摘要
带状疱疹后遗神经痛(PHN)是带状疱疹常见的难治性后遗症,根据其病变部位、病程演变及多样化疼痛的发病特点,可归属于络病范畴,中医认为其核心病机为“络脉受损”。本文从络病理论出发,初步对火针治疗PHN进行临床分期辨证论治。初期毒滞络脉,采用火针密刺、浅刺以拔毒祛邪;中期络脉瘀阻,采用火针结合刺络拔罐以去菀陈莝;晚期络脉虚损,以火针浅刺围刺以破旧生新。以期为临床基于络病理论分期运用火针精准治疗PHN提供新的辨证思路和实用治疗方案。
Postherpetic neuralgia(PHN)is a common refractory sequelae of herpes zoster,which can be classified as collateral disease according to its lesion location,disease course evolution and the pathogenesis characteristics of diversified pain.Traditional Chinese medicine believes that the core pathogenesis is"damage to the collaterals",and this paper starts from the theory of collateral disease and preliminarily conducts clinical staging syndrome differentiation and treatment of fire needle for PHN.In the early stage,the poison stagnates in the collaterals,and the fire needle is used to pull out the poison and dispel evil;in the middle stage,the collateral vein is blocked,and fire needles combined with acupuncture cupping are used to remove the old roots;In advanced cases,if the collaterals are weak and damaged,use fire needles to shallow acupuncture to break the old and give birth to the new.In order to provide new syndrome differentiation ideas and practical treatment plans for the precise treatment of PHN using fire needle based on the theory of collateral disease in clinical practice.
作者
李彩琴
吴清明
陈壮志
谭佳菲
何曦
李丹丹
LI Caiqin;WU Qingming;CHEN Zhuangzhi;TAN Jiafei;HE Xi;LI Dandan(Hunan University of Traditional Chinese Medicine,Changsha,Hunan 410005;The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha,Hunan 410005)
出处
《中医康复》
2025年第12期50-52,68,共4页
Traditional Chinese Medicine Rehabilitation
基金
吴清明全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)
国家中医优势专科建设项目(国中医药医政函〔2024〕90号)
湖南省中医重点专科建设项目(湘中医药函〔2023〕4号)
湖南省中医药管理局中医特色康复中心建设项目(湘中医药函〔2021〕52号)。
关键词
带状疱疹后遗神经痛
火针疗法
络病理论
postherpetic neuralgia
fire needle therapy
theory of collateral disease
