针刺治疗带状疱疹后神经痛的络病辨证思路
Ideas for Acupuncture in the Treatment of Postherpetic Neuralgia Based on Syndrome Differentiation of "Collaterals Disease"
张家润 1刘璐 2吕天丽 2李彬2
作者信息
- 1. 北京中医药大学,北京市朝阳区北三环东路11号,100029;首都医科大学附属北京中医医院针灸中心
- 2. 首都医科大学附属北京中医医院针灸中心
- 折叠
摘要
根据带状疱疹后神经痛的疼痛特征和发病过程,将其归属为中医学"络病"范畴.认为其病机核心在于"毒""瘀""虚",络病辨证可分为毒邪炽络、瘀血阻络与络脉虚损证.针刺治疗选穴以阿是穴为主,毒邪炽络者,适用火针密刺以拔毒止痛;瘀血阻络者,适用刺络放血以祛瘀止痛;络脉虚损者,适用火针围刺、毫针毛刺与平刺联合夹脊穴针刺治疗以荣络止痛.临床根据络病辨证选择最适宜的针刺治疗方案,可与整体辨治相结合,进一步提升临床疗效.
Abstract
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.
关键词
带状疱疹后神经痛/针刺/辨证/络病Key words
postherpetic neuralgia/acupuncture/syndrome differentiation/collaterals disease引用本文复制引用
基金项目
国家自然科学基金(82074179)
国家中医药管理局中医药循证能力建设项目(2019XZZX-ZJ002)
第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号)
北京市自然科学基金(7232270)
首医优秀青年人才项目(B2207)
出版年
2024
国家科技期刊平台
NSTL
万方数据