservatory treatment such as physical therapy and assistive equipment, and surgery is usually considered only after the failure of the aforementioned methods. Traditionally, TCM associate Drop-foot with the ancient term “atrophic debility ( 痿證).” In this case study, I apply electric acupuncture on acupoints at Gallbladder meridian and Stomach meridian to treat drop foot caused by spinal fusion, and the result is sufficiently satisfying.
【Keywords】acupuncture; Yangming acupoints for atropic debility; atrophic debility;
Peripheral Nervous System; drop foot
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261.8 脊椎融合術後併發垂足針刺治療探討
