| 王小方,俞晓旸,许军峰.石学敏经筋刺法治疗带状疱疹后遗神经痛经验浅析[J].浙江中医药大学学报,2022,46(3):280-283. |
| 石学敏经筋刺法治疗带状疱疹后遗神经痛经验浅析 |
| SHI Xuemin‘s Experience in the Treatment of Postherpetic Neuralgia with Meridians and Tendons Acupuncture Therapy |
| DOI：10.16466/j.issn1005-5509.2022.03.009 |
| 中文关键词: 带状疱疹后遗神经痛 蛇串疮 针刺 经筋刺法 医案 名医经验 石学敏 |
| 英文关键词: postherpetic neuralgia slithering snake sore acupuncture meridians and tendons acupuncture therapy medical record famous doctor experience SHI Xuemin |
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| 中文摘要: |
| [目的] 浅析石学敏院士运用经筋刺法治疗带状疱疹后遗神经痛的经验。[方法] 通过整理相关医案，从中医病因病机，经筋刺法理论依据，刺法特点(辨经论治、醒脑调神、经筋排刺与刺络拔罐)等方面，总结石院士运用经筋刺法诊治带状疱疹后遗神经痛的学术经验，并举验案以供参考。[结果] 石院士认为，引起带状疱疹后遗神经痛的主要病因病机为患者体弱血虚肝旺，湿热毒邪蕴积，导致“不荣则痛”或“不通则痛”；并认为其以神经病理性疼痛为主的临床表现符合经筋病候特点，故以“疏利经筋”为指导原则，运用经筋刺法治疗该病。所举验案中一患者证属气虚血瘀证，治以益气化瘀、通络止痛；另一患者属气血两虚，治以补气养血、荣养营卫，运用经筋刺法后均取得佳效。[结论] 石院士以“不荣”或“不通”为带状疱疹后遗神经痛基本病机，以“疏利经筋”的经筋刺法治疗该病，能有效改善患者症状，其经验值得推广。 |
| 英文摘要: |
| [Objective] To analyze Academician SHI Xuemin‘s experience in treating postherpetic neuralgia (PHN) with meridians and tendons acupuncture therapy. [Methods] Through sorting out relevant medical records， Academician SHI‘s academic experience in the diagnosis and treatment of PHN with meridians and tendons acupuncture therapy was summarized in terms of the etiology and pathogenesis of traditional Chinese medicine (TCM)， the theoretical basis of meridians and tendons acupuncture therapy， and the characteristics of puncture method (differentiation and treatment， refreshing the brain and regulating the mind， meridians and tendons needling， as well as puncture and cupping)， etc. And two cases were presented for reference. [Results] Academician SHI believes that the main etiology and pathogenesis of PHN is the patient‘s weakness， blood deficiency， liver vigor， and accumulation of damp-heat toxins. The clinical manifestations of rational pain are in line with the symptoms of meridians and tendons， so meridians and tendons acupuncture therapy is used to treat the disease based on the guiding principle of “relieving meridians and tendons”. In the case cited， one patient‘s syndrome was Qi deficiency and blood stasis， which was treated by replenishing Qi to remove blood stasis， dredging collaterals and relieving pain; the other patient was Qi and blood deficiency， which was treated by tonifying Qi and nourishing blood， and supporting Ying and Wei. Both patients achieved good results after the use of meridians and tendons acupuncture therapy. [Conclusion] Academician SHI regards “innutrient” or “obstructed” as the basic pathogenesis of PHN， and the meridians and tendons acupuncture therapy of “relieving meridians” can effectively relieve the symptoms of patients， and his experience is worthy of promotion. |
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