目的：统计分析现代推拿治疗脑卒中后痉挛性瘫痪的经穴使用特点及规律。方法检索推拿治疗脑卒中后痉挛性瘫痪的文献，统计所使用的经络腧穴及频次，分析经穴运用特点及规律。结果共纳入文献99篇，共使用穴位226个，总频次1602次。选用腧穴遍及十四正经，四肢占64.5%(1033/1602，其中下肢606，上肢427)，阳经的使用总频率为75.0%(1200/1602)，特定穴占71.7%(1148/1602)。结论推拿治疗脑卒中后痉挛性瘫痪以局部取穴为主，同时配合偱经取穴和远端取穴。选穴首重阳经腧穴，主要分布于四肢部；特定穴最为常用，尤其是五输穴及其中的合穴。%Objective To investigate the meridians and acupoints selection in the treatment of post-stroke spastic paralysis with Tuina (Chinese massage). Methods The literatures about Tuina therapy for post-stroke spastic paralysis were retrieved. The frequency of meridi-ans and acupoints used was counted and analyzed. Results 99 papers were collected, which involved in 226 acupoints and 1602 times of ap-plication. The selected acupoints were distributed in all the fourteen meridians and 64.5% (1033/1602, 606 on upper limb, 427 on lower limb) of them were on the limbs. The acupoints of the Yang meridians was 75.0%(1200/1602) and the specific acupoints was 71.7%(1148/1602). Conclusion The acupoint selected was basically focused on the local areas in Tuina for post-stroke spastic paralysis, assisted with the involved meridians and distal acupoints. The acupoints of the Yang meridians were the first option, mainly on the extremities. The specific acupoints were the major components of the prescription, especially the Five-shu acupoints and the He acupoints.
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