Ideas for Acupuncture in the Treatment of Postherpetic Neuralgia Based on Syndrome Differentiation of "Collaterals Disease"
According to the characteristics of pain and disease process,postherpetic neuralgia(PHN)can be classified into the category of"collaterals disease"in traditional Chinese medicine.The key pathogenesis of PHN includes toxin,stasis and deficiency.The main syndromes of collaterals disease are pathogenic toxin burning collaterals,static blood blocking collaterals,and collaterals depletion.Ashi points are mainly selected for treatment of PHN.For the syndrome of pathogenic toxin burning collaterals,dense fire needling is suitable for removing toxin and relieving pain.For the syndrome of static blood blocking collaterals,collateral bloodletting is suitable to remove stasis and re-lieve pain.For the syndrome of collaterals depletion,the combination of encircling fire needling,hair needling and transverse insertion with filiform needles,and Jiaji acupoint(EX-B2)needling is suitable for nourishing collaterals and relieving pain.In clinical practice,the most appropriate acupuncture regimen can be selected according to the differentiated syndrome of"collaterals disease",and with adoption of the holistic pattern differentiation and treat-ment,the clinical efficacy can be strengthened.
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