目的：观察“烧山火、透天凉”补泻蹻脉法对中风恢复期下肢痉挛的影响。方法：将180例患者随机分为两组，各90例，实验组采用“烧山火、透天凉”补泻蹻脉法即泻阴补阳蹻脉法治疗，对照组采用传统体针法治疗，两组均治疗28 天，应用Ashworth 量表，对首次治疗前0.5 h，治疗后0.5、1、2、4、8 h 和28天分别测定患者的下肢肌痉挛，并观察疗效。结果：总有效率实验组82.4%，对照组75.6%；首次治疗后0.5 h痉挛改善最明显（P<0.01或P<0.05），且实验组优于对照组（P<0.05）；实验组在治疗后1 h 痉挛改善明显（P<0.05）；两组治疗后28 天痉挛改善均明显（P<0.01或P<0.05），且实验组优于对照组（P<0.05）。结论：“烧山火、透天凉”补泻蹻脉法在近、远期内有效的降低中风恢复期患者患侧下肢肌痉挛。

This study was aimed to investigate the effect of acupuncture reinforcement-reduction manipulation of Shaoshanhuo and Toutianliang in Qiaomai on lower limb spasticity in the recovery period of stoke. A total of 180 patients were randomly divided into 2 groups (i.e. experiment group and control group), with 90 patients in each group. Experiment group were treated by acupuncture reinforcement-reduction manipulation of Shaoshanhuo and Toutianliang in Qiaomai and control group were treated by traditional body-acupuncture therapy. Both of them were treated for 28 days. Then, use the Ashworth Scale to test each patient's lower limb spasticity at each time of 0.5 h before treatment, 0.5 h, 1 h, 2 h, 4 h, 8 h after treatment and 28 days later. The results showed that the total effective rates were 82.4% and 75.6% in experiment group and control group. The spasm was obviously alleviated at 0.5 h after treatment for the first course of therapy, with statistical significance (P﹤0.01 or P﹤0.05). And the effect of experiment group was superior to control group (P﹤0.05). The spasm was obviously alleviated at 1 h after treatment in the experiment group, with statistical significance (P﹤0.01 or P﹤0.05). Spasm of patients in both groups have been relieved after treatment for 28 days, with statistical significance (P﹤0.01 or P﹤0.05). Experiment group was superior to control group (P﹤ 0.05). It was concluded that acupuncture reinforcement-reduction manipulation of Shaoshanhuo and Toutianliang in Qiaomai has good effect in the treatment of lower limb spasticity in recovery period of stoke in both short-term and long-term.

唐山市科技局2010 年唐山市临床技术研究计划项目（10150204A-48）：早期综合开发对偏瘫肢体痉挛的疗效研究，负责人：伊红丽。