臨床神経学

<シンポジウム(3)―8―5>神経内科診療における鍼灸活用の可能性を探る―神経科学を背景とした医療技術として鍼灸を捉える

頭痛診療ツールとしての鍼灸技法の応用

間中 信也

温知会間中病院〔〒250―0012 小田原市本町4―1―26〕

We use two oriental medical techniques in headache management. One is topological microstimulation, and the other is acupuncture point BL10 (Tianzhu) block.
1. Topological microstimulation
The topological microstimulation apparatus delivers programmed fluctuating electrical signals to electrodes placed on the distal portion of the limbs, where meridians are concentrated. Topological microstimulation adjusts "qi-blood-fluid" circulating through meridians. "Qi-blood-fluid" is a virtual concept of oriental medicine that means 3 elements (qi, blood, and colorless body fluid). Topological microstimulation induces natural healing power through the bio-homeostatic function, and reduces chronic intractable pain.
2. Acupuncture point BL10 (Tianzhu) block
Tianzhu as a meridian point is located at the intersection of the superior nuchal line of the occipital bone and lateral border of the trapezius. This site is located in the superficial layer of the trunk of the greater occipital nerve.
Tianzhu block has therapeutic effects on the trigeminocervical complex. As a result, various types of headache are relieved. Tianzhu block was performed in 50 patients in our clinic, and marked effects were observed in 6 patients, moderate effects in 22, slight effects in 19, and no effects in 3. According to the type of headache, this block was effective in 47% of patients with tension-type headache, 38% of those with migraine, 50% of those with chronic daily headache, and 71% of those with neck and/or shoulder pain.
Conclusion
Various somatic and mental stresses induce headache and functional somatic syndrome, i.e., Tianzhu syndrome. Acupuncture is useful and can be actively recommended for the management of intractable headache such as complicated headache due to Tianzhu syndrome.
Full Text of this Article in Japanese PDF (309K)

(臨床神経, 52:1299−1302, 2012)
key words:慢性頭痛,鍼灸技法,気血水理論,トポロジー治療,天柱ブロック

(受付日:2012年5月25日)