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[教授运用中药药线灸三联疗法治疗带状疱疹的经验]

[Professor 's experience in triple-stage regimen for herpes zoster with herbal thread moxibustion of medicine].

作者信息

Wu Dan, Zheng Liang

机构信息

First Clinical Medicine School, Guangzhou University of CM, Guangzhou 510405, Guangdong Province, China.

First Affiliated Hospital of Guangzhou University of CM.

出版信息

Zhongguo Zhen Jiu. 2019 May 12;39(5):515-8. doi: 10.13703/j.0255-2930.2019.05.014.

Abstract

The clinical experience of professor is introduced in treatment of herpes zoster and post-neuralgia with herbal thread moxibustion of medicine combined with acupuncture. Professor divides the pathological process of herpes zoster into pre-herpes stage, herpes stage and post-herpes stage. At pre-herpes stage, in pathogenesis of medicine, the deficiency of antipathogenic , invasion of pathogens, retarded and blood circulation in dragon and fire pathways are involved. Clearing heat, detoxification, promoting circulation in the pathways and dispersing and blood are considered in treatment. The herbal thread moxibustion is provided at " point" and " point" and seize "the head and tail of snake", and 3 needles are used at each of ends of skin leison. At herpes stage, toxin stagnation in dragon and fire pathways, stagnation on skin and muscle, and blood disturbance and dysfunction of three kinds of are considered in pathogenesis. The treatment focuses on removing pathogens and toxin, assisted with regulating and blood circulation, removing herpeses and promoting wound healing. The herbal thread moxibustion is used at " point", " point" and the two ends of skin lesion. The local row-like puncture is provided at skin lesion according to the intercostals nerve distribution. At post-herpes stage, the retention of pathogens and stagnation of blood in dragon and fire pathways are considered in pathogenesis. The treatment focuses on activating blood circulation, removing stasis and eliminating the pathogen residuals. " point", " point" and the two ends of skin lesion are selected in herbal thread moxibustion, or sweeping and dragging techniques of acupuncture are adopted. The timely application of herbal thread moxibustion controls the development of herpes zoster and prevents from post-neuralgia.

摘要

介绍了[教授姓名]运用药线灸结合针刺治疗带状疱疹及后遗神经痛的临床经验。[教授姓名]将带状疱疹的病理过程分为疱疹前期、疱疹期和疱疹后期。在疱疹前期,从药线灸的发病机制来看,涉及正气亏虚、邪气侵袭、龙火经络气血运行不畅。治疗时考虑清热、解毒、通络、散瘀活血。在“[穴位名称1]穴”和“[穴位名称2]穴”施用药线灸并抓住“蛇头蛇尾”,在皮损两端各针刺3针。在疱疹期,发病机制考虑龙火经络毒素阻滞、肌肤气血瘀滞、气血紊乱及三焦功能失调。治疗以祛邪排毒为主,辅以调理气血、消除疱疹、促进伤口愈合。在“[穴位名称3]穴”、“[穴位名称4]穴”及皮损两端施用药线灸。根据肋间神经分布在皮损处进行局部排刺。在疱疹后期,发病机制考虑龙火经络邪气留恋、瘀血阻滞。治疗以活血化瘀、清除余邪为主。药线灸选取“[穴位名称5]穴”、“[穴位名称6]穴”及皮损两端,或采用针刺的扫散拖转手法。药线灸的及时应用可控制带状疱疹的发展并预防后遗神经痛。

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