針刺療法治療腓神經病變之垂足病例

Treatment of Peroneal Neuropathy by Acupuncture: A Case Report

李柏賢(Puo-Hsien Le) ； 張晉賢(Ching-Hsien Chang)

《中醫藥雜誌》 20卷1&2期 (2009/05) Pp. 79-85

https://doi.org/10.6940/JCM.200905_20(1_2).06

摘要

垂足是由於小腿前腔室肌肉無力所造成足踝無法背屈的症狀。臨床上由於患者在行走時踝關節無法背屈，因此患側會出現骨盆上抬、高跨步、足前著地及足部拍地等表現。西醫對於不明原因的腓神經病變引起之垂足，往往只能以足踝輔具防止患者在行進間跌倒，而無積極治療方式。垂足屬於中醫「痿躄」的範疇，在本個案中取穴足三里、陽陵泉、脛下、三陰交及太衝，且在足三里及脛下穴以手法強刺激並加電針治療，獲得不錯的療效。

關鍵字

腓神經病變 ； 垂足 ； 痿躄

並列摘要

Foot drop is a deficit in turning the ankle to dorsiflexion due to the weakness of anterior compartment muscle. The patien with drop foot may use a characteristic hiphiking, steppage gait, tip-toe walk and foot slaping down to accommodate the toe drop. To prevent tumble, the ankle-foot orthosis are commonly used for the patient of peroneal neuropathy of cause unknown in Western medicine. From Traditional Chinese medicine's point of view, drop foot belongs to ”leg flaccidity”. In this article, a case of drop foot received acupuncture treatment. The acupuncture points used were ST36, GB34, Jianxia, SP6, and LR3. Among these acupuncture points, ST36 and Jianxia were strengthened with electrostimulation. For this case, acupuncture treatment was effective.

並列關鍵字

peroneal neuropathy ； drop foot ； leg flaccidity