标本先后、阴阳平衡、虚实补泻不仅在遣方开药中需要重视，其理念也贯穿于针灸治疗的临床实践中。“通督启神”针法是李志刚教授多年治疗神志病的经验提炼总结，治疗中风后偏瘫有其独特优势。本研究从理论依据、经典病案、选穴及操作分析三个层面，介绍阐述“通督启神”结合标本阴阳补泻平衡针法治疗中风后偏瘫的临床应用，进而为探索切实可行的临床辨证治疗提供新思路、新方案。

The concepts of manifestation-root cause , Yin-Yang balance, reinforcing-reducing for deficiency and excess should not only be focused on the traditional chinese medicine formulations, but also be consistently applied in clinical practice of acupuncture treatment. The ‘Tongdu Qishen’ acupuncture method, developed by Professor Li Zhigang based on years of experience in treating psychosis, demonstrates unique advantages in treating stroke sequela hemiplegia. From the three aspects of theoretical basis, classic medical records, acupoint selection and operation analysis, this study introduces the clinical application of ‘Tongdu Qishen’ combined with manifestation-root cause Yin-Yang and reinforcing-reducing balance acupuncture in the treatment of stroke sequela hemiplegia, offering new insights and strategies for exploring effective clinical treatment with syndrome differentiation.

国家自然科学基金项目（面上项目，重点项目，重大项目）、北京中医药大学揭榜挂帅项目