Darsha Adrija K, Cohen Philip R
Medicine, University of California San Diego, La Jolla, USA.
Dermatology, San Diego Family Dermatology, National City, USA.
Cureus. 2020 Jun 25;12(6):e8833. doi: 10.7759/cureus.8833.
Coining therapy is a treatment commonly used in complementary and alternative medicine. The practice has its origins in several different Asian countries. It is used to treat numerous conditions, such as chronic pain, fever, flu, headaches, heatstroke, and upper respiratory infections. Coining is performed by vigorously rubbing a rounded instrument following the application of lubricant to the affected area. Hence, patients who have undergone coining therapy frequently present with macular erythema, petechiae, and/or raised ecchymoses at the sites of treatment. The cutaneous sequelae following treatment with coining on a Vietnamese man are described. Ecchymoses caused by coining usually resolve spontaneously within one to two weeks. While coining is generally regarded as a safe practice, mild or - albeit rarely - more severe complications may occur. Therefore, this procedure is contraindicated in certain patients including those with bleeding disorders, Von Willebrand disease, or those taking antiplatelet or anticoagulant medications. Several randomized-control studies suggest coining to be an effective treatment for chronic neck and lower back pain. Immediate pain relief at the treated site may result from increased circulation; thus, the venting of heat may mitigate the effects of the inflammation and pain. However, much remains to be learned about the mechanisms of longer-term pain relief in coining therapy. The use of complementary and alternative medicine techniques such as coining has increased in the United States; therefore, clinicians' evaluation and management of their patients would benefit from an understanding of the individual's sociocultural practices and health beliefs.
刮痧疗法是一种常用于补充和替代医学的治疗方法。这种疗法起源于几个不同的亚洲国家。它用于治疗多种病症，如慢性疼痛、发烧、流感、头痛、中暑和上呼吸道感染。刮痧是在受影响区域涂抹润滑剂后，用圆形器具用力摩擦来进行的。因此，接受过刮痧疗法的患者在治疗部位经常会出现斑状红斑、瘀点和/或隆起的瘀斑。本文描述了一名越南男子接受刮痧治疗后的皮肤后遗症。刮痧引起的瘀斑通常在一到两周内自行消退。虽然刮痧一般被认为是一种安全的疗法，但可能会出现轻微的或——尽管很少见——更严重的并发症。因此，该 procedure 在某些患者中是禁忌的，包括那些有出血性疾病、血管性血友病的患者，或正在服用抗血小板或抗凝药物的患者。几项随机对照研究表明，刮痧是治疗慢性颈部和下背部疼痛的有效方法。治疗部位的即时疼痛缓解可能是由于血液循环增加；因此，散热可能会减轻炎症和疼痛的影响。然而，关于刮痧疗法中长期疼痛缓解的机制仍有许多有待了解的地方。在美国，像刮痧这样的补充和替代医学技术的使用有所增加；因此，临床医生对患者的评估和管理将受益于对个人社会文化习俗和健康信念的了解。
